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Behavioral Intervention Team Incident Report
Student of Concern's Information
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Name:
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Buff ID #:
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Email Address:
Reporting Person's Information
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Name:
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Title:
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Phone #:
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Email Address:
Incident Information
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Date of Incident:
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Time of Incident:
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Location of Incident:
Detailed Description
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Please provide a detailed description of the incident using specific concise, objective language. Forward all documentation to Denese Skinner in Student Counseling Services, SSC suite 113 and/or any electronic communications/supporting documentation to biteam@wtamu.edu. Please call 806.651.2340 with any additional questions.
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