Lockdown/Shelter in Place/Evacuation Form

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Lock all of your doors. Close your blinds. Keep Lights ON. Instruct students to be silent. All student cell phones need to be TURNED OFF. Put your cell phone on SILENT. Do not use the intercom. Do not open the classroom door under any circumstance. Police and Administration will NEVER ask you to open the door as they have keys to enter.

Use your iPad/Laptop/Phone to view the APS webpage for detailed information.

If you have to leave due to Evacuation, call 311 with your name and the name of all of the students you have with you.

Email *

Teacher Last Name *

Teacher First Name *

Classroom Number or Area of Location *

Are ALL of your students with you? *

Yes

NA/Prep Period

If NO, provide full names of your missing students AND where they may be: *

Are there any students from OTHER classrooms with you? *

Yes

If YES, provide full names of the students and their assigned teacher. *

Are there any OTHER ADULTS with you? (i.e., other staff members, parents, etc.) *

Yes

If YES, what are their names? *

Provide details of IMMINENT issues, if any (i.e., students in need of prescription medication, etc.)

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