Canvas - Integration - Student Referral Form

UW Extended Campus' Student Referral Form is approved for use within the Digital Learning Environment (DLE). This is a simple, custom-built LTI tool that displays information about a student referral form to faculty but not students.


The Student Referral Form (SRF) is for UW Extended Campus use only.


This simple LTI app displays a referral form used by Student Services (a business unit within UW Extended Campus).  This form is used by faculty when they notice a student may need assistance and would like to work with Student Services to provide support. 


This is a free tool.

New Users:

Faculty teaching courses for UW Extended Campus should contact their program's Student Support representative for more information.



Security Information:

The tool does not pass information between Canvas and the student referral form.

Privacy Policy:

Student privacy is protected per UWSA policy and by the Memorandums of Understanding (MOUs) created between UW Extended Campus and partner institutions.