Behavioral Concern 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, David Parkinson and/or Jennifer Alt.

Please note: If the concern is with a GHC employee, please contact the Human Resources Office at 360-538-4234.

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.
Name
Student ID
Address
Street Address City ZIP Code
Describe the Red Flag Behavior
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.
Previous Conversations
Please describe conversations you have had with the student and any action you have taken regarding this behavior.
Are You A
- Student
- Employee
Phone
This field is for validation purposes and should be left unchanged.