Violence Prevention Program Assessment Tool - Student Services ...

Elementary Violence Assessment ToolSchool District:___________Building:_____________D. Pupil Services(Assesses violence prevention/interventionservices provided by school-based staff andcommunity partners)2 1 0Don'tKnow1c. classroom presentations (U)2. School’s pupil services staff offer services or hasa system in place for identifying and referringstudents who are at risk of being victims orperpetrators of violence including:2a. victims of child abuse or neglect (S,I)2b. victims of sexual assault (S,I)2c. weapons violations (S,I)2d. observers of violence at home, at school, or inthe community (S,I)Pupil Services Component SummaryWe’re doing well in these areas (rating of 2).1.___________________________________________________________2.___________________________________________________________We’ve done some work in these areas, but they need more attention (rating of 1).1.___________________________________________________________2.___________________________________________________________8