BIT Report Form

Welcome to the Odessa College Behavioral Intervention Team reporting form.

Please provide us with as much detail about the situation as possible. This information may not be anonymous and could be disclosed to the individual of concern.

If you have any questions about this form, please contact us at 335-6338.

If this is an emergency, please dial 911.

Person Filing Report

*Not Required.

Name
E-mail* :
Phone:
   
Student(s) of Concern
Student 1: Phone:
Student 2: Phone:
Student 3: Phone:
If your report involves more than 3 students of concern, provide their names in the behavior information report below.
   

Reported Incident or Behavior of Concern

Please describe in as much detail the incident which occurred or behaviors witnessed that warrant your submitting this report. It is better to provide too much detail than not enough so the team can make a more accurate assessment and plan of action.

Description:
Date of Incident: Time:
Location:
   

Note: Thank you for your report. Please be sure to look over the information you included to assure accuracy. When you hit submit, the report will be forwarded to the Behavioral Intervention Team. Within 24-48 hours, the team or a team member will make an attempt to contact the student and initiate a plan of action.