New Potential Threat

Student may pose a threat of :

Harm to self

Harm to others

Damage to school property

Date : When did the issue occurs?

Summary: Brief description the issue or your concern :

Did you personally witness the incident or behavior?

Yes

Description : Describe what you observed. Exactly what was said or done by the student?

Quote as much as possible, use quotation marks to identify direct quotes.

Target or victims: If known, list the target or victims

List each name, and whether a student, teacher, parent, administrator or other

Witnesses: List other witnesses.

List each name, including student grade.

Persons close to the student List student, staff, or others who know the student well.

Example: Best friend, boyfriend/girlfriend, coach.

Submit Threat