Behavioral Intervention Team


Behavioral Intervention Team Incident Report
Student's Full Name:
Student's Last 4 digits of SSN ID:
Student's Email Address:

Your Name:
Your Title:
Your Phone:
Your Email Address:
Your Relation to the Student:

Date of Incident:	/ /
Time of Incident:	:
Location of Incident:
Please provide a detailed description of the incident/behaviors you have observed. Use specific, concise, and objective language. Forward any additional information to the Office of Student Conduct at the Byrnes Building, Suite 201 and/or any electronic communication/supporting documentation to osc@sc.edu with the subject heading BIT. Please call 803-777-4333 if you have additional questions.

Any effects/impacts of the behavior?
Any attempts to address the behavior & how the individual responded to the attempts?
Any other information about the individual that might seem relevant?

Columbia, SC 29208 • 803-777-7000 • info@sc.edu