Violence Prevention Program Assessment Tool - Student Services ...

Elementary Violence Assessment ToolSchool District:___________Building:_____________F. Family and Community(Assesses involvement of parents/guardiansand the community in the violenceprevention program)2. Parents/guardians and community members helpplan and implement the violence preventionprogram in the following ways:2a. serving on school health advisory committees(U)2 1 0Don'tKnow2b. volunteering in classrooms, on the playground,in the cafeteria (U)3. Staff informs students and their families aboutcommunity-based safety programs that cover thefollowing topics:3a. preventing unintentional injuries (U,S)3b. preventing violence (U,S)4. School informs students and their families aboutcommunity-based organizations/agencies thatprovide services for:4a. victims of violence (S,I)4b. perpetrators of violence (S,I)4c. victims of sexual assault (S,I)4d. victims of physical and sexual abuse (S,I)4e. aggression/anger issues (S,I)13