GHC Behavioral Concerns Report

This Behavioral Concern Report is designed to enable faculty, staff and students to voluntarily report "red flag behaviors" that may raise concerns. The report will provide a mechanism for responding to individual situations and will reveal patterns of concerning behavior of specific students. It will provide a standardized method for recording observations of troublesome behaviors and for alerting staff of potential concerns. This is intended for non-emergency situations only. As always, for emergencies that require immediate intervention call 911, Lance James and/or Jason Hoseney

Please remember to click "Submit" after you have completed the form.

 


   Student Information
(please enter as much information as possible)
   Note: If the concern is with a GHC employee, please contact the Human Resources Office at 538-4234.


Name

Address 
  Student ID# 

  Phone 
 


What behavior has occurred that causes you to submit this form? Please provide a detailed description that includes dates, time and location of occurrences. Concrete, specific observations are most useful.

 
 

 

Please describe conversations you have had with the student and any action you have taken regarding this behavior.

 
 

 

*Name of person completing form

Are you a:             (explain)

 
   


     
 
 
 

 

*Individuals are allowed to make anonymous reports, however if a name is not provided it may hamper the team's ability to seek follow up information that may be critical in determining an appropriate course of action.

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Grays Harbor College
1620 Edward P Smith Drive
Aberdeen, WA 98520 USA
Telephone: (800) 562-4830 | Fax: (360) 538-4299
http://www.ghc.edu