CBIT Form

This report is for non-emergencies as well as for reporting purposes after a 911 call is made.

This Crisis and Behavior Intervention Form is to be used for reporting an individual or a group of people whose behavior interferes with the academic instruction, day-to-day operations of the college, may be in personal crisis, or is perceived as a safety concern to themselves, others, or property. CBIT Reporting Overview

 All fields marked with an * are required and must be completed to submit the form. 

Please list the individuals involved (excluding yourself), including as much information as you can provide. Helpful information to provide includes: Name (full names are best), gender, role (witness, victim, perpetrator, etc.), organization, date of birth or approximate age, campus affiliation (student, professor, staff, guest, etc.), and any contact information available. Please be as specific as possible.
Please provide a detailed description of the incident/concern using specific, concise, and objective language.
We want to make sure you are human!