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At Washington State University North Puget Sound at Everett, we are committed to providing a safe learning environment to students, faculty, staff and visitors. Students, Faculty and Staff should use this form to report incidents involving any concerns they may have regarding an individual’s safety, mental, behavioral and emotional health. The Student CARE committee will do it’s best to ensure that all information disclosed in this report is kept confidential and only shared among members of the committee.

CARE Form

  • Contact Information

  • If choosing to report anonymously, please skip to 'Incident Information.'
  • Part 2: Incident Information

  • :
  • In the text box below, please describe exactly what occurred, and include specific details about the individuals involved (witnesses, victims, perpetrator, or informer). Please do your best to identify specific names and roles (student/staff/faculty) of all of those involved. 300 characters max. If more space is required please upload a Word document with all the necessary information.
  • Drop files here or
    Accepted file types: doc, docx, pdf, jpg, png, txt.
  • Thank you for submitting your report. A copy of your report will be submitted to the CARE Team Representative, Ciera Graham, Associate Director of Student Services. In the event that additional information about this case is needed, the representative will reach out to you. In the event that you have questions or concerns about this case, or the committee’s follow up plan, please contact Ciera Graham at 425-405-1725.