HIB Reporting Form

 
 
 HIB Reporting Form 
Directions: Harassment, intimidation, and bullying will not be tolerated in the Berlin Borough School District. Complete this form to report alleged harassment, intimidation, or bullying that occurred on school property; at a school-sponsored event or activity off of school property; on a school bus; on the way to/from school, or through any means of electronic communication (cell phone/e-mail/internet/pager,) in the current school year. Please do not include your name if you wish to remain anonymous. All responses will be kept confidential.

 
 
*
  Select Date
mm/dd/yyyy
   
 
 

 

 

 
   
 
*
Select at least 1 and no more than 1.
 
  
  
  
  
  

    
   
 
*
 

 

 
   
 
*
 

 

 

 

 

 
   
 
*
 

 

 

 

 
   
 
*
Select at least 1 and no more than 5.
 
  
  
  
  
  
   
 
*
 
*



   
 
*
 
*



   
 
 
   
 
*
 
   
 
*
 
   
 
 
   
 
 
 
 Done  Save  Cancel