Harrassment/Intimidation/Bullying (HIB) Reporting

 
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  Under New Jersey law, “harassment, intimidation, or bullying” means any gesture, any written, verbal or physical act or any electronic communication, whether it is a single incident or a series of incidents, that is:
   
  • Reasonably perceived as being motivated by either any actual or perceived characteristic, such as race, color, religion, ancestry, national origin, gender, sexual orientation, gender identity and expression, or a mental, physical or sensory disability; or
   
  • By any other distinguishing characteristic; and that
   
  • Takes place on school property, at any school-sponsored function, on a school bus, or off school grounds, as provided for in N.J.S.A. 18A:37-15.3, that substantially disrupts or interferes with the orderly operation of the school or the rights of other pupils; and that
   
  • A reasonable person should know under the circumstances will have the effect of physically or emotionally harming a pupil or damaging the pupil’s property, or placing a pupil in reasonable fear of physical or emotional harm to his/her person or damage to his/her property; or
   
  • Has the effect of insulting or demeaning any pupil or group of pupils; or
   
  • Creates a hostile educational environment for the pupil by interfering with a pupil’s education or by severely or pervasively causing physical or emotional harm to the pupil.
   
  Please answer all questions in describing below the details of the incident you are reporting:
   
 
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Check all behaviors that the recipient of HIB-related behaviors has experienced:
 
          
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(Please be as objective and specific as possible and include the location of HIB-related behavior(s))
 
   
 
 
   
 
 
   
 
 
   
 
(Please be as specific and objective as possible listing dates, times, locations, etc.)
 
   
 
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