Kennesaw State University

Kennesaw State University seeks to foster a climate of safety that can only be accomplished with cooperation from everyone in the community. To facilitate the sharing of information, a Behavioral Reporting System has been implemented that allows students, faculty, and staff to report observed behavior that warrants concern. Such behaviors are often referred to as “red flags” because we know that harmful acts, either suicidal or towards others, rarely occur without raising concern in others in the individual’s life. NOTE: If this is an emergency and there is an immediate threat call the KSU Police (770) 423-6666 or dial 911. Submissions through the reporting form are not constantly monitored; therefore, the reporting form is never to be used for emergencies.
Referring Party Information:
Your Name:
Your status/title (e.g., student or professor):
Phone #:
Cell Phone#:
E-mail Address:
Follow-up requested for
Full Name:
KSU ID # (if known):
Address (if known):
Telephone (if known):
Cell Phone# (if known):
Email Address (if known):
Incident Information:
Date of Incident:
Time of Incident:
Location of Incident:
Detailed Description of Incident or Behavior:

NOTE: If this is an emergency and there is an immediate threat call the KSU Police (770) 423-6666 or dial 911. Submissions through the reporting form are not constantly monitored; therefore, the reporting form is never to be used for emergencies.

Examples of when to use the Behavior Reporting Form

1.
Thinking/talking about suicide or other self-injurious behaviors

2.
Behaviors that are threatening or have the potential to harm others

3.
Abnormal and/or disorganized behavior that disrupts the normal functioning of the campus environment

4.
Writings that communicate dangerous intentions to self or others

5.
Threatening online postings

6.
Noticeable and dramatic changes in day to day behavior (e.g., suddenly begins missing classes, grades significantly drop, declining personal care)

7.
Attending classes under the influence

8.
Paranoia (e.g., blames others in the class for his/her problems)

9.
Extreme lack of emotional responsiveness

10.
Displays emotions that are excessive for the circumstances

11.
Disrupting class