Student CARE MQ Referral

Use the Student CARE MQ form to report concerns or issues that may affect a student’s wellbeing.

You can also request the support of Student Advocacy and Support Services by completing this form.

If immediate help or medical attention is required, please contact:

Campus Security 9850 9999

Emergency Services 000

After hours support and assistance 1800 CARE MQ (2273 67)

International SOS +61 2 9372 2468 (Help for students overseas on exchange or placement)
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Student CARE MQ Referral

Reason(s) for referral:Required












Details of the person making the Care MQ Referral

Details of Issue

Does the student require support with their understanding and/or experience related to
Please provide any details of specific due dates or ask.mq.edu.au case reference numbers related to the current concern you are lodging

Descriptive Information about your Student Wellbeing inquiry

Please provide as much information as possible about the situation (no text limit).

Please enter the name (and Student I.D. number if known) of the student(s) you have concerns for.

Details of Actions Completed

Please explain any actions that you or other parties have taken to assist or reach out to the student of concern. For example, have you met with the student, emailed, phoned etc.

Emergency Services and External Referrals

Has this matter been referred to any of the following?

Desired Outcomes

Outcome
Are you seeking a specific outcome as a result of this report of concern?

Privacy Statement

Please upload any supporting documentation may help us in supporting you.
Drop files here to upload
AgreementRequired
By submitting a report, I agree to the disclosure of the information as outlined above. I understand the information about privacy provided above.
Good faith when reportingRequired

I am making this report in good faith. This means that the information that I have provided relates to incidents which I believe happened. I agree that the information I have provided is not, as far as I’m aware, misleading or exaggerated.

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