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Submit a Bevill CARE Report

Intervention and Referral Request: Campus Security/Behavioral Care Team Form

Person Providing the Information

Person of Concern Information

If the person is in a class with you or you know of a class that they are taking, please include the following:

Immediate Needs

Check All Needs That Apply:

Type of Concerning Behavior

Check All Behaviors That Apply:

Please indicate selections from the relevant category/categories. Circumstances associated with the person of concern that have been reported or known to you personally.

Check All That Apply:

Indicators & Behaviors of Suspected Terrorists

Check All Indicators & Behaviors That Apply: