This form should be used if you want to request support from the Student Wellbeing & Partnership team. Before you complete the form we recommend that you have read the guidance document which explains the referral criteria
What to do in an emergency - in an emergency where an individuals safety is at immediate risk of significant harm, contact emergency services on 999. Immediately following this, for any incident occurring on campus, you should contact Security Services on 0121 414 4444 (internally 44444)
Data protection and confidentiality statement
To find out how we will use any personal data you share with us, please read our privacy statements at https://www.birmingham.ac.uk/privacy/index.aspx
What will happen next?
Once your form has been submitted the relevant team will aim to respond by the end of the next University working day.
Our working hours are Monday - Friday 08:30 - 17:00
If you are assigning the case to a College Wellbeing Team or the BIA, you will need to enter the contact email address for the students Wellbeing Officer / Team in the field below - this will drive all comms to the students College. To find their email address go to https://docs.google.com/spreadsheets/d/1oVVZoOUvZMO7jS6dKnLueoIqqQDM5lLyTQKd1-T6Xxs/edit#gid=0