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Report possible incidents of Harassment, Intimidation or Bullying (HIB) using this form.
If you think an incident of HIB is occurring involving at least one Weehawken Township School District student, please complete this form.
Who is completing this form?
Your answer
What is your relationship to the school or any of the students involved?
Your answer
If we need additional information, how do you prefer we contact you?
Your answer
What is/are the name(s) of the alleged targeted student(s)? (the victims)
Your answer
What is/are the name(s) of the alleged perpetrators? (the student(s) committing the alleged acts of bullying)
Your answer
When did you witness or begin suspecting an alleged incident of HIB?
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What time did you witness or begin suspecting an alleged incident of HIB?
Time
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Where did you witness or begin suspecting an alleged incident of HIB?
Your answer
Which school did you witness or begin suspecting an alleged incident of HIB?
What specifically did you witness or why do you suspect there is an alleged incident of HIB? Be as specific as possible.
Your answer
Where there other witnesses? Please tell us who else we should contact.
Your answer
Did you file a verbal report with the Principal on the same day of witnessing or receiving reliable information regarding behavior being reported?
Please write your name below to certify the information you provided in this form is accurate and true to the best of your knowledge.
Your answer
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