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Grayson Cares
Grayson Cares Referral
Grayson Cares Referral
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Free Food, Gas Vouchers,
Emergency Aid, Family Program,
Counseling, Concerning Behaviors (BIT), and more.
Referral for:
Student -- I am referring on behalf of the student.
Self-Referral -- I am the student requesting assistance.
Student
Self-Referral
If referring on the behalf of a student, is the student aware of the referral?
No
Yes
Do you want to remain anonymous when the student is contacted?
If it is your preference to remain anonymous, the Grayson Cares team will make an effort to maintain anonymity; however, please know that anonymity can never be guaranteed. Reports submitted through Grayson Cares are student records protected under the FERPA privacy regulations. This includes students having access to their records. We or other College officials may need to follow up to gather additional information to help us most effectively support the student.
If you wish to remain anonymous, please leave your identifying information blank.
No
Yes - I want to remain anonymous.
Your Role
Faculty
Staff
Student
Other
Your First Name
Your Last Name
Your Email Address
Your Phone Number
Student First Name
Student Last Name
Student ID Number
Student Phone
Student Viking Email
Example: username@vikings.grayson.edu
Free Food:
Free Food:
Vic’s Market (Food market offering free, nutritious groceries to support student well-being)
Grab and Go Counter (Food counter providing students free, ready-to-eat meals and snacks)
Mobile Food Pantry (4th Wednesday of every month in Viking Alley for students & community members)
Assistance and Aid:
Assistance and Aid:
Gas Voucher Program (Gas cards to assist students with transportation to college-related activities)
Emergency Aid (Emergency aid for students facing financial hardships)
Meal Tickets (Meal vouchers for Grayson College Cafeteria)
Community Resources (Resources to support students’ well-being)
Family Program (Family care supplies and services for students who are parents)
TBH Telehealth Basic Needs (Telehealth case management for basic needs assistance)
Counseling:
Counseling:
Personal Counseling (Grayson College on-campus mental health counseling)
TBH Telehealth Mental Health (Telehealth service for 1:1 counseling/coaching or group counseling)
BIT (Behavioral Intervention Team):
BIT (Behavioral Intervention Team):
Concerning Behaviors (not immediate emergencies)
Date of Incident (Date Picker)
(mm/dd/yyyy)
Location of Incident
Denison Campus
Van Alstyne Campus
Online
Off-Campus
Were the police notified?
No
Yes
Is the problem behavior a significant change from previous behavior?
No
Yes
Details of Incident or Reason for Concern
Please provide as much information as possible regarding the incident or reason for concern.
Attachment
Please provide supporting documentation related to the incident as needed.
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Title
A short description to explain the nature of the referral.
Grayson Cares Referrals will only be reviewed during normal business hours, Monday - Friday from 8:00am - 5:00pm, and may not be immediately addressed.
For Emergencies
: If you or someone you know need urgent or immediate assistance,
please contact 911, 988, or GC Campus Police 903.463.8777
.
To refer or report anonymously
, enter the following information into the required fields:
First Name:
Anonymous
or NA
Last Name:
Anonymous
or NA
Email:
csa@grayson.edu
Other Fields
Your name
Your first name
Your last name
Your email address
Verification Code