Columbia University Mediation Clinic Referral: Follow Up

Following a mediation between two (or more) undergraduate Columbia College/School of Engineering and Applied Science students, please submit the following information. The information provided below helps the Residential Programs staff to continue to support students throughout their on-campus experience at Columbia University.  This information will be forwarded to the appropriate staff for follow up and documentation in the Maxient incident management system.

I understand that mediation is a voluntary process. I also understand that it is confidential, with limited exceptions (e.g. credible threats of imminent harm) that will be fully reviewed prior to the mediation.

Residential Life


515 Alfred Lerner Hall
2920 Broadway
New York, NY 10027

Call: (212) 854-6805

Fax: (212) 854-6815

Office Hours

9:00 a.m.–5:00 p.m.