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IUPUI - Office of Student Advocacy & Support Referral


Information submitted is shared only with staff in the Office of Student Advocacy & Support. Referrals are reviewed on a daily basis during business hours (Monday - Friday, 9am - 5pm). Referrals are not monitored outside of business hours or during official University holidays. A response can be expected within 48 business hours.

If you have an immediate basic needs concern (i.e. food insecurity, housing/homelessness, etc.), please contact 2-1-1 Connect to Help. 

IF THERE IS IMMEDIATE RISK TO LIFE OR PROPERTY, call 911 or the Indiana University Police Department at 317-274-7911 

Please note, the Office of Student Advocacy & Support is not a confidential resource. Staff are required to report any disclosure related to harm to self or others, sexual misconduct, abuse of a child or endangered adult, or crime that occurs on or around campus. 

If you are seeking confidential support for concerns related to sexual harassment, sexual violence, or relationship violence, please contact the Confidential Advocate at saadv@iupui.edu or 317-274-5715. 

If you are seeking confidential mental health support, please contact Counseling and Psychological Services (CAPS) at capsindy@iupui.edu or 317-274-2548. 

Background Information

 
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Your relationship to the individual (i.e. self, parent/family member, peer, advisor, faculty, etc.)
Email address must be of a valid format.
This field is required.

Tell Us Who Needs Assistance:

Please list the individuals seeking/in need of assistance, including as many of the listed fields as you can provide. 

Involved party 1

Tell Us About Your Concerns

This field is required.
Please indicate any academic concerns that are applicable:
You must make at least one selection.
Please indicate any basic needs concerns that are applicable:
You must make at least one selection.
Please indicate any financial concerns that are applicable:
You must make at least one selection.
Please indicate any misconduct concerns that are applicable:
You must make at least one selection.
Please indicate any health concerns that are applicable:
You must make at least one selection.
Please indicate any other concerns that are applicable:
You must make at least one selection.
Is the student aware a referral is being submitted on their behalf?(Required)
This field is required.
How would the individual requesting/in need of assistance like to receive follow-up?
You must make at least one selection.
I understand that referrals from this form will be received during normal business hours (Monday - Friday, 9AM - 5PM) and are not monitored after hours, on weekends or during official University holidays. If this is an emergency or you need immediate assistance, contact the Indiana University Police Department at 317-274-7911.(Required)
You must make at least one selection.

Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission