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

NOTE: In reporting a hazing incident, you may submit the form anonymously by writing "anonymous" in the name fields below and by using in the required email field. For all other referrals, please submit your contact info.

Student information

Observation / incident details

Presenting concern / reason for referral


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