School Survey on Crime and Safety (SSOCS) 2018 and 2020 Update

School Survey on Crime and Safety (SSOCS)
2018 and 2020 Update
OMB #1850-0761 v.16

Appendix B – 2018 and 2020 Questionnaires
2018 Questionnaire - page 2
2020 Questionnaire - page 26

National Center for Education Statistics
Institute of Education Sciences
U.S. Department of Education

March 2017
revised March 2019

OMB No. 1850-0761: Approval Expires 7/31/2020
Collected by:

Conducted by:

U.S. DEPARTMENT OF COMMERCE

U.S. DEPARTMENT OF EDUCATION

Economics and Statistics Administration
U.S. CENSUS BUREAU

NATIONAL CENTER FOR EDUCATION STATISTICS

SCHOOL SURVEY ON CRIME AND SAFETY
PRINCIPAL QUESTIONNAIRE
2017–18 SCHOOL YEAR
This survey is designed to be completed by the principal or the person most knowledgeable
about school crime and policies to provide a safe environment at your school.

(Please correct any errors in name, address, and ZIP Code.)

THIS SURVEY HAS BEEN ENDORSED BY:
American Association of School Administrators
American Federation of Teachers
American School Counselors Association
Association for Middle Level Education
Association of American Educators
Council of Chief State School Officers
Education Northwest
National Association of Elementary School Principals
National Association of School Psychologists

National Association of School Resource Officers
National Association of Secondary School Principals
National Association of State Boards of Education
National Education Association
National PTA
National School Safety Center
School Safety Advocacy Council
School Social Work Association of America
UCLA Center for Mental Health in Schools

The National Center for Education Statistics (NCES), within the U.S. Department of Education,
is authorized to conduct this survey by the Education Sciences Reform Act of 2002 (ESRA
2002, 20 U.S.C. §9543).

NOTICE

All of the information you provide may be used only for statistical purposes and may not be
disclosed, or used, in identifiable form for any other purpose except as required by law
(20 U.S.C. §9573 and 6 U.S.C. §151). Reports of the findings from the survey will not identify
participating districts, schools, or staff. Individual responses will be combined with those from
other participants to produce summary statistics and reports.

PLEASE RESPOND BY:
FORM SSOCS-1
(11-9-2017)

§,"’¤

110106

DEFINITIONS
The following words are bolded and marked by an asterisk (*) wherever they appear
in the questionnaire. Please use these definitions as you respond.
Active shooter – an individual actively engaged
in killing or attempting to kill people in a confined
and populated area; in most cases, active
shooters use firearm(s) and there is no pattern or
method to their selection of victims.
Arrest – The act of detaining in legal custody. An
"arrest" is the deprivation of a person’s liberty by
legal authority in response to a criminal charge.
At school/at your school – activities
happening in school buildings, on school grounds,
on school buses, and at places that hold
school-sponsored events or activities. Unless
otherwise specified, this refers to normal school
hours or to times when school activities/events
were in session.
Bullying – any unwanted aggressive behavior(s)
by another youth or group of youths that involves
an observed or perceived power imbalance and is
repeated multiple times or is highly likely to be
repeated. Bullying occurs among youth who are
not siblings or current dating partners.
Cyberbullying – bullying that occurs when willful
and repeated harm is inflicted through the use of
computers, cell phones, or other electronic
devices.
Diagnostic mental health assessment – an
evaluation conducted by a mental health
professional that identifies whether an individual
has one or more mental health diagnoses. This is
in contrast to an educational assessment, which
does not focus on clarifying a student’s mental
health diagnosis.
Evacuation – a procedure that requires all
students and staff to leave the building. While
evacuating to the school’s field makes sense for a
fire drill that only lasts a few minutes, it may not
be an appropriate location for a longer period of
time. The evacuation plan should encompass
relocation procedures and include backup
buildings to serve as emergency shelters, such as
nearby community centers, religious institutions,
businesses, or other schools. Evacuation also
includes “reverse evacuation,” a procedure for
schools to return students to the building quickly if
an incident occurs while students are outside.
Firearm/explosive device – any weapon that
is designed to (or may readily be converted to)
expel a projectile by the action of an explosive.
This includes guns, bombs, grenades, mines,
rockets, missiles, pipe bombs, or similar devices
designed to explode and capable of causing bodily
harm or property damage.
Gang – an ongoing loosely organized
association of three or more persons, whether
formal or informal, that has a common name,
signs, symbols, or colors, whose members
engage, either individually or collectively, in
violent or other forms of illegal behavior.

2

Gender identity – means one’s inner sense
of one’s own gender, which may or may not
match the sex assigned at birth. Different
people choose to express their gender identity
differently. For some, gender may be expressed
through, for example, dress, grooming,
mannerisms, speech patterns, and social
interactions. Gender expression usually ranges
between masculine and feminine, and some
transgender people express their gender
consistent with how they identify internally,
rather than in accordance with the sex they
were assigned at birth.
Harassment – conduct that is unwelcome and
denies or limits a student’s ability to participate in
or benefit from a school’s education program. All
students can be victims of harassment and the
harasser can share the same characteristics of the
victim. The conduct can be verbal, nonverbal, or
physical and can take many forms, including
verbal acts and name-calling, as well as
non-verbal conduct, such as graphic and written
statements, or conduct that is physically
threatening, harmful, or humiliating.
Hate crime – A committed criminal offense
that is motivated, in whole or in part, by the
offender’s bias(es) against a race, religion,
disability, sexual orientation, ethnicity, gender,
or gender identity; also known as bias crime.
Lockdown – a procedure that involves
occupants of a school building being directed to
remain confined to a room or area within a
building with specific procedures to follow. A
lockdown may be used when a crisis occurs
outside of the school and an evacuation would
be dangerous. A lockdown may also be called
for when there is a crisis inside and movement
within the school will put students in jeopardy.
All exterior doors are locked and students and
staff stay in their classrooms.
Mental health disorders – collectively, all
diagnosable mental disorders or health
conditions that are characterized by alterations
in thinking, mood, or behavior (or some
combination thereof) associated with distress
and/or impaired functioning.
Mental health professionals – mental
health services are provided by several different
professions, each of which has its own training
and areas of expertise. The types of licensed
professionals who may provide mental health
services include psychiatrists, psychologists,
psychiatric/mental health nurse practitioners,
psychiatric/mental health nurses, clinical social
workers, and professional counselors.
Physical attack or fight – an actual and
intentional touching or striking of another person
against his or her will, or the intentional causing
of bodily harm to an individual.

§,#&¤

FORM SSOCS-1 (11-9-2017)

110205

DEFINITIONS – Continued
The following words are bolded and marked by an asterisk (*) wherever they appear
in the questionnaire. Please use these definitions as you respond.
Rape – forced sexual intercourse (vaginal, anal,
or oral penetration). This includes sodomy and
penetration with a foreign object. All students,
regardless of sex or gender identity, can be victims
of rape. [Counts of attempted rape should be added
to counts of rapes in your reporting of item 30a.]
Restorative circle – a formal mediation
process led by a facilitator that brings affected
parties of a problem together to explore what
happened, reflect on their roles, find a solution,
and ultimately restore harmony to individual
relationships and the larger community.
Robbery (taking things by force) – the taking or
attempting to take anything of value that is owned
by another person or organization, under
confrontational circumstances, by force or threat of
force or violence and/or by putting the victim in fear.
A key difference between robbery and theft/larceny
is that robbery involves a threat or assault.
School Resource Officer (SRO) – a career
sworn law enforcement officer with arrest authority,
who has specialized training and is assigned to
work in collaboration with school organizations.
Sexual assault – an incident that includes
threatened rape, fondling, indecent liberties, or
child molestation. All students, regardless of sex or
gender identity, can be victims of sexual assault.
Classification of these incidents should take into
consideration the age and developmentally
appropriate behavior of the offender(s).
Sexual harassment – conduct that is unwelcome,
sexual in nature, and denies or limits a student’s
ability to participate in or benefit from a school’s
education program. All students, regardless of sex or
gender identity, can be victims of sexual harassment,
and the harasser and the victim can be of the same
sex. The conduct can be verbal, non-verbal, or
physical and can take many forms, including verbal
acts and name-calling, as well as non-verbal conduct,
such as graphic and written statements, or conduct
that is physically threatening, harmful, or humiliating.
Sexual misconduct – Any act, including, but
not limited to, any verbal, nonverbal, written or
electronic communication or physical activity,
directed toward or with a student regardless of the
age of the student that is designed to establish a
romantic or sexual relationship with the student.
School staff have power over students by virtue of
their position, thus student-staff relationships are
not equal and students cannot be consenting
parties to romantic or sexual relationships.
Sexual orientation – means one’s emotional or
physical attraction to the same and/or opposite sex.
Shelter-in-place – a procedure similar to a
lockdown in that the occupants are to remain on the
premises; however, shelter-in-place is designed to

FORM SSOCS-1 (11-9-2017)

use a facility and its indoor atmosphere to
temporarily separate people from a hazardous
outdoor environment. Everyone would be brought
indoors and building personnel would close all
windows and doors and shut down the heating,
ventilation, and air conditioning system (HVAC).
This would create a neutral pressure in the
building, meaning the contaminated air would
not be drawn into the building.
Special education student – a child with a
disability, defined as mental retardation, hearing
impairments (including deafness), speech or
language impairments, visual impairments
(including blindness), serious emotional
disturbance, orthopedic impairments, autism,
traumatic brain injury, other health impairments,
or specific learning disabilities, who needs
special education and related services and
receives these under the Individuals with
Disabilities Education Act (IDEA).
Specialized school – a school that is
specifically for students who were referred for
disciplinary reasons, although the school may
also have students who were referred for other
reasons. The school may be at the same
location as your school.
Theft/larceny (taking things worth over $10
without personal confrontation) – the unlawful
taking of another person’s property without
personal confrontation, threat, violence, or bodily
harm. This includes pocket picking, stealing a
purse or backpack (if left unattended or no force
was used to take it from owner), theft from a
building, theft from a motor vehicle or of motor
vehicle parts or accessories, theft of a bicycle,
theft from a vending machine, and all other
types of thefts.
Threat assessment team – a formalized
group of persons who meet on a regular basis
with the common purpose of identifying,
assessing, and managing students who may
pose a threat of targeted violence in schools.
Treatment – a clinical intervention addressed
at lessening or eliminating the symptoms of a
mental health disorder. This may include
psychotherapy, medication treatment, and/or
counseling.
Vandalism – the willful damage or destruction
of school property, including bombing, arson,
graffiti, and other acts that cause property
damage. This includes damage caused by
computer hacking.
Violence – actual, attempted, or threatened
fight or assault.
Weapon – any instrument or object used with
the intent to threaten, injure, or kill. This includes
look-alikes if they are used to threaten others.

