Student of Concern Report

   ver1.0.4
  • This report will be emailed to Melinda Berry (mlberry@tvcc.edu) and Harold Jones (hjones@tvcc.edu)
  • The Student of Concern Report is designed to enable faculty, staff, and students to voluntarily report “Red Flag” behaviors that may raise concerns at TVCC. An incident, in this context, is an event that does not warrant immediate intervention. In the event of an emergency that requires immediate intervention, call Campus Police at 903-675-6254 24 hours a day. The Student of Concern Report will provide a mechanism for responding to incidents and will reveal patterns of disruptive behavior. It will provide aggregate data on the nature and frequency of disruptions. In accordance with the TVCC Student Code of Conduct, information provided in the Student of Concern Report may be considered in determining appropriate disciplinary actions with students.
Student Being Reported Info
  • Name
  •  *Required
  • TVIN
  • Contact Phone (if known)
Reporter's Info
  • Name
  •  *Required
  • TVIN
  • Contact Phone
  •  *Required
  • Email
  •  *Required
  • Office Location
  • Role
  •  *Required
  • Campus
  •  *Required
Incident Information
  • Date of Incident   (mm/dd/yyyy)
  •  *Required
  • Time of Incident (appx.)
  •  *Required
  • Location of Incident
  •  *Required
Incident Description
  • Please provide a detailed description of the incident, paying particular attention to the behaviors of the students. Concrete, specific observations are most useful. You will receive an electronic response indicating that you report was received by the Behavioral Intervention Team. (2000 Characters)
  •  *Required