Directions: Bullying, harassment, or intimidation (HIB) are serious and will not be tolerated. This form can be completed by the student who is the target of alleged HIB acts, the parent/guardian of the student, staff members, community members or other students who may witness the alleged HIB acts.
HIB means intentional conduct, including verbal, physical, or written conduct or an intentional electronic communication that creates a hostile educational environment by substantially interfering with a student’s educational benefits, opportunities, or performance, or with a student’s physical or psychological well-being and is:
Motivated either by an actual or perceived characteristic, such as race, color, religion, ancestry, national origin, gender, sexual orientation, gender identity and expression, or a mental, psychical 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 that substantially disrupts or interferes with the orderly operation of the school or the rights of other students; and that