§,#&¤

110205

3

SURVEY INSTRUCTIONS:
For most questions, please mark the box that best reflects your school’s circumstances.
Please mark your response with an "X".
Some questions ask for counts or percents of items. Please place an "X" in the None box,
rather than leaving the item blank, if the number of such items at your school is zero.
It is not necessary to consult any records for items 9 and 42. Please provide estimates for
these questions.
Definitions are available for many terms on pages 2 and 3. Defined terms are bolded and
marked with an asterisk (*) throughout the survey.
Some questions refer to the 2017–18 school year. Please report for the school year to date.
Please have this questionnaire filled out by the person most knowledgeable about school crime
and policies to provide a safe environment.
Please keep a copy of the completed questionnaire for your records.

WHERE SHOULD I RETURN MY COMPLETED QUESTIONNAIRE?
Please return your completed questionnaire in the enclosed postage-paid envelope or mail it to:
U.S. Census Bureau
ATTN: DCB/PCSPU, Building 60A
1201 E. 10th Street
Jeffersonville, IN 47132-0001
If you have any questions about this questionnaire, please contact the U.S. Census Bureau at:
1-888-595-1332 or at [email protected].

Paperwork Burden Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this voluntary
information collection is 1850-0761. The time required to complete this information collection is estimated
to average 53 minutes per response, including the time to review instructions, search existing data
resources, gather the data needed, and complete and review the information collection. If you have any
comments concerning the accuracy of the time estimate, suggestions for improving this collection, or
comments or concerns about the contents or the status of your individual submission of this questionnaire,
please e-mail: [email protected], or write directly to: School Survey on Crime and Safety (SSOCS),
National Center for Education Statistics, PCP, 550 12th Street SW, #4012, Washington, DC 20202.

4

§,$%¤

FORM SSOCS-1 (11-9-2017)

110304

School Practices and Programs
1.

During the 2017–18 school year, was it a practice of your school to do the following?
If your school changed its practices during the school year, please answer regarding your most
recent practice.
Check "Yes" or "No" on each line.
YES
NO

a.
b.

Require visitors to sign or check in and wear badges

110

1

2

Control access to school buildings during school hours
(e.g., locked or monitored doors, loading docks)

112

1

2

Control access to school grounds during school hours
(e.g., locked or monitored gates)

114

1

2

d.

Require metal detector checks on students every day

116

1

2

e.
f.
g.

Perform one or more random metal detector checks on students

120

1

2

Equip classrooms with locks so that doors can be locked from the inside

121

1

2

Close the campus for most or all students during lunch

122

1

2

h.

Perform one or more random sweeps (e.g., locker checks, dog sniffs) for
contraband (e.g., drugs or weapons*)

125

1

2

Require drug testing for students participating in athletics or other
extracurricular activities

129

1

2

Require students to wear uniforms

134

1

2

Enforce a strict dress code

136

1

2

Provide school lockers to students

138

1

2

Require clear book bags or ban book bags on school grounds

140

1

2

n.

Have “panic button(s)” or silent alarm(s) that directly connect to law
enforcement in the event of an incident

139

1

2

o.

Provide an electronic notification system that automatically notifies parents in
case of a school-wide emergency

141

1

2

p.

Provide a structured anonymous threat reporting system (e.g., online
submission, telephone hotline, or written submission via drop box)

143

1

2

q.
r.
s.
t.

Require students to wear badges or picture IDs

142

1

2

Require faculty and staff to wear badges or picture IDs

144

1

2

Use one or more security cameras to monitor the school

146

1

2

Provide two-way radios to any staff

150

1

2

u.

Prohibit non-academic use of cell phones or smartphones during school hours

153

1

2

c.

i.
j.
k.
l.
m.

*Please use the definition on pages 2 and 3.

FORM SSOCS-1 (11-9-2017)

§,%$¤

110403

5

2.

3.

4.

Does your school have a written plan that describes procedures to be performed in the following
scenarios?
YES

NO

a.

Active shooter*

155

1

2

b.

Natural disasters (e.g., earthquakes or tornadoes)

158

1

2

c.

Hostages

162

1

2

d.
e.

Bomb threats or incidents

166

1

2

Chemical, biological, or radiological threats or incidents (e.g., release of
mustard gas, anthrax, smallpox, or radioactive materials)

170

1

2

f.

Suicide threat or incident

169

1

2

g.

Pandemic disease

161

1

2

h.

Post-crisis reunification of students with their families

157

1

2

During the 2017–18 school year, has your school drilled students on the use of the following emergency
procedures?
Please respond to each of these according to the definitions provided on pages 2 and 3.
YES
NO

a.

Evacuation*

b.
c.

163

1

2

Lockdown*

165

1

2

Shelter-in-place*

167

1

2

During the 2017–18 school year, did your school have any activities that included the following
components for students?
Check "Yes" or "No" on each line.
YES

NO

a.

Prevention curriculum, instruction, or training for students (e.g., conflict
resolution, anti-bullying*, dating violence* prevention)

174

1

2

b.

Social emotional learning (SEL) for students (e.g., social skills, anger
management, mindfulness)

183

1

2

c.

Behavioral or behavior modification intervention for students (including the use
of positive reinforcements)

176

1

2

d.

Individual mentoring/tutoring/coaching of students by adults

181

1

2

e.

Student involvement in peer mediation

175

1

2

f.

Student court to address student conduct problems or minor offenses

177

1

2

g.

Student involvement in restorative circles* (e.g., "peace circles,"
"talking circles," "conflict circles")

179

1

2

h.

Programs to promote a sense of community/social integration among students

186

1

2

*Please use the definition on pages 2 and 3.

6

§,&#¤

FORM SSOCS-1 (11-9-2017)

110502

5.

During the 2017–18 school year, did your school have a threat assessment team* or any other
formal group of persons to identify students who might be a potential risk for violent or harmful behavior
(toward themselves or others)?
600

1
2

➤

6.

➤

GO TO item 7 below.

During the 2017–18 school year, how often did your school’s threat assessment team* formally
meet?
Check one response.
602

1
2
3
4

7.

Yes
No

At least once a week
At least once a month
On occasion
Never

During the 2017–18 school year, did your school have any recognized student groups with the following
purposes?
Check "Yes" or "No" on each line.
YES

NO

a.

Acceptance of sexual orientation* and gender identity* of
students (e.g., Gay-Straight Alliance)

604

1

2

b.

Acceptance of students with disabilities (e.g., Best Buddies)

606

1

2

c.

Acceptance of cultural diversity (e.g., Cultural Awareness Club)

608

1

2

YES

NO

Parent and Community Involvement at School
8.

Which of the following does your school do to involve or help parents?
Check "Yes" or "No" on each line.

a.

Have a formal process to obtain parental input on policies related to
school crime and discipline

190

1

2

b.

Provide training or technical assistance to parents in dealing with
students’ problem behavior

192

1

2

*Please use the definition on pages 2 and 3.
FORM SSOCS-1 (11-9-2017)

§,’"¤

110601

7

9. What is your best estimate of the percentage of students who had at least one parent or guardian
participating in the following events during the 2017–18 school year?
Check one response on each line.
0–25%

26–50%

51–75% 76–100%

School does
not offer

a.

Open house or back-to-school
night

196

1

2

3

4

5

b.

Regularly scheduled
parent-teacher conferences

198

1

2

3

4

5

10. During the 2017–18 school year, were any of the following community and outside groups involved in
your school’s efforts to promote safe, disciplined, and drug-free schools?
Check "Yes" or "No" on each line.
YES

NO

a.

Parent groups

204

1

2

b.

Social service agencies

206

1

2

c.

Juvenile justice agencies

208

1

2

d.

Law enforcement agencies

210

1

2

e.

Mental health agencies

212

1

2

f.

Civic organizations/service clubs

214

1

2

g.

Private corporations/businesses

216

1

2

h.

Religious organizations

218

1

2

*Please use the definition on pages 2 and 3.

8

§,’"¤

FORM SSOCS-1 (11-9-2017)

110601

School Security Staff
11. During the 2017–18 school year, did you have any sworn law enforcement officers (including School
Resource Officers*) present at your school* at least once a week?
Do not include security guards or other security personnel who are not sworn law enforcement in
your response to this item; information on additional security staff is gathered in item 19.
610

➤

1

Yes

2

No

➤

GO TO item 19 on page 11.

12. Were sworn law enforcement officers (including School Resource Officers*) used at least
once a week in or around your school at the following times?
Do not include security guards or other security personnel who are not sworn law enforcement in
your response to this item; information on additional security staff is gathered in item 19.
Check "Yes" or "No" on each line.
YES

NO

a.

At any time during school hours

612

1

2

b.

While students were arriving or leaving

614

1

2

c.

At selected school activities (e.g., athletic and social events, open houses,
science fairs)

616

1

2

d.

When school/school activities were not occurring

618

1

2

13. Did any of the sworn law enforcement officers (including School Resource Officers*) at your
school* routinely:
Do not include security guards or other security personnel who are not sworn law enforcement in
your response to this item; information on additional security staff is gathered in item 19.
Check "Yes" or "No" on each line.
YES

NO

a.

Carry physical restraints (e.g., handcuffs, Tasers)

621

1

2

b.

