Student Concerns Form
An anonymous form with which you can share your current needs or concerns. If you share your contact information, a DASB Senate member can follow up with you as soon as possible.

If you have urgent concerns and need to be connected to a resource as soon as possible, visit a DASB Senator during their office hours. The hours of availability and link to the Zoom session can be found here: http://www.deanza.edu/dasb/members.html 

Our DASB Senate meetings are open to the public and are weekly on Wednesdays at 4 PM. Please visit http://www.deanza.edu/dasb/ for more information about the DASB Senate.
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Which of the following does your concern fall under? Select all that apply. *
Required
Please provide as much detail as you wish regarding your concerns.
If any, to which of the following have you reported or raised your concerns?
Which of the following resources do you feel would be most helpful right now?
Please visit https://www.deanza.edu/services/ for a full list of support services and visit https://www.deanza.edu/resources/index.html for more information on these resources.
If not listed above, what do you feel would be most helpful at this time?
If you would like to be contacted directly by a DASB Senator, please provide your email.
Is there anything else you would like us to know?
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