Amherst College Logo

Care Report


Please complete this form if you believe an Amherst College student would benefit from connection to support resources. If you provide your contact information, a Case Manager may reach out to gather more information or discuss next steps upon receiving the form.  

If you submit this form outside typical business hours, it may not be reviewed until the next business day. We welcome you to contact Student Affairs at 413-542-2337 during business hours so that we may provide you with support options even if you decide not to complete this form.

For immediate assistance in an emergency, regardless of the hour, call Amherst College Police at 413-542-2111. Submitting this form will not result in an immediate response.

If you wish to consult with a Student Affairs Administrator on Call (AOC) after business hours, please call  the Amherst College Dispatch Center at 413-542-2111. When the dispatcher answers the phone, request the Administrator on Call to contact you. The dispatcher will ask you to provide your name, phone number, and/or location. 

If you wish to contact the Center for Counseling & Mental Health, including their after hours support which is available 24/7, please call 413-542-2354.

Information about the Person Submitting this Report

We wish to support you and others affected by the issues documented in this report. Nevertheless, we understand there may be reasons why you might choose to withhold your identity. Please know that we always strive to protect the privacy of reporters and students of concern to the greatest extent possible given the issues at play.

If you are uncertain about what information to share, including whether you should include names or details about sensitive matters, please consult with Andy Tew at atew@amherst.edu or by calling 413-542-2337 during business hours. Be advised that any information included in this report may be shared with identified student(s) of concern.

Learn more
LEAVE BLANK FOR ANONYMITY
Learn more
LEAVE BLANK FOR ANONYMITY
Learn more
LEAVE BLANK FOR ANONYMITY
Email address must be of a valid format.
Learn more
LEAVE BLANK FOR ANONYMITY
Learn more
LEAVE BLANK FOR ANONYMITY
This field is required.
This field is required.
Learn more
If you do not know the exact date, offer your best guess and explain further in your narrative
Learn more
If you do not know the exact time, offer your best guess and explain further in your narrative
This field is required.
Learn more
Include extra information such as a room number or other descriptor

Involved Parties

Involved party 1

Questions

This field is required.
Indicate which of the following individuals/agencies have been contacted in support of those involved in this/these incident(s). Select all that apply.(Required)
You must make at least one selection.
This field is required.

Supporting Documentation (photos, videos, screenshots, texts, emails, etc.)


If you experience difficulty uploading a file, contact Case Manager Andy Tew at atew@amherst.edu or at 413-542-2337. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission