Individualized Assessment by CUA Student Life Administrators of

Whether a Student Poses a Direct Threat to Him/Herself and/or Others

 

“Direct threat” is a significant risk to health or safety that cannot be eliminated by modifying policies, practices, or procedures or by providing auxiliary aids or services and therefore the campus is made unsafe. 

 

This is evidence of an individualized assessment, based on reasonable judgment that relies on the best available objective evidence regarding:

 

                                                                                                                       

Student Name                                                  Identification Number

 

 

I have observed the following conduct exhibited by this student:                                                                                                                                                                                                

                                                                                                                                               

 

·         Describe the nature, duration, and severity of the risk:                                                                                                                                                                           

 

·         Determine the probability that the potential threatened injury will actually occur: 

 

                                                                                                                                   

 

·         Conclude whether you believe if reasonable modifications of policies, practices, or procedures will mitigate the risk:                                                                                                                                                                                                                         

 

I believe that there is a probability of substantial harm to self and/or others and the recommended plan (i.e., referral for immediate evaluation by a medical professional, referral to emergency room, involuntary health withdrawal, etc.) is the following:

                                                                                                                                                                                                                                                                                                                                                                                                                                               

 

 

Submitted on behalf of The Catholic University of America by:  

 

                                                                                                                                               

On behalf of the                                                                        Date

Office of Dean of Students