Behavior Intervention Team (BIT)

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.

Concern Request (Inver Hills)

First Name: *

First Name: is required.

Last Name: *

Last Name: is required.

Star Id: *

Star Id: is required.

Email Address: *

Email Address: Email is not valid.

Phone Number: *

Phone Number: is required.

Are you Faculty, Student, Staff, Other:

Individual of Concern: *

Individual of Concern: is required.

Individual of Concern Description:

Incident Date/Time:

Nature of Incident

Location of Incident:

Interested parties or witnesses:

Attachment: