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Refer a Student

Faculty and Staff Referral to Resources

If you are currently working with a student who you feel would benefit from ASC resources, please use this form to submit a referral request. This form is separate from academic alerts issued through Vol Connect/MyUTK. Academic alerts are solicited by the ASC to faculty in the first 4-6 weeks of the semester and are an avenue for faculty to express concerns about a student’s progress or attendance in class. This referral form can be filled out at any point in the semester by faculty or staff and can be completed for any student who could use additional assistance, even those who are performing well academically. Please note that an ASC staff member will reach out to the referred student to recommend resources once this form is submitted. If you have questions about this form, please contact our office at

Name of Student(Required)
If you are making a general referral not directly connected to a class, please type “general referral.”
Which resource(s) are you interested in the student making use of? (choose all that apply)(Required)