Behavioral Intervention Team Anonymous Report

Information

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You are NOT required to provide your information to make a report.  ALL REPORTS ARE COMPLETELY ANONYMOUS. 

However, if you would like for Campus Police to contact you, please list your name, email, and phone (home and/or cell). 

You can also stop by the Campus Police office (B044) on the main campus or call 217.641.4291 to speak to an officer.  

Name:

Email:

Phone (cell and/or home):

Report

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Who is the person? (Give as much detail as possible, name, sex, race, age, address, phone):

Tendencies Towards Violence

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Has the person made any recent threats to act out violently? (Either against self or others):

Has the person provided any evidence of making plans to act out violently? (Named a target, provided details):

Has the person identified contingencies that would provoke an act of violence? (If this happens I will...):

Does the person have any history of committing violent acts?:

Does the person have access to weapons, firearms?:

Does the person seem to have a fascination with weapons, violence?:

Emotional Status

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Does the person have any history of mental illness, depression, emotional disorders?:

Has the person ever threatened to commit suicide or otherwise harm themselves?:

Does the person speak of being treated unfairly or that others are out to get them?:

Has the person experienced any recent life stressors? (Job termination, divorce, death in family):

Does the person show lack of concern for consequences of actions? :

Does the person blame others and refuse to take responsibility? :

Does the person show lack of empathy or remorse? :

Does the person abuse alcohol or drugs?:

reCAPTCHA

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