SOS (Save Our Students)Threat Tip Form
This form is used to report school safety concerns such as weapons, threats of violence against students and/or staff, and drugs, tobacco, and alcohol on school grounds.
Role of person completing form
Pin Oak Student
Pin Oak Parent
What type of threat is made?
Destruction of school property
Assault of student and/or staff
Drugs/tobacco/alcohol on school grounds
Other saftey concerns
If checked other safety concerns, please describe.
Name of person or people making threats against student(s), staff, or school or who has drugs/tobacco/alcohol or weapons.
When was threat made or incident occur?
Did the threat or incident occur on or off of the school grounds?
On school grounds
Off school grounds
Who were the threats made against or who was the victim of assault?
Do you know if there are any weapons, dangerous items or drugs/tobacco/alcohol at school?
If your answer is yes for a weapon/item, what type of weapon or dangerous item?
Where is the location of the threat, weapon, dangerous item, drugs/tobacco/alcohol, or destruction of school property?
Are there others who witnessed or have knowledge of this threat or incident? Please list.
Do you feel threatened?
Name of reporting person (not required)
Never submit passwords through Google Forms.
This form was created inside of Henderson County Board of Education.