Believe. Empower. Advocate.

Attention Faculty, Staff & Community Members

If you are a UA staff/faculty or community member referring a student to see the Survivor Advocacy program, we highly encourage you to inform the student you are referring them to us before completing this form. 

If you wish to request a disability accommodation in order to facilitate meeting or talking with the Survivor Advocacy Program please contact the advocates at (520) 621-5767 or 

UA staff & faculty, completing this referral does not absolve you of your mandated duty to report, if a student has disclosed to you that they have been impacted by sexual or gender-based violence. More on mandated reporting here:

Click here to complete a referral form

Below we’ve listed some of our Tucson-community resources:

  • 24-hour bilingual crisis hotline at Southern Arizona Center Against Sexual Assault: 520-327-7273 or toll free at (800) 400-1001.
  • Emerge Center Against Domestic Abuse 24-hour hotline: 888-428-0101
  • Anti-violence 24 hour crisis hotline at Southern Arizona Aids Foundation, for LGBTQ survivors of violence: 1 (800) 553-9387