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Initial Report by Witness
Question for a threat concern initially reported by a witness
Question/Instruction Answer Required Action
Description : Description what you observed. Exactly what was said or done by the student?
Quote as much as possible; use quotation marks to identify direct quotes.
TextMultiple
Target or Victims : If known , list the target or victims.
List each name, and wheather a stident, teacher, parent, administrator or other.
TextMultiple
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Interview - Student
Questions for the student who poses the threat
Question/Instruction Answer Required Action
Describe what happened TextMultiple
What did you mean by what was said or done? TextMultiple
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Interview - Target/Victim
Questions for the target or intended victim of the threat
Question/Instruction Answer Required Action
Source : Name of the person being interviewed TextSingle
Description TextMultiple
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Interview - Witness
Questions for witness statement (for a person who is not a target of the threat)
Question/Instruction Answer Required Action
Source : Name of the witness being interviewed TextSingle
The witness is a ListSingle
Were you the recipient or target of the threat? ListSingle
Have you been threatened in the past by this student? YesNo
Describe what you observed. What exactly did the student say and do? TextMultiple
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Interview - Other
Question for a person who is close to the student (who may or may not be involved in the threat incident)
Question/Instruction Answer Required Action
Source : Name of the person being interviewed TextSingle
Description TextMultiple
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Assessment
Result of assessing the threat, used to detemine threat level and responses
Question/Instruction Answer Required Action
Have or seek accomplices: Trinary
Report the threat as a specific plan Trinary
Write plans or make lists Trinary
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Responses – Imminent Threat
Record responses to a threat deemed imminent
Question/Instruction Answer Required Action
Check the responses to the threat ListMultiple
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Responses – Serious Threat
Record responses to a threat deemed serious
Question/Instruction Answer Required Action
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Status Change
Question/Instruction Answer Required Action
Reason for status change TextMultiple
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Threat Level Determination or Change
Question/Instruction Answer Required Action
Reason for threat level change TextMultiple
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Comment
Add a comment to a case
Question/Instruction Answer Required Action
Comment TextMultiple
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