Information requested below will help the School Resource Officer address the problem of crime in your school.  Please complete as much of the information as possible.

All information will be held in STRICT CONFIDENCE.

Only by knowing can we help you.

Please identify and describe person's possibly selling drugs or committing other crimes:
Name:
Age:
Sex: Male Female
Height:
Weight:
Hair Color:
Eye Color:
   
Where is this person committing the crime or crimes:
Street Address:
Address (cont.):
City:
   
Is there a vehicle involved in this crime? If so list the information below:
Year: Make: Color: Plate #:
   
What type of crime is this person committing?
   
Is this happening:
At School:
At Home:
On School Bus:
Somewhere else?
   
If this is happening on the school bus please complete the blocks below:
Bus Number:
Bus Driver:
When?
   
Where Do the Sellers Hide Their Drugs?
   
Enter the date you observed the person committing a crime:
Month/Day/Year:
   
Any additional comments?
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