Carry chemical aerosol sprays (e.g., Mace, pepper spray)

622

1

2

c.

Carry a firearm*

624

1

2

d.

Wear a body camera

626

1

2

*Please use the definition on pages 2 and 3.
FORM SSOCS-1 (11-9-2017)

§,(!¤

110700

9

14. Did these sworn law enforcement officers (including School Resource Officers*) participate
in the following activities at your school*?
Do not include security guards or other security personnel who are not sworn law enforcement in
your response to this item; information on additional security staff is gathered in item 19.
Check "Yes" or "No" on each line.
YES
NO

a.

Motor vehicle traffic control

628

1

2

b.

Security enforcement and patrol

630

1

2

c.

Maintaining student discipline

632

1

2

d.

Identifying problems in the school and proactively seeking solutions
to those problems

636

1

2

Training teachers and staff in school safety or crime prevention

638

1

2

Mentoring students

640

1

2

g.

Teaching a law-related education course or training students (e.g.,
drug-related education, criminal law, or crime prevention courses)

642

1

2

h.

Recording or reporting discipline problems to school authorities

644

1

2

Providing information to school authorities about the legal definitions
of behavior for recording or reporting purposes (e.g., defining assault
for school authorities)

646

1

2

e.
f.

i.

15. During the 2017–18 school year, did your school have a sworn law enforcement officer (including
School Resource Officers*) present for all instructional hours every day that school was in
session?
Include officers who are used as temporary coverage while regularly assigned officers are performing
duties external to the school (such as attending court) or during these officers’ personal leave time.
Check "No" if your school does not have officer coverage while regularly assigned officers are
performing duties external to the school (such as attending court) or during these officers’ personal
leave time.
Do not include security guards or other security personnel who are not sworn law enforcement in your
response to this item; information on additional security staff is gathered in item 19.
648

1

Yes

2

No

16. During the 2017–18 school year, did your school or school district have any formalized policies or
written documents (e.g., Memorandum of Use, Memorandum of Agreement) that outlined the roles,
responsibilities, and expectations of sworn law enforcement officers (including School Resource
Officers*) at school?
650

1

Yes

2

No

➤
➤

CONTINUE to item 17 on page 11.
GO TO item 18 on page 11.

*Please use the definition on pages 2 and 3.

10

§,)*¤

FORM SSOCS-1 (11-9-2017)

110809

17. Did these formalized policies or written documents include language defining the role of sworn law
enforcement officers (including School Resource Officers*) at school in the following areas?
Check "Yes," "No," or "Don’t know" on each line.

a. Student discipline

DON’T
KNOW

NO

YES
652

1

2

3

654

1

2

3

c. Use of firearms*

656

1

2

3

d. Making arrests* on school grounds

658

1

2

3

660

1

2

3

b. Use of physical or chemical restraints (e.g., handcuffs,
Tasers, Mace, pepper spray)

e. Reporting of criminal offenses to a law enforcement
agency

18. How many of the following were present at your school* at least once a week?
If an officer works full-time across various schools in the district, please count this officer as
"part-time" for your school.
Do not include security guards or other security personnel who are not sworn law enforcement in
your response to this item; information on additional security staff is gathered in item 19.
If none, please place an "X" in the None box.

Number
at your school*

a. School Resource Officers*
i. Full-time

236

0

None

ii. Part-time

238

0

None

b. Sworn law enforcement officers who are not School Resource Officers*
i. Full-time

240

0

None

ii. Part-time

242

0

None

19. Aside from sworn law enforcement officers (including School Resource Officers*), how many
additional security guards or security personnel were present at your school* at least once a week?
If a security guard or other security personnel works full-time across various schools in the district,
please count this person as “part-time” for your school.
If none, please place an "X" in the None box.

Number
at your school*

Security guards or security personnel
i. Full-time

232

0

None

ii. Part-time

234

0

None

*Please use the definition on pages 2 and 3.

FORM SSOCS-1 (11-9-2017)

§,*)¤

110908

11

School Mental Health Services
20. During the 2017–18 school year, did your school provide diagnostic mental health

assessments* (e.g., psychological/psychiatric diagnostics assessments) to evaluate students for
mental health disorders*?
Include only assessments conducted by a licensed mental health professional*.
661
Include services that were provided at school* as well as services provided through a
contract the school has with an outside provider.

➤

1

Yes

2

No

➤

GO TO item 22 below.

21. Were diagnostic mental health assessment* services provided to students from
your school in the following locations?
Check "Yes" or "No" on each line.

YES

NO

a. At school*, by a school-employed or contracted mental health professional*

663

1

2

b. Outside of school, by a school-employed or contracted mental health

665

1

2

professional*

22. During the 2017–18 school year, did your school provide treatment* (e.g.,
psychotherapy, medication) to students for mental health disorders*?
667

Include only treatment* provided by a licensed mental health professional*.
Include services that were provided at school* as well as services provided
through a contract the school has with an outside provider.

➤

1

Yes

2

No

➤

GO TO item 24 below.

23. Were treatment* services provided to students from your school in the following locations?
Check "Yes" or "No" on each line.

a.

At school*, by a school-employed or contracted mental health professional* 669

b. Outside of school, by a school-employed or contracted mental health

671

professional*

YES

NO

1

2

1

2

24. During the 2017–18 school year, to what extent did the following factors limit your school’s efforts to
provide mental health services to students?

Limits in
major way

Check one response on each line.

Limits in
minor way

Does not
limit

a. Inadequate access to licensed mental health
professionals*

b. Inadequate funding
c. Potential legal issues for school or district (e.g.,
malpractice, insufficient supervision, confidentiality)

d. Concerns about reactions from parents
e. Lack of community support for providing mental
health services to students in your school

674

1

2

3

676

1

2

3

678

1

2

3

681

1

2

3

682

1

2

3

684

1

2

3

686

1

2

3

f. Written or unwritten policies regarding the school’s
requirement to pay for the diagnostic mental
health assessment* or treatment* of students

g. Reluctance to label students with mental health
disorders* to avoid stigmatizing the child
*Please use the definition on pages 2 and 3.

12

§,+(¤

FORM SSOCS-1 (11-9-2017)

111007

Staff Training and Practices
25. During the 2017–18 school year, did your school or school district provide any of the following
for classroom teachers or aides?
Check "Yes" or "No" on each line.
YES

NO

a.

Training in classroom management for teachers

266

1

2

b.

Training in school-wide discipline policies and practices related to
violence*

268

1

2

Training in school-wide discipline policies and practices related to
cyberbullying*

265

1

2

Training in school-wide discipline policies and practices related to
bullying* other than cyberbullying*

267

1

2

Training in school-wide discipline policies and practices related to alcohol
and/or drug use

269

1

2

f.

Training in safety procedures (e.g., how to handle emergencies)

270

1

2

g.

Training in recognizing early warning signs of students likely to exhibit
violent behavior

272

1

2

Training in recognizing signs of self-harm or suicidal tendencies

278

1

2

Training in intervention and referral strategies for students displaying
signs of mental health disorders* (e.g., depression, mood
disorders, ADHD)

271

1

2

j.

Training in recognizing physical, social, and verbal bullying* behaviors

273

1

2

k.

Training in recognizing signs of students using/abusing alcohol and/or
drugs

274

1

2

Training in positive behavioral intervention strategies

276

1

2

277

1

2

c.
d.
e.

h.
i.

l.

m. Training in crisis prevention and intervention

26. To the best of your knowledge, during the 2017–18 school year, were there any staff at your school*
who legally carried a firearm* on school property?
Exclude sworn law enforcement officers (including School Resource Officers*) or other security
guards or personnel who carry firearms.
279

1

Yes

2

No

*Please use the definition on pages 2 and 3.

FORM SSOCS-1 (11-9-2017)

§,,’¤

111106

13

Limitations on Crime Prevention
27. To what extent do the following factors limit your school’s efforts to reduce or prevent crime?
Check one response on each line.
Limits in
major way

a.

Lack of or inadequate teacher training in classroom
management

Limits in
minor way

Does not
limit

280

1

2

3

b.

Lack of or inadequate alternative
placement/programs for disruptive students

282

1

2

3

c.

Likelihood of complaints from parents

284

1

2

3

d.

Lack of teacher support for school policies

286

1

2

3

e.

Lack of parental support for school policies

288

1

2

3

f.

Teachers’ fear of student retaliation

290

1

2

3

g.

Fear of litigation

292

1

2

3

h.

Inadequate funds

294

1

2

3

i.

Inconsistent application of school
policies by faculty or staff

296

1

2

3

j.

Fear of district or state reprisal

298

1

2

3

k.

Federal, state, or district policies on
disciplining special education students*

300

1

2

3

l.

Federal policies on discipline and safety other than
those for special education students*

302

1

2

3

304

1

2

3

m. State or district policies on discipline and safety other
than those for special education students*

Frequency of Crime and Violence at School
28. During the 2017–18 school year, have any of your school’s students, faculty, or staff died as a
result of a homicide committed at your school*?
306

Yes

1
2

2

No

29. During the 2017–18 school year, has there been at least one incident at your school* that
involved a shooting (regardless of whether anyone was hurt)? Please include those incidents that
occurred at school*, regardless of whether a student or non-student used the firearm*.
308

1

Yes

2

No

*Please use the definition on pages 2 and 3.

