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School Threat - Report of Concern Form
If you are aware of or have information regarding violent behaviors or threats, please complete this form to report them. Reports may be made anonymously but should be as complete as possible.
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Should the School Threat Assessment Team have reason to believe that the Report of Concern was wrongfully or falsely submitted, the Salem County Vocational Technical Schools reserves the right to utilize disciplinary action.
Individual Completing Form
If you prefer to remain anonymous, leave this section blank.
Name of person completing this form
Your answer
Relation to the individual involved in alleged incident of school threat:
Your answer
Email Address
Your answer
Phone Number
Your answer
Incident Information
Incident Date
*
MM
/
DD
/
YYYY
Time of Incident (if applicable)
Time
:
AM
PM
Name of Student(s) of Concern & Grade Level
*
Your answer
Physical Appearance/Clothing of Individuals Involved
*
Your answer
Location of Incident (Be as specific as possible)
*
Your answer
Describe the concern and/or incident with as much detail as possible.
What was the concern and/or incident?
Who was involved in the concern and/or incident?
How you were made aware of the concern and/or incident?
*
Your answer
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