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Behavior Intervention Team Referral


The University of Texas at Arlington cares about our students' success, not only academically, but emotionally and physically. Because of our commitment, we provide a number of departments and services across campus that respond to our students' unique needs. But sometimes, students do not ask for help when they need it. So in an effort to identify those students proactively, UTA has created a network of professionals from across campus that are committed to a caring, confidential program of identification, intervention and response in order to provide our students with the greatest chance of success and our community with the greatest level of protection.

Before you begin filling out the form: Suicide attempts are first and foremost a medical emergency. If dangerous or suicidal behavior appears imminent: 1) Stay calm and 2) Contact Campus Police at 817-272-3003 or dial 911. You may then contact the Behavior Intervention Team in regards to the steps you have taken.

 

If you wish to refer a student of concern that falls under other categories, please use the appropriate incident report form below:

Title IX: https://www.uta.edu/titleix/report/index.php 
Student Conduct Incident Report: https://cm.maxient.com/reportingform.php?UnivofTexasArlington&layout_id=13 
Academic Misconduct: https://cm.maxient.com/reportingform.php?UnivofTexasArlington&layout_id=6 

Reporter Information (person making this referral)

While this is optional, in order to gather additional information or follow up on the student referral, we ask that you provide us your contact information. If you have concerns with the BIT having your information, we ask that you provide a phone number so we can address your concerns confidentially or feel free to call 817-272-7862

 
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Involved Parties

Involved party 1

Referral Information

Referral information can include observations of students that were disruptive, general concerns about changes in appearance, how a conversation or interaction made you or others feel or specific statements that a student has expressed. Below please check those concerns which prompted your referral.

Please check those that apply:(Required)
You must make at least one selection.
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Have you personally taken any intervention steps prior to this BIT referral?(Required)
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Has UTA Police Department been notified and/or officers dispatched?
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Have you addressed the concern with the student?(Required)
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Are you aware of any support services the student is currently receiving?(Required)
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Is the student aware that BIT is being notified on their behalf?(Required)
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Supporting Documentation

If you have copies of text messages, concerning posts on social media, academic papers, correspondence or emails, please attach to this referral. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission