Student Referral Forms

Personal Student Referral

If you believe a student poses an immediate threat to him/herself and/or others, please call 911 immediately.

Clarkson College faculty and staff are invested in our students’ learning and well-being. A caring and proactive approach can often help a student access the resources they need. When a report is made, a Clarkson College counselor will reach out to the student to offer appropriate services. Due to confidentiality, counselors may are not able to report back the status of the referral.

Personal Student Referral Form

Academic Student Referral

Clarkson College faculty and staff are invested in our students’ learning and well-being. A caring and proactive approach can often help a student access the resources they need. When an academic referral is made, the Success Center coordinator will reach out to the student to offer appropriate resources.

Academic Student Referral Form