Threat Assessment Reporting Tool

Student of Concern Information

(Please identify the student/subject that has engaged in concerning behaviors)

First Name Question is mandatory

Last Name

Student ID

School Site Question is mandatory

Date of Event Question is mandatory

(MM/DD/YYYY)

Event Description Question is mandatory

Please describe the incident as detailed as possible

Is the student in an emergency situation and in need of immediate assistance? Question is mandatory

In the event of an emergency, please also contact the proper authorities such as police, or call 911.

Yes

Did anyone witness the incident?

Yes

Upload any evidence or documentation to support the reported incident. (optional)

Attach

Would you like to remain anonymous? Question is mandatory

Reporting anonymously, failure to report immediately and not providing adequate information may impair the District’s ability to investigate, address the prohibited conduct and/or may delay the investigation.

Yes

Email Address Question is mandatory