14

§,-&¤

FORM SSOCS-1 (11-9-2017)

111205

Incidents
30. Please record the number of incidents that occurred at school* during the 2017–18 school year
for the offenses listed below. (NOTE: The number in column 1 should be greater than or equal to
the number in column 2.)
If none, please place an "X" in the None box.
Please provide information on:
The number of incidents, not the number of victims or offenders.
Recorded incidents, regardless of whether any disciplinary action was taken.
Recorded incidents, regardless of whether students or non-students were involved.
Incidents occurring before, during, or after normal school hours.
Column 1

Column 2

Total number
of recorded incidents

a. Rape* or attempted rape*

Number reported to police or
other law enforcement

310

0

None

312

0

None

314

0

None

316

0

None

318

0

None

320

0

None

322

0

None

324

0

None

326

0

None

328

0

None

330

0

None

332

0

None

334

0

None

336

0

None

338

0

None

340

0

None

342

0

None

344

0

None

346

0

None

348

0

None

350

0

None

352

0

None

354

0

None

356

0

None

355

0

None

357

0

None

358

0

None

360

0

None

362

0

None

364

0

None

b. Sexual assault* other than
rape* (include threatened rape*)

c. Robbery* (taking things by force)
i. With a weapon*
ii. Without a weapon*

d. Physical attack or fight*
i. With a weapon*
ii. Without a weapon*

e. Threats of physical attack*
i. With a weapon*
ii. Without a weapon*

f. Theft/larceny* (taking things
worth over $10 without personal
confrontation)

g. Possession of a
firearm/explosive device*

h. Possession of a knife or
i.

sharp object
Distribution, possession,
or use of illegal drugs

j. Inappropriate distribution, possession,
k.

or use of prescription drugs
Distribution, possession,
or use of alcohol

l. Vandalism*

*Please use the definition on pages 2 and 3.
FORM SSOCS-1 (11-9-2017)

§,+(¤

111007

15

31. During the 2017–18 school year, how many hate crimes* occurred at your school*?
If none, please place an "X" in the None box.
Number of hate crimes*

690

None

➤

0

➤

GO TO item 33 below.

32. To the best of your knowledge, were any of these hate crimes* motivated by the offender’s
bias against the following characteristics or perceived characteristics?
Check "Yes" or "No" on each line.
If a hate crime* was motivated by multiple characteristics, answer "Yes" for
each that applies.
YES

NO

a. Race or color

692

1

2

b. National origin or ethnicity

694

1

2

c. Sex

696

1

2

d. Religion

698

1

2

e. Disability (e.g., physical, mental, and learning disabilities)

700

1

2

702

1

2

704

1

2

f. Sexual orientation*
g. Gender identity*

33. To the best of your knowledge, during the 2017–18 school year, have there been any incidents of
sexual misconduct* between a staff member and a student at your school*?
Report on misconduct between staff and students whether or not the incidents occurred at school
or away from school.
Sexual assault* and rape* are both forms of sexual misconduct. Therefore, some incidents of
staff-student behavior may be reported in response to items 30a and 30b as well as item 33.
705

1

Yes

2

No

34. Please record the number of arrests* that occurred at your school* during the 2017–18 school
year. Please include all arrests* that occurred at school*, regardless of whether a student or
non-student was arrested.
688

1
2
3
4

None
1–5
6–10
11 or more

*Please use the definition on pages 2 and 3.

16

§,,’¤

FORM SSOCS-1 (11-9-2017)

111106

Disciplinary Problems and Actions
35. To the best of your knowledge, how often do the following types of problems occur at your
school*?
Check one response on each line.
Happens
daily

Happens at Happens at
least once a least once a Happens on
occasion
week
month

Never
happens

a. Student racial/ethnic tensions

374

1

2

3

4

5

b. Student bullying*

376

1

2

3

4

5

378

1

2

3

4

5

381

1

2

3

4

5

students based on gender identity* 383

1

2

3

4

5

Student harassment*
of other students based on religion

1

2

3

4

5

387

1

2

3

4

5

in classrooms

382

1

2

3

4

5

Student verbal abuse
of teachers

380

1

2

3

4

5

Student acts of disrespect for
teachers other than verbal abuse

384

1

2

3

4

5

386

1

2

3

4

5

c. Student sexual harassment*
of other students

d. Student harassment* of other
students based on sexual
orientation*

e. Student harassment* of other
f.

385

g. Student harassment* of other students
based on disability (e.g., physical,
mental, and learning disabilities)

h. Widespread disorder
i.
j.

k. Gang* activities

36. To the best of your knowledge, thinking about problems that can occur anywhere (both at your
school* and away from school), how often do the following occur?
Check one response on each line.

a. Cyberbullying* among students
who attend your school

b. School environment is affected
by cyberbullying*

c. Staff resources are used to deal
with cyberbullying*

Happens
daily

Happens at Happens at
least once a least once a Happens on
occasion
week
month

Never
happens

389

1

2

3

4

5

391

1

2

3

4

5

393

1

2

3

4

5

*Please use the definition on pages 2 and 3.
FORM SSOCS-1 (11-9-2017)

§,-&¤

111205

17

37. During the 2017–18 school year, did your school allow for the use of the following disciplinary
actions? If "yes," were the actions used this school year?
Does your school
allow for use of the
following?
YES

a.

Removal with no continuing school
services for at least the remainder of the
school year

NO

If “Yes,” was the
action used this
school year?
YES

NO

390

1

2

392

1

2

394

1

2

396

1

2

398

1

2

400

1

2

402

1

2

404

1

2

406

1

2

408

1

2

410

1

2

412

1

2

414

1

2

416

1

2

ii. With curriculum/services provided

418

1

2

420

1

2

g.

Referral to a school counselor

422

1

2

424

1

2

h.

Assignment to a program (during school
hours) designed to reduce disciplinary
problems

426

1

2

428

1

2

Assignment to a program (outside of school
hours) designed to reduce disciplinary
problems

430

1

2

432

1

2

Loss of school bus privileges due to
misbehavior

434

1

2

436

1

2

Corporal punishment

438

1

2

440

1

2

Placement on school probation with
consequences if another incident occurs

442

1

2

444

1

2

Detention and/or Saturday school

446

1

2

448

1

2

n.

Loss of student privileges

450

1

2

452

1

2

o.

Requirement of participation in community
service

454

1

2

456

1

2

b.
c.
d.
e.

Removal with school-provided tutoring/home
instruction for at least the remainder of the
school year
Transfer to a specialized school* for
disciplinary reasons
Transfer to another regular school for
disciplinary reasons
Out-of-school suspension or removal for less
than the remainder of the school year
i. With no curriculum/services provided
ii. With curriculum/services provided

f.

In-school suspension for less than the
remainder of the school year
i. With no curriculum/services provided

i.
j.
k.
l.
m.

*Please use the definition on pages 2 and 3.

18

§,.%¤

FORM SSOCS-1 (11-9-2017)

111304

38. During the 2017–18 school year, how many students were involved in committing the
following offenses, and how many of the following disciplinary actions were taken in response?
If none, please place an "X" in the None box.
Please follow these guidelines when determining the number of offenses and disciplinary actions:
If more than one student was involved in an incident, please count each student separately when
providing the number of disciplinary actions.
If a student was disciplined more than once, please count each offense separately (e.g., a student
who was suspended five times would be counted as five suspensions).
If a student was disciplined in two different ways for a single infraction (e.g., the student was both
suspended and referred to counseling), count only the most severe disciplinary action
that was taken.
If a student was disciplined in one way for multiple infractions, record the disciplinary action for only
the most serious offense.
Number of disciplinary actions taken in response to offense
Total students
involved in
recorded
offenses
(regardless of
disciplinary
action)

a.
b.

c.

d.

e.

Use/possession of a
firearm/
explosive device*

458

Use/possession of a
weapon* other
than a firearm/
explosive device*

468

Distribution,
possession, or use
of illegal drugs

478

Distribution,
possession, or use
of alcohol

488

Physical attacks
or fights*

Removals with
no continuing
school services
for at least the
remainder of
the school year

460
0

None

462
0

None

470
0

None

0

None

498

None

0

None

None

None

0

None

None

0

None

0

None

0

None

0

None

0

None

496

None

504
0

None

486

494
0

0

476
0

None

502
0

None

484

492
0

0

None

Other
disciplinary
action (e.g.,
suspension for
less than 5
days, detention,
etc.)
466

474
0

None

500
0

None

482
0

None

0

None

490
0

464

472

480
0

Transfers to
specialized
schools*

Out-of-school
suspensions
lasting 5 or
more days, but
less than the
remainder of
the school year

506
0

None

39. During the 2017–18 school year, how many of the following occurred?
If none, please place an "X" in the None box.
Total number

a.

b.

Students were removed from your school without continuing services for
at least the remainder of the school year for disciplinary reasons.
(NOTE: This number should be greater than or equal to the sum of entries
in item 38, column 2.)
Students were transferred to specialized schools* for
disciplinary reasons. (NOTE: This number should be greater than or
equal to the sum of entries in item 38, column 3.)

518
0

None

0

None

520

*Please use the definition on pages 2 and 3.

FORM SSOCS-1 (11-9-2017)

§,/$¤

111403

19

School Characteristics: 2017–18 School Year
40. As of October 1, 2017, what was your school’s total enrollment?
Students

522

41. What percentage of your current students fit the following criteria?
If none, please place an "X" in the None box.
Percent of students

a. Eligible for free or reduced-price lunch

%

524
0

%

526

b. English language learner (ELL)

0

c.

None

None
%

528

Special education students*

0

d. Male

None
%

530
0

None

42. What is your best estimate of the percentage of your current students who meet the
following criteria?
If none, please place an "X" in the None box.
Percent of students

a. Below the 15th percentile on standardized tests

%

532
0

None
%

534

b. Likely to go to college after high school

0

None
%

536

c. Consider academic achievement to be very important

0

None

43. How many classroom changes do most students make in a typical day?
Count going to lunch and then returning to the same or a different classroom as two
classroom changes. Do not count morning arrival or afternoon departure.
If none, please place an "X" in the None box.
Typical number of classroom changes

538
0

None

*Please use the definition on pages 2 and 3.

