Kean University Logo

Behavioral Intervention Team Incident Report

The Kean University Behavioral Intervention Team (KUBIT) is a multidisciplinary team that meets regularly to serve five major functions for the University:

- Provide consultation, education, and support to faculty, staff, and administration in assisting students who display disconcerting or unusual behaviors;
- Gather Information to assess situations involving students who display disconcerting or disruptive behaviors;
- Recommend appropriate intervention strategies;
- Connect students with needed campus and community resources; and
- Monitor ongoing behavior of students who have displayed disruptive or disconcerting behavior.

The purpose of this report is for you to be able to alert us of students whose actions and behaviors are causing concern. Once a report has been received, the KUBIT team will meet to determine the best course of action. You and the witnesses you identify in this report may be contacted for further information about the incident. Additionally, please note that University disciplinary records are protected by a federal privacy law called the Family Educational Rights and Privacy Act.

This form is NOT to be used in an emergency situation, however, we encourage completing this report so that we may provide additional resources to the individual if applicable. If the individual you are currently reporting is in a situation where immediate medical, police, psychological, or other emergency services are needed please call 911 to get the appropriate services. If you are on campus, contact the Kean University Department of Public Safety/Police at 908-737-4800.

Please refer to the KUBIT webpage for additional resources. If you have any questions regarding filing an incident report, please contact the Office of Student Accountability, Standards & Education at (908) 737-5240.

Background Information

Your full name:

Your position/title:

Your phone number:

Your email address:

Email address must be of a valid format.

Your physical address:

Date of incident(Required):

This field is required.

Time of incident:

Location of incident(Required):

This field is required.

Specific location:

Individuals Involved

Please list the individuals involved (excluding yourself), including as many of the listed fields as you can. If there is no Kean ID # available, please provides as much information as possible to identify the student. When imputing an individual's Kean ID # please use all nine numbers.

Person Name

Select Role

ID Number

Phone number

Email address

Narrative / Description of Incident

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.

Email me a copy of this report