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Concerning or Threatening Behavior (BITAT)


BEFORE YOU BEGIN: If this is an emergency that involves an imminent risk of harm to self or others, please contact campus police at 713-718-8888 or Dial 911.

This form should ONLY be used to report student behavior that is perceived as concerning or threatening in nature to self or others.

Background Information

Do NOT use this form to report Student Conduct Violations or Scholastic Dishonesty Violations. BITAT reviews referrals Monday-Friday between 8am-5pm. Outreach is provided to our students to provide support navigating some of the challenges they may be experiencing.

 
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Please indicate the reason(s) for this referral
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Tell us who you have concerns about:

Please list the individual involved, including as many of the listed fields as you can provide. For individuals who are not affiliated with HCC, please provide a Drivers License number in the block labeled HCC ID if available.The HCC ID Number MUST include all nine digits. If you listed your information above as the person submitting this report, you DO NOT need to include your information in this section.

Involved party 1

Tell Us about your concern

Please describe the behaviors that have prompted you to share your concerns. Please use as much detail as possible, including dates for any specific concerns. If the concern involves threats or comments related to self-harm or harm to others, please include exact quotes and how these comments were communicated.
Based on the nature of this report please check all issues of concern that may apply:

Academic Concerns:(Required)
You must make at least one selection.
Behavioral/Emotional Concerns:(Required)
You must make at least one selection.
Physical Concerns(Required)
You must make at least one selection.
Miscellaneous Concerns(Required)
You must make at least one selection.
Safety Risk Concerns(Required)
You must make at least one selection.
This field is required.
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Is the student aware that a BITAT referral is being submitted on their behalf?(Required)
This field is required.
If you have previously observed this behavior, does it seem to be getting worse or more frequent?(Required)
This field is required.
Do you wish to remain anonymous if/when the student is contacted? **If it is your preference to remain anonymous, the BITAT will make every effort to maintain anonymity. However, please know anonymity cannot be guaranteed. You may be contacted by a BITAT member to follow up to gather additional information to help us most effectively support the student.(Required)
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What emergency services were contacted?(Required)
You must make at least one selection.

Supporting Documentation

Photos, video, email, and other supporting documents may be attached below. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission