Rumson Schools Anonymous School Threat Reporting Form

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Rumson Schools Anonymous School Threat Reporting Form

2023-2024 Rumson Schools Anonymous School Threat Reporting Form

The process is designed for assessment of threats to harm others and is NOT intended for individuals who have threatened to harm only themselves or for reporting of HIB - Harassment, Intimidation and Bullying.

For 24-hour crisis response specific to self-harm, families may contact Monmouth Medical Center (732-923-6999).

There is also a Suicide Lifeline number (1-800-273-TALK) accessible anytime of day or night.

With regard to HIB reporting, this procedure is not designed for imminent threats. Any concern for impending harm to other(s) should be reported directly to the Rumson Police Department (732-842-0500 or dial 911 for emergency). All reports made by use of this digital district form will notify administration only, with follow-up actions to occur during the next school day in-session.

This form is intended to anonymously report a school threat, in accordance with New Jersey state guidance.
If you do NOT wish to be anonymous, please contact the school's principal directly. A list of district and school administration contact information can be found linked - HERE

Types of Behaviors to Report - *

Threats of Violence (verbal & non-verbal)

Behaviors involving weapon carrying or menacing actions

Required

Name(s) of student(s) believed to have made a threat of violence or exhibited behaviors involving a weapon/menacing action(s) - *

Name(s) of potential witnesses (if known) - *

Approximate Date of Incident - *

YYYY

Location of alleged incident(s) - *

Description of incident(s). Be as specific as possible. *

This report is based on the following evidence (choose as many as apply) - *

I have witnessed the threat myself

I have physcial evidence of the threat (digital or paper)

The student who exhibited a threat of violence reported it to me.

I hear about it from someone else or overheard people talking about it.

Required

If you have physical evidence, please send promptly to school administration. Contact information can be found linked here - HERE *

Physical evidence (digital or paper)

Yes, I have physical evidence and will send to administration.

I understand and certify that I am aware that all reports made by use of this digital district form will notify administration with follow-up actions to occur during the next school day in-session.

Any concern for impending harm to other(s) should be reported directly to the Rumson Police Department (732-842-0500 or dial 911 for emergency).

Yes, I understand and certify that I am aware that all reports made by use of this digital district form will notify administration with follow-up actions to occur during the next school day in-session.

Required

I certify that the information on this form is accurate and true to the best of my knowledge and belief. My digital timestamp below serves as my anonymous signature.

Time

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