FORM SSOCS-1 (11-9-2017)

20

§,0#¤

111502

44. How would you describe the crime level in the area(s) in which your students live?
Check one response.
High level of crime

560 1
2

Moderate level of crime

3

Low level of crime

4

Students come from areas with very different levels of crime

45. How would you describe the crime level in the area where your school is located?
Check one response.
High level of crime

562 1
2

Moderate level of crime

3

Low level of crime

46. Which of the following best describes your school?
Check one response.
Regular public school

564 1
2

Charter school

3

Has a magnet program for part of the school

4

Exclusively a magnet school

5

Other – Please specify

565

47. What is your school’s average daily attendance?
Percent of students
present
%

568
0

None

48. During the 2017–18 school year, how many students transferred to or from your school after the
start of the school year? Please report on the total mobility, not just transfers due to disciplinary
actions. (NOTE: This number should be greater than or equal to the number of students who were
transferred for disciplinary reasons, as reported in item 39b.)
If a student transferred more than once in the school year, count each transfer separately.
If none, please place an "X" in the None box.

a.

Transferred to the school

570
0

b.

Transferred from the school

572
0

FORM SSOCS-1 (11-9-2017)

None

§,1"¤

None

111601

21

Please provide the following information:
Please provide the following dates:

Month

a.

Start date for your 2017–18 school year

b.

End date for your 2017–18 school year

c.

Date you completed the questionnaire

Is
022

Day

574

/

/2017

576

/

/2018

578

/

/2018

the correct grade range for this school?
1

Yes

2

No

➤

Which of the following grades are offered in this school?
Check all that apply.
024

1

026

1

028

1

030

1

032

1

034

1

036

1

038

1

040

1

042

1

044

1

046

1

048

1

050

1

052

1

Prekindergarten
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Ungraded

Name of person completing form
010

Telephone number
Area code
Number
—

012

—

Title/position
Check one response.
014

1

Principal

2

Vice-principal or disciplinarian

3

Other – Please specify
015

22

§,2!¤

FORM SSOCS-1 (11-9-2017)

111700

Number of years at this school
016

Best days and times to reach you (in case we have further questions)
018

E-mail address
020

How long did it take you to complete this form, not counting interruptions?
Please record the time in minutes (e.g., 55 minutes, 65 minutes).
580

FORM SSOCS-1 (11-9-2017)

Minutes

§,3*¤

111809

23

Please return your completed questionnaire in the
enclosed postage-paid envelope or mail it to:
U.S. Census Bureau
Attn: DCB/PCSPU, Building 60A
1201 E 10th Street
Jeffersonville, IN 47132-0001
Thank you very much for your participation in
this survey. If you have any questions, please
contact us, toll–free, at: 1–888–595–1332 or by
e-mail at: [email protected]

To learn more about this survey and to access reports
from earlier collections, see the School Survey on Crime
and Safety (SSOCS) website at:
https://nces.ed.gov/surveys/ssocs
Additional data collected by the National Center for
Education Statistics (NCES) on a variety of topics
in elementary, secondary, postsecondary, and
international education are available from the
NCES website at:
https://nces.ed.gov
For additional data collected by various Federal
agencies, including the Department of
Education, visit the Federal Statistics
clearinghouse at:
https://fedstats.sites.usa.gov

24

§,4)¤

FORM SSOCS-1 (11-9-2017)

111908

OMB No. 1850-0761: Approval Expires X/XX/202X
Collected by:

Conducted by:

U.S. DEPARTMENT OF COMMERCE

U.S. DEPARTMENT OF EDUCATION

Economics and Statistics Administration
U.S. CENSUS BUREAU

NATIONAL CENTER FOR EDUCATION STATISTICS

SCHOOL SURVEY ON
CRIME AND SAFETY
2019–20 SCHOOL YEAR
This survey is designed to be completed by the principal or person(s) most knowledgeable
about school crime and the policies used to provide a safe environment.

(Please correct any errors in name, address, and ZIP Code.)

The National Center for Education Statistics (NCES), within the U.S. Department of Education, is
authorized to conduct this survey by the Education Sciences Reform Act of 2002 (ESRA 2002, 20 U.S.C.
§9543).
All of the information you provide may be used only for statistical purposes and may not be disclosed, or
used, in identifiable form for any other purpose except as required by law
(20 U.S.C. §9573 and 6 U.S.C. §151). Reports of the findings from the survey will not identify participating
districts, schools, or staff. Individual responses will be combined with those from other participants to
produce summary statistics and reports.

PLEASE RESPOND BY:
FORM
(11-9-2017)

SURVEY INSTRUCTIONS:
•

For most questions, please mark the box that best reflects your school’s circumstances.
Please mark your response with an "X".

•

Some questions ask for counts or percents. Please place an "X" in the None box, rather
than leaving the item blank, if the number of such items at your school is
zero.

•

Defined terms are bolded and marked with an asterisk (*) throughout the survey. A
removable Definitions sheet is printed on pages 3 – 4 to use as a reference while filling
out the questionnaire.

•

This survey refers to the 2019–20 school year. Please report for the school year to date.

•

Please have this questionnaire filled out by the person(s) most knowledgeable about
school crime and policies to provide a safe environment.

•

Please keep a copy of the completed questionnaire for your records.

WHERE SHOULD I RETURN MY COMPLETED QUESTIONNAIRE?
Please return your completed questionnaire in the enclosed postage-paid envelope or mail it to:
U.S. Census Bureau
ATTN: DCB/PCSPU, Building 60A
1201 E. 10th Street
Jeffersonville, IN 47132-0001
If you have any questions about this questionnaire, please contact the U.S. Census Bureau at:
1-888-595-1332 or at [email protected].

Paperwork Burden Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of
information unless it displays a valid OMB control number. The valid OMB control number for this voluntary
information collection is 1850-0761. The time required to complete this information collection is estimated to
average 49 minutes per response, including the time to review instructions, search existing data resources,
gather the data needed, and complete and review the information collection. If you have any comments
concerning the accuracy of the time estimate, suggestions for improving this collection, or comments or
concerns about the contents or the status of your individual submission of this questionnaire, please e-mail:
[email protected], or write directly to: School Survey on Crime and Safety (SSOCS), National Center for
Education Statistics, Potomac Center Plaza, 550 12th Street SW, Room #4036, Washington, DC 20202.

FORM SSOCS-1 (11-9-2017)

2

DEFINITIONS
The following words are bolded and
marked by an asterisk (*) wherever
they appear in the questionnaire.
Please use these definitions as you
respond.
Alternative school – a school that addresses the
needs of students that typically cannot be met in a
regular school program and is designed to meet the
needs of students with academic difficulties, students
with discipline problems, or both students with
academic difficulties and discipline problems.
Active shooter – one or more individuals actively
engaged in killing or attempting to kill people in a
populated area; in most cases, active shooters use
firearm(s).
Arrest – the act of detaining in legal custody. An
"arrest" is the deprivation of a person’s liberty by
legal authority in response to a criminal charge.
At school/at your school – activities happening in
school buildings, on school grounds, on school
buses, and at places that hold
school-sponsored events or activities. Unless
otherwise specified, this refers to normal school
hours or to times when school activities or events
were in session.
Bullying – any unwanted, aggressive behavior(s) by
another youth or group of youths that involves an
observed or perceived power imbalance and is
repeated multiple times or is highly likely to be
repeated. Bullying occurs among youth who are not
siblings or current dating partners.
Children with disabilities – children having
intellectual disability; hearing impairment, including
deafness; serious emotional disturbance; orthopedic
impairment; autism; traumatic brain injury;
developmental delay; other health impairment; specific
learning disability; deaf-blindness; or multiple
disabilities and who, by reason thereof, receive special
education and related services under the Individuals
with Disabilities Education Act (IDEA) according to an
Individual Education Program (IEP), Individualized
Family Service Plan (IFSP), or services plan.
Cyberbullying – bullying that occurs when willful
and repeated harm is inflicted through the use of
computers, cell phones, or other electronic devices.
Diagnostic mental health assessment – an
evaluation conducted by a mental health
professional that identifies whether an individual has
one or more mental health diagnoses. This is in
contrast to an educational assessment, which does
not focus on clarifying a student’s mental health
diagnosis.
Evacuation – a procedure that requires all students
and staff to leave the building. The evacuation plan
may encompass relocation procedures and include
backup buildings to serve as emergency shelters.

Evacuation also includes “reverse evacuation,” a
procedure for schools to return students to the
building quickly if an incident occurs while students
are outside.
Firearm or explosive device – any weapon that
is designed to (or may readily be converted to)
expel a projectile by the action of an explosive.
This includes guns, bombs, grenades, mines,
rockets, missiles, pipe bombs, or similar devices
designed to explode and capable of causing bodily
harm or property damage.
Gang – an ongoing loosely organized association
of three or more persons, whether formal or
informal, that has a common name, signs,
symbols, or colors, whose members engage,
either individually or collectively, in violent or other
forms of illegal behavior.
Gender identity – one’s inner sense of one’s own
gender, which may or may not match the sex
assigned at birth.
Harassment – conduct that is unwelcome and
denies or limits a student’s ability to participate
in or benefit from a school’s education program.
All students can be victims of harassment and
the harasser can share the same characteristics
of the victim. The conduct can be verbal,
nonverbal, or physical and can take many
forms, including verbal acts and name-calling,
as well as non-verbal conduct, such as graphic
and written statements, or conduct that is
physically threatening, harmful, or humiliating.
Hate crime – a committed criminal offense
that is motivated, in whole or in part, by the
offender’s bias(es) against a race, national
origin or ethnicity, religion, disability, sexual
orientation, gender, or gender identity; also known
as bias crime.
Lockdown – a procedure that involves
securing school buildings and grounds during
incidents that pose an immediate threat of
violence in or around the school.
Mental health disorders – collectively, all
diagnosable mental disorders or health
conditions that are characterized by
alterations in thinking, mood, or behavior (or
some combination thereof) associated with
distress and/or impaired functioning.
Mental health professionals – mental
health services are provided by several
different professions, each of which has its
own training and areas of expertise. The
types of licensed professionals who may
provide mental health services include
psychiatrists, psychologists, psychiatric or
mental health nurse practitioners, psychiatric
or mental health nurses, clinical social
workers, and professional counselors.
Physical attack or fight – an actual and
intentional touching or striking of another
person against his or her will, or the
intentional causing of bodily harm to an
individual.
3

