Texas Community Colleges
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Behavior Referral

 

Student Information
 
 
 
 
 

Incident Report

The Behavior Assessment Team seeks your help in identifying Western Texas College students who are in need of guidance and support. The purpose of this report is for you to be able to alert us of students whose actions and behaviors are causing concern. This report will not be used to initiate disciplinary action, but rather to get help for the student.

If you believe the student or the community is in immediate danger, please call 911 for local law enforcement or contact the Campus Security Department at, 325-207-3709.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
(If you do wish to remain anonymous, the chairperson of the team may still contact you for further information.)
I hereby declare that the information on this form is true, correct, and complete to the best of my knowledge. I understand that any misrepresentation of information may result in disciplinary actions as stipulate on College Policy.
Please confirm that you are not a script by entering the letters from the image.