Homeroom Roster List

Homeroom Roster List

Name : [Your Name]

Address : [Your Address]

Date : [Date]

This preparedness roster is designed to help our homeroom teachers and students respond appropriately and efficiently during emergencies. The list includes details like evacuation route, assembly point, student roster, teacher and staff roster, emergency contact information, special instructions for specific individuals, and the list of emergency supplies.

Homeroom Details

Homeroom Number

101

Homeroom Teacher

Ms. Smith

Evacuation Route

Staircase B to Main Exit

Assembly Point

Secondary School Playground

Student Roster

Student Name

Notes

Jessica

Asthmatic, carries own inhaler

Liam

Allergic to peanuts

Emily

Requires extra time for exams

Noah

Gluten intolerant

Ava

Visual impairment, uses a cane

Ethan

ADHD, may need occasional breaks

Teacher and Staff Roster

Name

Role

Notes

Ms. Smith

Homeroom Teacher

First Aid Certified

Mr. James

Assistant

Can operate AED

Emergency Contact Information

Contact Person

Relationship

Phone Number

Sarah Johnson

Parent

(555) 123-4567

Mark Davis

Guardian

(555) 987-6543

Lisa Anderson

Emergency Contact

(555) 789-0123

James Smith

Relative

(555) 456-7890

Emily White

Parent

(555) 234-5678

Special Instructions

Add special instructions here that are relevant to the homeroom students and staff members. For example, if a student has a mobility issue, include instructions for their safe evacuation.

Emergency Supplies

Item

Quantity

First Aid Kit

1

Water Bottles

15

Notes:

  • This roster is crucial for a quick and organized response during emergencies.

  • Regularly update the information to ensure accuracy.

  • Practice evacuation drills to familiarize everyone with the procedures.

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