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* 1. Informed Consent
 
You are being asked to participate in a research project conducted through NaBITA and The NCHERM Group, LLC.
 
Nature and Purpose of the Project: We invite you to participate in a voluntary research study that will focus on Behavioral Intervention Teams (BITs) at colleges and universities in the United States. The purpose of the research study is to gather descriptive and demographic information from colleges and universities regarding their Behavioral Intervention Teams.
 
Explanation of Procedures: In this study, you will be asked to complete a short (15-20 minute) online survey.
 
Discomfort and Risks: The study has no known anticipated risks. Your participation is strictly voluntary. If you decide to participate, you are free to not answer any question, and you may withdraw your participation at any time.
 
Benefits: Possible benefits will be to obtain a better understanding of the structure and characteristics of Behavioral Intervention Teams that will assist NaBITA and The NCHERM Group, LLC. with resources and training. Results of the survey will be made available in summary form to NaBITA membership during the 2018 Annual NaBITA Conference and in the Journal of Campus Behavioral Intervention Teams (J-BIT).
 
Confidentiality: Your name, school name, as well as any other identifying information will not be shared with others. Only the researchers conducting the study will see the information you provide in your survey response. The results of this study will be shared in aggregate form in order to inform our understanding of BIT-related practices. All survey responses from this research study will be kept for research purposes by NaBITA.
 
Refusal/Withdrawal: Refusal to participate in this study will have no effect on any future services from NaBITA or The NCHERM Group. Anyone who agrees to participate in the study is free to withdraw from the study at any time with no penalty.
 
By filling out the survey, you provide your implied consent to participate in the study.
 
If you have any questions or concerns, please contact the principal researcher, Brian Van Brunt, at brian@ncherm.org

I agree to participate in this survey:

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* 2. School/Institution/Organization Name:

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* 3. My school/institution/organization is:

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* 4. My school is:

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* 5. If you are from a school, what is the total student population at your school? If you are from another type of institution/organization, what is the employee/community/client population that you serve? 

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* 6. My school is:

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* 7. If your campus has a residential program, what is the residential population (number of students who live in on-campus housing)?

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* 8. Does your school have a Mental Health Counselor, school psychologist (K-12 only) and/or mental health counseling services?

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