SWIFT Student Referral Form
  1. Student Name
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  2. Today's Date
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  3. Your Name
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  4. Your E-mail
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  5. Your Phone Number
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  6. Date you became aware of issue
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  7. Is the student an immediate threat to himself/herself or others? If "YES", please immediately call security at 217-228-5600.
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  8. In detail, please describe your concern regarding this student
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  9. Do you feel the student's behavior is disruptive to other students?
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  10. Do you feel the student's behavior is impacting his/her success?
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  11. Please rate the seriousness of this concern
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  12. Does the student know you have made a SWIFT referral?
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  13. Can we use your name when contacting the student?
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