Rape – forced sexual intercourse (vaginal, anal, or
oral penetration). This includes sodomy and
penetration with a foreign object. All students,
regardless of sex or gender identity, can be victims
of rape.
Restorative circle – a formal mediation process
led by a facilitator that brings affected parties of a
problem together to explore what happened,
reflect on their roles, find a solution, and
ultimately restore harmony to individual
relationships and the larger community.
Robbery (taking things by force) – the taking or
attempting to take anything of value that is owned by
another person or organization, under confrontational
circumstances, by force or threat of force or violence
and/or by putting the victim in fear. A key difference
between robbery and theft or larceny is that robbery
involves a threat or assault.
School Resource Officer (SRO) – a sworn law
enforcement officer with arrest authority, who has
specialized training and is assigned to work in
collaboration with school organizations.
Sexual assault – an incident that includes
threatened rape, fondling, indecent liberties, or child
molestation. All students, regardless of sex or gender
identity, can be victims of sexual assault.
Classification of these incidents should take into
consideration the age and developmentally
appropriate behavior of the offender(s).
Sexual harassment – conduct that is unwelcome,
sexual in nature, and denies or limits a student’s ability
to participate in or benefit from a school’s education
program. All students, regardless of sex or gender
identity, can be victims of sexual harassment, and the
harasser and the victim can be of the same sex. The
conduct can be verbal, non-verbal, or physical and can
take many forms, including verbal acts and namecalling, as well as non-verbal conduct, such as graphic
and written statements, or conduct that is physically
threatening, harmful, or humiliating.
Sexual misconduct – any act, including, but not
limited to, any verbal, nonverbal, written or
electronic communication or physical activity,
directed toward or with a student regardless of the
age of the student that is designed to establish a

110205

4

romantic or sexual relationship with the student.
School staff have power over students by virtue of
their position, thus student-staff relationships are not
equal and students cannot be consenting parties to
romantic or sexual relationships.
Sexual orientation – one’s emotional or physical
attraction to the same and/or opposite sex.
Shelter-in-place – a procedure that requires all
students and staff to remain indoors because it is
safer inside the building or a room than outside.
Depending on the threat or hazard, students and staff
may be required to move to rooms that can be sealed
(such as in the event of a chemical or biological hazard)
or without windows, or to a weather shelter (such as in
the event of a tornado).
Theft or larceny (taking things worth over $10
without personal confrontation) – the unlawful
taking of another person’s property without
personal confrontation, threat, violence, or bodily
harm. This includes pocket picking, stealing a
purse or backpack (if left unattended or no force
was used to take it from owner), theft from a
building, theft from a motor vehicle or of motor
vehicle parts or accessories, theft of a bicycle,
theft from a vending machine, and all other
types of thefts.
Threat assessment – a formalized process of
identifying, assessing, and managing students
who may pose a threat of targeted violence in
schools.
Treatment – a clinical intervention addressed
at lessening or eliminating the symptoms of a
mental health disorder. This may include
psychotherapy, medication treatment, and/or
counseling.
Vandalism – the willful damage or destruction
of school property, including bombing, arson,
graffiti, and other acts that cause property
damage. This includes damage caused by
computer hacking.
Violence – actual, attempted, or threatened
fight or assault.
Weapon – any instrument or object used with
the intent to threaten, injure, or kill. This includes
look-alikes if they are used to threaten others.

School Practices and Programs
1.

During the 2019–20 school year, was it a practice of your school to do the following?
• If your school changed its practices during the school year, please answer regarding your
most recent practice.
• Check "Yes" or "No" on each line.
YES

a.

c.

Require visitors to sign or check in and wear badges 110
Control access to school buildings during school hours
(e.g., locked or monitored doors, loading docks) 112
Control access to school grounds during school hours
(e.g., locked or monitored gates) 114

d.

Require metal detector checks on students every day

e.

Perform one or more random metal detector checks on students

f.

Equip classrooms with locks so that doors can be locked from the inside

g.

Close the campus for most or all students during lunch

b.

116
120
121

122

NO

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

i.

Perform one or more random sweeps (e.g., locker checks, dog sniffs) for
contraband (e.g., drugs or weapons*)125
Require drug testing for students participating in athletics or other
extracurricular activities 129

j.

Require students to wear uniforms

k.

Enforce a strict dress code

l.

Provide school lockers to students

m.
n.

Require clear book bags or ban book bags on school grounds 140
Have “panic button(s)” or silent alarm(s) that directly connect to law
enforcement in the event of an incident 139

1

2

o.

Provide an electronic notification system that automatically notifies parents in
case of a school-wide emergency 141

1

2

p.

Provide a structured anonymous threat reporting system (e.g., online
submission, telephone hotline, or written submission via drop box) 143

1

2

q.

Require students to wear badges or picture IDs

1

2

r.

Require faculty and staff to wear badges or picture IDs

1

2

s.

Use one or more security cameras to monitor the school

1

2

t.

Provide two-way radios to any staff 150

1

2

u.

Prohibit non-academic use of cell phones or smartphones during school hours 153

1

2

h.

134

136
138

142
144
146

*A removable Definitions sheet is printed on pages 3 - 4.

FORM SSOCS-1 (11-9-2017)

110403

5

2.

3.

4.

Does your school have a written plan that describes procedures to be performed in the following
scenarios?
YES
Active shooter*155

1

2

b.

Natural disasters (e.g., earthquakes or tornadoes) 158

1

2

c.

Hostages 162

1

2

d.

Bomb threats or incidents

1

2

e.

Chemical, biological, or radiological threats or incidents (e.g., release of
mustard gas, anthrax, smallpox, or radioactive materials) 170

1

2

f.

Suicide threats or incidents

1

2

g.

Pandemic disease

1

2

h.

Post-crisis reunification of students with their families 157
1

2

YES

NO

1

2

1

2

1

2

166

169

161

During the 2019–20 school year, has your school drilled students on the use of the following
emergency procedures?

a.

Evacuation*163

b.

Lockdown*165

c.

Shelter-in-place*167

During the 2019–20 school year, did your school have any activities that included the following
components for students?

a.

Prevention curriculum, instruction, or training for students (e.g., conflict
resolution, anti-bullying*, dating violence* prevention) 174

b.

Social emotional learning (SEL) for students (e.g., social skills, anger management,
mindfulness)183
Behavioral or behavior modification intervention for students (including the use
of positive reinforcements) 176

c.
d.

Individual mentoring, tutoring, or coaching of students by adults

e.

Student involvement in peer mediation

f.

Student court to address student conduct problems or minor offenses

g.

Student involvement in restorative practices* (e.g., peace, or conflict circles)

h.

Programs to promote a sense of community or social integration among students 186

YES

NO

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

181

175
177
179

*A removable Definitions sheet is printed on pages 3 - 4.

FORM SSOCS-1 (11-9-2017)

110502

6

NO

a.

5. During the 2019–20 school year, did your school have a threat assessment* team or any
other formal group of persons to identify students who might be a potential risk for violent or harmful
behavior (toward themselves or others)?600
1

Yes

2

No

6. During the 2019–20 school year, did your school have any recognized student groups with
the following purposes?
a.

YES

Acceptance of sexual orientation* and gender identity* of students
(e.g., Gay-Straight Alliance)

NO

1

2

1

2

1

2

604

b.

Acceptance of students with disabilities (e.g., Best Buddies) 606

c.

Acceptance of cultural or religious diversity (e.g., Cultural Awareness Club) 608

Parent and Community Involvement at School
7.

Which of the following does your school do to involve or help parents?

YES

NO
2

2

a.

Have a formal process to obtain parental input on policies related to school crime
and discipline 190

1

b.

Provide training or technical assistance to parents in dealing with students’ problem
behavior 192

1

*A removable Definitions sheet is printed on pages 3 - 4.

FORM SSOCS-1 (11-9-2017)

7

8. During the 2019–20 school year, were any of the following community and outside groups involved in
your school’s efforts to promote a safe school?

a.

Parent groups 204

b.

Social service agencies

c.

Juvenile justice agencies

d.

Law enforcement agencies

e.

Mental health agencies

f.

206

208

210

212

Civic organizations or service clubs

g.

Private corporations/businesses

h.

Religious organizations

214

216

218

YES

NO

1

2

1

2

1

2

1

2

1

2

1

2

1

2

1

2

*A removable Definitions sheet is printed on pages 3 - 4.

FORM SSOCS-1 (11-9-2017)

110601

8

School Security Staff
9. During the 2019–20 school year, did you have any sworn law enforcement officers

(including School Resource Officers*) present at your school* at least once a week?610
• Do not include security officers or other security personnel who are not sworn law enforcement in
response to items 9-12; information on additional security staff is gathered in item 16.
1

Yes

2

No

➤

GO TO item 16 below.

10. Were sworn law enforcement officers (including School Resource Officers*) used at least
once a week in or around your school at the following times?
YES

a.

While students were arriving or leaving

b.

At selected school activities (e.g., athletic and social events, open houses)

c.

When school/school activities were not occurring

614

618

NO

1

2

1

2

1

2

616

11. Did any of the sworn law enforcement officers (including School Resource Officers*) at your
school* routinely:
YES

a.

Carry physical restraints (e.g., handcuffs, Tasers)

b.

Carry chemical aerosol sprays (e.g., Mace, pepper spray)

c.

Carry a firearm*

d.

Wear a body camera

621

622

624

626

NO

1

2

1

2

1

2

1

2

*A removable Definitions sheet is printed on pages 3 - 4.

FORM SSOCS-1 (11-9-2017)

110700

9

12. Did these sworn law enforcement officers (including School Resource Officers*) participate
in the following activities at your school*?
YES

a.

Motor vehicle traffic control

b.

Security enforcement and patrol

c.
d.

Maintaining student discipline

e.
f.
g.

628
630

632

2

1

2

1

2

Identifying problems in the school and proactively seeking solutions to
those problems 636

1

2

Training teachers and staff in school safety or crime prevention

1

2

1

2

1

2

1

2

1

2

Mentoring students

638

640

Teaching a law-related education course or training students (e.g., drugrelated education, criminal law, or crime prevention courses)642

h.

