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Behavioral Intervention Team Incident (BIT) Reporting Form

Use this form if you have a behavioral concern about a particular student or employee or if you want to report a conduct issue.

IMPORTANT NOTICE!

Call 911 if there is an imminent threat to anyone's personal safety or an emergency is in progress.

Instructions

Complete and submit the form below.

Use language that is specific, concise and objective to provide a detailed description.

By submitting this report, you are stating that all information contained in the report is true and correct to the best of your knowledge. Furthermore, please realize that the individuals involved may be afforded certain privacy rights under the Family Educational Rights and Privacy Act (FERPA) which establishes requirements regarding the privacy of student records.

When you click "Submit", the information you entered will be sent to Inver Hills Community College. This matter will be routed to the appropriate staff or Behavioral Intervention Team (BIT) member and will be followed up on shortly.

A complaint is an allegation of improper, unfair, arbitrary or discriminatory treatment by college personnel. Students should attempt to resolve concerns informally before filing a complaint. Any student or group of students may file a complaint concerning any campus issue.

Fields marked with an asterisk "*" are required.

First Name: *  
Last Name: *  
Star ID:  
Email Address:*    
Phone Number:*    
You are Faculty, Staff, Student, or Other?
Individual of Concern:  
Individual of Concern Description:
Incident Date/Time:*
Nature of Incident:*
Location of Incident:
Interested parties or witnesses:
Attachment:

By clicking the submit button, I declare that the information on this form and all supporting documentation is true, correct and complete to the best of my knowledge and belief. Once submitted, the information you provide will be routed directly to the Dean of Students.