Behavioral Concern Report

side view of Bryn Athyn College's Brickman Center in the fall

Behavioral Concern Report

Complete the following form to notify the BAC Behavioral Intervention Team (B.I.T.) of a student exhibiting behavior of concern seeking evaluation or intervention by the Behavioral Intervention Team.

NOTE: This form is not to be used to report an emergency. If this is a medical or psychological emergency, immediate threat of violence, substantial disruption, or a situation requiring immediate action, please call 911 and then contact Campus Security at 267.502 2424 if appropriate.

Please check to acknowledge the following:*
Person Submitting Report:
Person Exhibiting Behavior of Concern:
Description of Behavior of Concern:
How frequently does the person exhibit the behavior your concerned about?
Have you discussed your concerns with this person?*
You can choose for your identity to remain private, or select how involve you would like to be.
(Check all that apply)
Thank you for taking the time to report this concern. We appreciate your willingness to come forward. You will receive a response within 24 hours if you provided your contact information.