Recording or reporting discipline problems to school authorities

i.

Providing information to school authorities about the legal definitions of
behavior for recording or reporting purposes (e.g., defining assault for
school authorities) 646

644

13. During the 2019–20 school year, did your school or school district have any formalized policies or
written documents (e.g., Memorandum of Understanding, Memorandum of Agreement) that
outlined the roles, responsibilities, and expectations of sworn law enforcement officers
(including School Resource Officers*) at school*?650
1
2

Yes

➤

CONTINUE to item 14 below.

No

➤

GO TO item 15 below.

*A removable Definitions sheet is printed on pages 3 - 4.

FORM SSOCS-1 (11-9-2017)

110809

10

NO

1

14. Did these formalized policies or written documents include language defining the role of sworn law
enforcement officers (including School Resource Officers*) at school* in the following areas?
DON’T
KNOW

NO

YES

a. Student discipline 652
1

2

3

1

2

3

1

2

3

1

2

3

1

2

3

b. Use of physical restraints (e.g., handcuffs, Tasers) or
chemical aerosol sprays (e.g., Mace, pepper spray) 654

c. Use of firearms* 656
d. Making arrests* on school grounds 658
e. Reporting of criminal offenses to a law enforcement agency

660

15. How many of the following were present at your school* at least once a week?
• If an officer works full-time across various schools in the district, please count this
officer as "Part-time" for your school.
• If none, please place an "X" in the None box.

Number
at your school*

a. School Resource Officers*
i. Full-time236
0

None

0

None

0

None

0

None

ii. Part-time238
b. Sworn law enforcement officers who are not School Resource Officers*
i. Full-time240
ii. Part-time242

16. Aside from sworn law enforcement officers (including School Resource Officers*), how many

additional security officers or security personnel were present at your school* at least once a week?
• If a security officer or other security personnel works full-time across various schools
in the district, please count this person as “Part-time” for your school.
Number
at your school*
Security officers or security personnel
a. Full-time

232

0

None

0

None

b.Part-time 234

*A removable Definitions sheet is printed on pages 3 - 4.
FORM SSOCS-1 (11-9-2017)

110908

11

School Mental Health Services
17.

During the 2019–20 school year, did your school provide diagnostic mental health
assessments* (e.g., psychological/psychiatric diagnostics assessments) to evaluate students
for mental health disorders*? 661
 Include only assessments conducted by a licensed mental health professional*.
 Include services that were provided at school* as well as services provided through a contract
the school has with an outside provider.
1
2

18.

Yes
➤

No

GO TO item 19 below.

Were diagnostic mental health assessment* services provided to students from
your school in the following locations?
a.
b.

YES

NO

At school*, by a school-employed or contracted mental health professional*663

1

2

Outside of school, by a school-employed or contracted mental health
professional* 665

1

2

During the 2019–20 school year, did your school provide treatment* (e.g.,psychotherapy,
medication) to students for mental health disorders*?667
 Include only treatment* provided by a licensed mental health professional*.

19.



Include services that were provided at school* as well as services provided through a contract the
school has with an outside provider.
1
Yes
2

20.

No

➤

GO TO item 21

Were treatment* services provided to students from your school in the following locations?
YES

a.

At school*, by a school-employed or contracted mental health professional* 669

b. Outside of school, by a school-employed or contracted mental health
professional*

NO

1

2

1

2

671

21. During the 2017–18 school year, to what extent did the following factors limit your school’s efforts to
provide mental health services to students?
Limits in
Limits in
Does not
limit
major way
minor way
• Check one response on each line.
a. Inadequate access to licensed mental health
professionals* 674
b. Inadequate funding 676
c. Potential legal issues for school or district (e.g.,
malpractice, insufficient supervision, confidentiality 678
d. Concerns about reactions from parents 681
e. Lack of community support for providing mental
health services to students in your school 682
f. Written or unwritten policies regarding the school’s
requirement to pay for the diagnostic mental health
assessment* or treatment* of students 684
g. Reluctance to label students with mental health
disorders* to avoid stigmatizing the child 686

1

2

3

1

2

3

1

2

3

1

2

3

1

2

3

1

2

3

1

2

3

*A removable Definitions sheet is printed on pages 3 - 4.
111007

12

FORM SSOCS-1 (11-9-2017)

Staff Training and Practices
22. During the 2019–20 school year, did your school or school district provide any of the following
for classroom teachers or aides?
YES

a.

Training in classroom management for teachers

b.

266

NO

1

2

Training in school-wide discipline policies and practices related to
violence* 268

1

2

c.

Training in school-wide discipline policies and practices related to
cyberbullying* 265

1

2

d.

Training in school-wide discipline policies and practices related to
bullying* other than cyberbullying* 267

1

2

e.

Training in school-wide discipline policies and practices related to alcohol
and/or drug use269

1

2

f.

Training in safety procedures (e.g., how to handle emergencies) 270

1

2

g.

Training in recognizing early warning signs of students likely to exhibit
violent behavior 272

1

2

h.

Training in recognizing signs of self-harm or suicidal tendencies

1

2

i.

Training in intervention and referral strategies for students displaying
1

2

1

2

1

2

1

2

1

2

278

signs of mental health disorders* (e.g., depression, mood disorders, ADHD) 271

j.

Training in recognizing physical, social, and verbal bullying* behaviors

k.

Training in recognizing signs of students using/abusing alcohol and/or drugs 274

l.

Training in positive behavioral intervention strategies

276

m. Training in crisis prevention and intervention 277

273

23. Aside from sworn law enforcement officers (including School Resource Officers*) or other security
officers or personnel who carry firearms, during the 2019–20 school year, were there any staff at your
school* who legally carried a firearm* on school property? 279

1

Yes

2

No

*A removable Definitions sheet is printed on pages 3 - 4.

FORM SSOCS-1 (11-9-2017)

111106

13

Limitations on Crime Prevention
24. To what extent do the following factors limit your school’s efforts to reduce or prevent crime?
• Check one response on each line.
Limits in
Limits in
major way
minor way

Does not
limit

1

2

3

1

2

3

1

2

3

d. Lack of teacher support for school policies 286

1

2

3

e. Lack of parental support for school policies 288

1

2

3

f. Teachers’ fear of student retaliation 290

1

2

3

g. Fear of litigation 292

1

2

3

h. Inadequate funds 294

1

2

3

1

2

3

a. Lack of or inadequate teacher training in classroom
management 280
b. Lack of or inadequate alternative placement/programs for
disruptive students 282
c. Likelihood of complaints from parents 284

i. Inconsistent application of school policies by faculty or staff 296

*A removable Definitions sheet is printed on pages 3 - 4.

14

Incidents
25. Please record the number of incidents that occurred at school* during the 2019–20 school year for the
offenses listed below. (NOTE: The number in column 1 should be greater than or equal to the number in
column 2.)
Please provide information on:
 The number of incidents, not the number of victims or offenders.
 Recorded incidents, regardless of whether any disciplinary action was taken.
 Recorded incidents, regardless of whether students or non-students were involved.
 Incidents occurring before, during, or after normal school hours.
Column 1
Total number
of recorded incidents

a. Rape* or attempted rape*

Column 2
Number reported to sworn
law enforcement

310

0

None

312

0

None

314

0

None

316

0

None

320

0

None

318

0

None
None

b. Sexual assault* other than rape*
(include threatened rape*)

c. Robbery* (taking things by force)
i. With a weapon*
ii. Without a weapon*

d. Physical attack or fight*
i. With a weapon*
ii. Without a weapon*

e. Threats of physical attack*
i. With a weapon*
ii. Without a weapon*

322

0

None

324

0

326

0

None

328

0

None

330

0

None

332

0

None

334

0

None

336

0

None

338

0

None

340

0

None

342

0

None

344

0

None

346

0

None

348

0

None

350

0

None

352

0

None

354

0

None

356

0

None

355

0

None

357

0

None

358

0

None

360

0

None

362

0

None

364

0

None

f. Theft or larceny* (taking things worth
over $10 without personal confrontation)

g. Possession of a
firearm or explosive device*

h. Possession of a knife or
sharp object

i. Distribution, possession,
or use of illegal drugs

j. Inappropriate distribution, possession,
or use of prescription drugs

k. Distribution, possession, or use of
alcohol

l. Vandalism*

*A removable Definitions sheet is printed on pages 3 - 4.
FORM SSOCS-1 (11-9-2017)

111007

15

26. During the 2019–20 school year, how many hate crimes* occurred at your school*?

690

Number of hate crimes*
None

0

➤

GO TO item 28 below.

27. To the best of your knowledge, were any of these hate crimes* motivated by the offender’s
bias against the following characteristics or perceived characteristics?
• If a hate crime* was motivated by multiple characteristics, answer "Yes" for each that applies.

YES

NO

a. Race 692
b. National origin or ethnicity 694

1

2

1

2

c. Sex 696

1

2

d. Religion 698

1

2

e. Disability (e.g., physical, mental, and learning disabilities) 700

1

2

1

2

1

2

f. Sexual orientation*702
g. Gender identity*704

28. To the best of your knowledge, during the 2019–20 school year, have there been any incidents of sexual
misconduct* between a staff member and a student at your school*? 705
• Report on misconduct between staff and students whether or not the incidents occurred at school* or away

from school.
• Sexual assault* and rape* are both forms of sexual misconduct. Therefore, some incidents of staff-student

behavior may be reported in response to items 23a and 23b as well as item 28.
1

Yes

2

No

29. During the 2019–20 school year, have any of your school’s students, faculty, or
staff died as a result of a homicide committed at your school*?306
1

Yes

2

No

30. During the 2019–20 school year, has there been at least one incident at your
school* that involved a shooting (regardless of whether anyone was hurt)? Please include
those incidents that occurred at school*, regardless of whether a student or nonstudent used the firearm*. 308
1

Yes

2

No

31. Please record the number of arrests*, including both students and non-students,
that occurred at your school* during the 2019–20 school year. 688
1

None

2

1–5

3

6–10

4

11 or more

*A removable Definitions sheet is printed on pages 3 - 4.

