Thank you for taking time to submit the following referral. Pellissippi
State Community College cares about the safety, health and well-being of
its student, faculty, staff and community. Please complete this
referral form with as much information as possible.
Once completed, your submission will be reviewed by the Dean of Students
and/or a member of the Behavioral Intervention Team.
A follow up
conversation may be necessary, so please submit your contact information
if you are not submitting an anonymous report. You may wish to describe
anonymous reporting if enabled.
You can request a receipt email once you submit this report.