Student referral / person of concern form | Stark State College | North Canton, Ohio
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Student referral / person of concern form

The safety and overall well-being of our students, faculty, and staff are important to us at Stark State College. Please use the form below to report any concerns related to student conduct, student mental and/or emotional issues, or any known/suspected sexual misconduct, stalking, or relationship violence involving a student, faculty, or staff member.

If you are reporting an act of violence, a physical threat, or mental health emergency please contact Campus Security immediately.

  • Main campus: 330-704-2582
  • Stark State Akron: 330-312-2526
  • Downtown Canton: 330-704-2522


Type of referral

Your information


Student information

MM slash DD slash YYYY

Observation / incident details

MM slash DD slash YYYY
Time of observation or incident(Required)

Presenting concern / reason for referral

This field is for validation purposes and should be left unchanged.
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