To request assistance from the Dean of Students Office for yourself or someone else, please complete the following form by filling in the requested information. If you have any questions after completing the report form, feel free to contact the Dean of Students Office at 413-545-2684.
Please be aware that any time you record information about a student in an email, note, recording, or this form, the information becomes part of the student’s protected education record. Such information should be presented in a professional manner.
In the case of urgent or life-threatening concerns, call 911 or the UMass Police Department at 413-545-2121.
Please note, the Dean of Students Office’s ability to provide information back to the original reporter is shaped by University privacy policies and the federal Family Educational Rights and Privacy Act (FERPA). The “need to know” standard permits the staff to share confidential information regarding students with those who need the information in order to perform effectively in their jobs. If you are not directly involved in follow-up actions but have questions about the nature of the University’s response, please contact the Dean of Students Office.
- Academic: If you notice a student has excessive absences, missed multiple assignments and is not responsive to instructor outreach, or other academic concerns.
- Bias: If you experience or witness a bias activity.
- Campus/Social: If you notice a student has expressed severe homesickness, reported serious roommate issues, or similar situation.
- Medical: If you notice a student has lost a dramatic amount of weight, has left campus for surgery or treatment, reported a medical condition of concern, or similar situation.
- Mental health: If a student has become withdrawn, has begun to exhibit behavior you find strange, has reported acute anxiety, submits an assignment with troubling content, or similar situation.
- Personal: If you notice a student reports a close friend or family member has died, reports a parent has recently become very ill, homeless, or reports other information.
Reports are reviewed by the Dean of Students Office during regular business hours Monday – Friday, 8:30 AM – 5:00 PM. The staff will determine the most appropriate action, make the necessary referrals and provide support. In order to ensure that the concern is shared with staff from appropriate offices (University Health Services, Counseling and Psychological Health, Center for Women & Community, etc.) the Dean of Students Office staff will benefit from the most complete description.
Your description should include examples of observed behaviors or details of concerning interactions, names of others who may have witnessed or been affected by the situation:
- Copies of texts or worrisome emails, or any other documentation you can provide.
It is also helpful to describe any steps you have already taken to address your concerns:
- Conversations you have had with the student
- Conversations with the student’s advisor or mentor
- Conversations you've had with another staff member to express your concern
In addition to support from the Dean of Students Office, the following are other campus resources that are available to assist and support you:
Center for Counseling and Psychological Health (CCPH) - Confidential
Emergency on-call services, 24 hours a day, 7 days a week.
Center for Multicultural Advancement and Student Success (CMASS)
Center for Women and Community (CWC) - Confidential
New Africa House
International Programs Office (IPO)
70 Butterfield Terrace
The Equal Opportunity Office (EO)
225 Bartlett Hall
Office of Religious and Spiritual Life
416 Student Union Building
Ombuds Office - Confidential
Campus Center, Room 823
Student Legal Services Office - Confidential
922 Campus Center
UMass Amherst Police Department (UMPD) - Confidential
585 East Pleasant Street
Non-Emergency Number: 413-545-2121
In case of an emergency you should dial 911