Anonymous "Reach Out" Form
If you feel for whatever reason that a STEP@Pitt Member is struggling, you can fill out this form and the Wellness Officer or another E-board member of your choosing will reach out to them. This form is completely anonymous, but you can be notified when we have reached out to them, if you would like. Remember that as an organization, we are here for each other, so please do not hesitate to reach out at any time.
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First and last name of the STEP@Pitt Member you would like us to check-in on:
Our Wellness Officer will perform this check-in, unless otherwise specified. If you'd prefer another member of STEP@Pitt Eboard to do the check in, please check their name/position. Note: only the Eboard member(s) who will perform the check-in will know about the check-in. *
Is there anything else we should know?
If you would like to be notified when we reach out, please include your name. The STEP@Pitt Member will not know that you submitted this form. *
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