Threat Agreement Form

By completing this form you are agreeing to utilize the threat collection instrument located on the National School Safety Collaboratory web portal.  You can join at any time by filling out the form and/or you can remove your district from the program by emailing bbecker@nationalschoolsafetycollaboratory.org.  If you have any questions please feel free to call (540)645-1050 or write us at the email above.

Name of School District:
Number of schools in the district:
Point of Contact responsible for threat program:
E-mail of Point of Contact:
By clicking yes, you agree to allow the NSSC to use the blinded data to recreate reports:
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To provide a safe and conducive learning environment for our children