BAT Referral Form

How to Report Concerns to the BAT

Report all incidents and concerns that you have regarding an individuals behavior to (to be determined), including as much detail as possible about the behavior/incident. Use your judgement as to what is reportable, erring on the side of over-reporting if in doubt.

Reporting Information

* Required

While anonymous reports are accepted, you are STRONGLY encouraged to provide your name and contact information in order to allow us to most effectively and efficiently address the occurrence. Each witness should complete his/her own copy of this report.

Occurrence Information

:
Files must be less than 800 KB.
Allowed file types: gif jpg png txt rtf html pdf doc docx ppt pptx xls xlsx avi mov mp3 wav.

 

Click the SUBMIT button below to email this report to the Behavioral Assessment Team. You may be contacted by a member of the team for additional information or clarification.

If you have questions, please email bat@cgcc.edu.

 

If this is an EMERGENCY, cal 9-1-1 immediately and contact the appropriate campus security at (541) 506-6070 or (541) 300-1205 after hours.