Early Alert Referral Form

The mission of Early Alert Team (EAT) is to provide early intervention and prevention for students who are experiencing distress, engaging in harmful or disruptive behaviors, or who have been identified as at risk.

  mm/dd/yy
You can type anonymous, if you wish.


if available

 
 

Disclosure:

In accordance with the Family Educational Rights and Privacy Act (FERPA), the system is designed to allow referrals to be viewed only by those individuals who have a need to know.  The information shared will not become part of the student's permanent record.  In addition, state and federal privacy laws prohibit the unauthorized disclosure of personally identifiable health information.

Drop a completed form in campus mail or in Lownik Hall 152.  You may contact the Associate Dean for Student Development, Linda D. Owens by telephone (630) 829 - 6123 or e-mail EarlyAlertWarning@ben.edu 

  • Student Life
    BENEDICTINE UNIVERSITY

  • Marco Masini, Associate Vice President
    Phone: (630) 829-6124
    Fax: (630) 829-6348
    E-mail: mmasini@ben.edu

  • Luba Baranivsky, Assistant to the VP
    E-mail: lbaranivsky@ben.edu

  • Lownik Hall, Room 152
    5700 College Road Lisle IL, 60532
    8:30 a.m. - 5:00 p.m