Refer Yourself or Someone Else

We're glad you're here and thinking about getting support. If you or someone you know has been impacted by abuse, harassment, or stalking, filling out this form is a good idea. When you complete our referral form, a Survivor Advocate will contact you or the referred students via their preferred method of contact within 24 business hours.

If you're completing this form on behalf of a student survivor, we highly encourage you to let them know first. Please note that if you're a responsible reporter, completing this referral does not absolve you of your reporting responsibility. More on reporting responsibility.

Complete Our Referral Form

For disability accommodations, please contact us at 520-621-5767 or survivoradvocacy@arizona.edu 

Explore more survivor support hotlines and supportive resources.