16

Disciplinary Problems and Actions
32. To the best of your knowledge, how often do the following types of problems occur at your school*?

Happens at Happens at
least once a least once a Happens on
occasion
week
month

Happens
daily

Never
happens

a. Student racial or ethnic tensions 374

1

2

3

4

5

b. Student bullying* 376

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

c. Student sexual harassment* of other
students 378

d. Student harassment* of other
students based on sexual
orientation*381

e. Student harassment* of other students
based on gender identity*

383

f. Student harassment* of other students
based on religion 385

g. Student harassment* of other students

based on disability (e.g. physical, mental
and learning disabilities) 387

h. Widespread disorder in classroom 382
i. Student verbal abuse of teachers 380
j. Student acts of disrespect for teachers
other than verbal abuse 384

k. Gang* activities 386

33. To the best of your knowledge, thinking about problems that can occur anywhere (both at your school*
and away from school), how often do the following occur?
Happens
daily

Cyberbullying* among students
who attend your school 389

1

Happens
at least
once a
week

2

Happens
at least
once a
month

3

Happens
on
occasion

4

Never
happens

5

*A removable Definitions sheet is printed on pages 3 - 4.
FORM SSOCS-1 (11-9-2017)

17

34. During the 2019–20 school year, did your school allow for the use of the following disciplinary
actions? If "Yes," were the actions used this school year?
Does your school
allow for use of the
following?
YES

a.
b.

Removal with no continuing school
services for at least the remainder of the
school year
Removal with school-provided tutoring/home
instruction for at least the remainder of the
school year

c.

Transfer to an alternative school* for
disciplinary reasons

d.

Transfer to another regular school for
disciplinary reasons

e.

NO

If “Yes,” was the
action used this
school year?
YES

NO

390

1

2

392

1

2

394

1

2

396

1

2

398

1

2

400

1

2

402

1

2

404

1

2

406

1

2

408

1

410

1

2

412

1

2

414

1

2

416

1

2

418

1

2

420

1

2

422

1

2

424

1

2

426

1

2

428

1

2

430

1

2

432

1

2

434

1

2

436

1

2

438

1

2

440

1

2

442

1

2

444

1

2

446

1

2

448

1

2

450

1

2

452

1

2

454

1

2

456

1

2

Out-of-school suspension or removal for less
than the remainder of the school year
i. With no curriculum or services provided

2

ii. With curriculum or services provided

f.

In-school suspension for less than the
remainder of the school year
i. With no curriculum or services provided
ii. With curriculum or services provided

g.

Referral to a school counselor

h.

Assignment to a program (during school
hours) designed to reduce disciplinary
problems

i.
j.
k.
l.
m.

Assignment to a program (outside of school
hours) designed to reduce disciplinary
problems
Loss of school bus privileges due to
misbehavior
Corporal punishment
Placement on school probation with
consequences if another incident occurs
Detention and/or Saturday school

n.

Loss of student privileges

o.

Requirement of participation in community
service

*A removable Definitions sheet is printed on pages 3 - 4.
FORM SSOCS-1 (11-9-2017)

111304

18

35. During the 2019–20 school year, how many students were involved in committing the
following offenses, and how many of the following disciplinary actions were taken in response?
Please follow these guidelines when determining the number of offenses and disciplinary actions:
 If more than one student was involved in an incident, please count each student separately when
providing the number of disciplinary actions.
 If a student was disciplined more than once, please count each offense separately (e.g., a student
who was suspended five times would be counted as five suspensions).
 If a student was disciplined in two different ways for a single infraction (e.g., the student was
both suspended and referred to counseling), count only the most severe disciplinary
action that was taken.
 If a student was disciplined in one way for multiple infractions, record the disciplinary action for
only the most serious offense.

Number of disciplinary actions taken in response to offense
Total students
involved in
recorded
offenses
(regardless of
disciplinary
action)

a.
b.

c.
d.
e.

Use/possession of a
firearm or explosive
device*

458

Use/possession of a
weapon* other
than a firearm or
explosive device*

468

Distribution,
possession, or use of
illegal drugs

478

Distribution,
possession, or use of
alcohol

460
0

None

0

None

0

None

None

0

None

0

None

None

0

None

498

None

0

None

0

None

0

None

0

None

500

None

0

None

0

None

None

0

None

502

None

0

None

0

None

0

None

0

None

486

494
0

0

476

484

492

Other
disciplinary
action (e.g.,
suspension for
less than 5
days, detention,
etc.)

466
0

474

482

490

Out-of-school
suspensions
lasting 5 or
more days, but
less than the
remainder of
the school year

464
0

472

480

0

Transfers to
alternative
schools*

462
0

470

488

Physical attacks
or fights*

Removals with
no continuing
school services
for at least the
remainder of
the school year

496
0

None

0

None

504

506

36. During the 2019–20 school year, how many of the following occurred?

a.

b.

Total number
Students were removed from your school without continuing services for at
least the remainder of the school year for disciplinary reasons. (NOTE:
This number should be greater than or equal to the sum of entries in item
38, column 2.) 518
Students were transferred to alternative schools* for disciplinary
reasons. (NOTE: This number should be greater than or equal to
the sum of entries in item 38, column 3.) 520

0

0

None

None

*A removable Definitions sheet is printed on pages 3 - 4.

FORM SSOCS-1 (11-9-2017)

111403

19

School Characteristics: 2019–20 School Year
37. As of October 1, 2019, what was your school’s total enrollment? 522
Students

38.

What percentage of your current students fit the following criteria?
Percent of students

a.

Eligible for free or reduced-price lunch 524

%
0

None

0

None

0

None

%

b. English language learner (ELL) 526

%
c. Children with disabilities (CWD)* 528

%
0

d. Male 530

None

39. What is your best estimate of the percentage of your current students who meet

the following criteria?

Percent of students
%

a. Below the 15 percentile on standardized tests 532
th

0

None

0

None

b. Likely to go to college after high school 534

%

%

c. Consider academic achievement to be very important 536
0

None

40. How many classroom changes do most students make in a typical day? 538
• Count going to lunch and then returning to the same or a different classroom as two

classroom changes. Do not count morning arrival or afternoon departure.

Typical number of classroom changes
0

None

*A removable Definitions sheet is printed on pages 3 - 4.

111502

20

FORM SSOCS-1 (11-9-2017)

41. How would you describe the crime level in the area(s) in which your students live? 560
1

High level of crime

2

Moderate level of crime

3

Low level of crime

4

Students come from areas with very different levels of crime

42. How would you describe the crime level in the area where your school is located? 562
High level of crime

1
2

Moderate level of crime

3

Low level of crime

43. Which of the following best describes your school? 564
1

Regular public school

2

Charter school

3

Has a magnet program for part of the school

4

Exclusively a magnet school

5

Other – Please specify

565

Percent of students
present

44. What percentage of your school’s total enrollment is present on an average day? 568

%
0

None

45. During the 2019–20 school year, how many students transferred to or from your school after the
start of the school year? Please report on the total mobility, not just transfers due to disciplinary
actions. (NOTE: This number should be greater than or equal to the number of students who were
transferred for disciplinary reasons, as reported in item 36b.)
• If a student transferred more than once in the school year, count each transfer separately.
a. Transferred to the school 570

b.

0

None

0
0

None
None

Transferred from the school 572

*A removable Definitions sheet is printed on pages 3 - 4.

FORM SSOCS-1 (11-9-2017)

111601

21

Please provide the following information:
Please provide the following dates:

a.

Start date for your 2019–20 school year 574

b.

End date for your 2019–20 school year 576

c.

Date you completed the questionnaire

/

/2019

M

M

D

D

M
M

/
M DD
M

DD

M

M

/

Is

578

Yes

1

No 2 ➤ Which of the following grades are offered in this school?
Check all that apply.
1
1
1
1
1
1
1
1
1
1
1
1

Prekindergarten
Kindergarten 026

024

1st 028
2nd 030
3rd 032
4th 034
5th 036
6th 038
7th 040
8th 042
9th 044
10th 046

1

11th
12th

1

Ungraded

1

/2020

D

this the correct grade range for this school? 022

048
050
052

22

/2020

D

Name of primary person completing form

010

Title or position 014


Check one response.
Principal 1
Vice principal

2

Disciplinarian 3
Counselor 4
Administrative or secretarial staff5
Teacher or instructor6
Superintendent or district staff 7
Security personnel

8

Other Please specify 015
Telephone number 012
Area Code

Number
---

---

Number of years at this school

016

Best days and times to reach you (in case we have further questions)

E-mail address

018

020

Title(s) or position(s) of other personnel who helped complete the questionnaire 013


Check all that apply.
Principal 1
Vice principal

2

Disciplinarian 3
Counselor 4
Administrative or secretarial staff5
Teacher or instructor6
Superintendent or district staff 7
Security personnel

8

Other Please specify 017
How long did it take you to complete this form, not counting interruptions?


580

Please record the time in minutes (e.g., 55 minutes, 65 minutes).

23

Please return your completed questionnaire in the
enclosed postage-paid envelope or mail it to:
U.S. Census Bureau
Attn: DCB/PCSPU, Building 60A
1201 E 10th Street
Jeffersonville, IN 47132-0001
Thank you very much for your participation in
this survey. If you have any questions, please
contact us, toll–free, at: 1–888–595–1332 or by
e-mail at: [email protected]

To learn more about this survey and to access reports
from earlier collections, see the School Survey on Crime
and Safety (SSOCS) website at:
https://nces.ed.gov/surveys/ssocs
Additional data collected by the National Center for
Education Statistics (NCES) on a variety of topics
in elementary, secondary, postsecondary, and
international education are available from the
NCES website at:
https://nces.ed.gov
For additional data collected by various Federal
agencies, including the Department of
Education, visit the Federal Statistics
clearinghouse at:
https://fedstats.sites.usa.gov

FORM SSOCS-1 (11-9-2017)

111908

24