· I Full Cancelle _____ Partial Re-Issued. S TECHNOLOGICALLY ADVANCED ... Pension Reports,...

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Transcript of  · I Full Cancelle _____ Partial Re-Issued. S TECHNOLOGICALLY ADVANCED ... Pension Reports,...

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STATE OFNEW JERSEY

DEPARTMENT OF EDUCATION

DIVISION OF

FINANCE

P0 BOX 500

TRENTON, NEWJERSEY

08625

08/11/14

DISTRICT: WEST ORANGE TOEN

COUNTY: F'0EX

135680

STATE AID AMOUNTS FOR SERVICES tTR CHAPTER 192

2014-2015

ALLOC, FOR EACH ADD'L

ADDITIONAL

TOTAL 2014-2015

PROGRAM

RATE/PUPIL

PUPILS SERVICE 2014-2015 PUPILS 2014-2015 FUNDING FUNDING TO DATE

$0.00

$0.00

$0.00

COMPENSATORY EDUCATION*

$995.33 X

1 =

$896.00

0E.S,L.*

$1,015.00 A

0 =

$0.00

0TRANS PORTATION*

$0. 00

$896.00

$0.00

$0.00

TOTAL ALLOCATION FOP. CH.192 SERVICES - 2014-2015

$896.00

$0.00

$896.00

*PRORATED AT 9000%

(A)

* *

* *

* *

* *

* *

* *

* *

* *

* *

* *

* *

* *

* *

* *

* *

* *

* *

* *

* *

* *

* *

* *

* *

* *

* *

* *

* *

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* *

* *

* *

* *

* *

* *

* *

* *

* *

* *

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* *

* *

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* *

STATE AID AMOUNTS FOR SERVICES UNDEP CHAPTER 193

PROGRAM

2014-2015

ALLOC. FOP EACH

RATE/PUPIL

PUPILS SERVICE 2014-2015

ADDITIONAL

TOTAL 2014-2015

2014-2015 FUNDING FUNDING TO DATE

$0.00

$115,907.00

$0.00

$30,685.00

$0.00

$19,437.00

$0.00

$7,062.00

$0.00

$173,091.00

(B>

0 0 0

INITIAL EXAM & CLASS,*

$1,326.17 X

92 =

$115,907.00

ANNUAL EXAM & CLASS.*

$380.00 X

85

$30,685.00

CORRECTIVE SPEECH*

$930.00 X

22 =

$19,437.00

SUPPLEMENTARY INSTRUCTION*

$826.00 X

9=

$7,062.00

TOTAL ALLOCATION FOR CH.193 SERVICES - 2014-2015

$173,091.00

PRORATED AT 95.00%

* *

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fr *

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TOTAL CH. 192/193 ALLOCATION PAYABLE (A^B)

$173,987.00

CALCULATED MONTHLY PAYMENTS:

SEP

$17,399.00

FEB

OCT

$17,399.00

MAR

NOV

$17,390.00

APR

DEC

$17,399.00

MAY

JAN

$17,399.00

JUN

$17,399.00

$17,399.00

$17,399.00

$17,399.00

$17, 396.00

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Lal

SYSTEMS 3000

Victoria Plaza, 615 Hope Road

______________

_________LTIFViJ I C E1

Eatontown, New Jersey 07724

L\.TE:

12-Aug-i 4

INV. NUMBER

457-110118

P.O. NUMBER

34-5064

LBiIIT0:I - ______.--------- __________ ----- [jpTo: I

WEST ORANGE SCHOOL DISTRICT

179 EAGLE ROCK AVENUE

WEST ORANGE

NJ 07052

_______ ______ ________

Date Shipped

Via:

QUANTITY DESCRIPTION

UNIT

AMOUNT

1

Remote Requisition W!1 On-site training session

4,500.00

4,500.00

Freight:

0.00

Tax:

0O

J $4 500 00], ._TERMS: NET 30 DAYS

SYSTEMS 3000 Inc., 615 Hope Rd. Eatontown, N.J. 07724

Tel: 732-870-3000

Fax: 732-571-3000

__________________

____________

For SYSTEMS 3000 use oni

_______

Trx.Rcpt.DATE

JX.Ref.Number

Full

Cancelle

I_______ Partial

Re-Issued

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S

TECHNOLOGICALLY ADVANCEDFINANCIAL MANA GEMENT APPLICA TIONS

"SHAPING THE FUTURE OF COMPUTING"

CORPORATE OFFICE:

SYSTEMS 3000615 Hope Road

Eatontown, NJ 07724732-870-3000 / 866-290-3000

PROPOSAL PREPARED FOR:

West Orange Board of Education179 Eagle Rock AvenueWest Orange, NJ 07052

Attn: Ralph Goodwin, Interim Business Administrator

August 20, 2014

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SYSTEMS 3000

SOFTWARE PROPOSAL

Please Note: dates listed for this summary are based on standard implementations where the districtchooses to purchase everything and starts the new fiscal year off with the Visual Fund Accounting &Visual Personnel applications, implementing Visual Payroll the following January, but can be revised tospecific district implementations.

Start January 2015:

Visual Payroll Application (includes 3 on-site training sessions)

$19,450.00

Visual Payroll Employee Portal (separate quote for interested districts)

No License/Support fee for first six months of service:

0.00

Total Due January 2015:

$19,450.00

2015/2016 School Year: Visual Payroll License/Supiort Fee

$5600.00

1st Half of License/Support fee due July 1st 2015 ($2,800)

2nd Half of License/Support fee due Januarylsl 2016 ($2,800)

Visual Payroll in place by January is, will include license/support fee through June 30t!. The AnnualSoftware licensing fees are subject to increase (and historically have averaged between 2-4% annually.In order to process your request in a timely manner, please forward original Purchase Order. Thereceipt of your P0 will lock your position for implementation services.

Software Purchase and Annual Licensing/Support Fees Include:

Three on-site training sessions•

Unlimited FREE training at SYSTEMS 3000 Corporate Offices (or satellite sites)•

Unlimited phone/fax/email support•

Unlimited support via the internet•

Software updates in accordance with all on-going state requirements/changes

Please Note: Implementation fees do not include the conversion of historical data for theVisual Payroll application. Our standard practice is not to convert historical data. Districtsnormally keep their old data for viewing. The rate for additional on-site training sessions is$750.00/session if this is something the district requests.

Visual Payroll Application Includes:

• Employee Demographic Information

Employee Payroll Profile information for: Earnings, Deductions & Tax Definition Codes

Employee Payroll Profile Information for: Budget Spread & Direct Deposit Information

• Payroll Processing Verification Reports

• All Quarterly Reports (941, NJ-927, WR-30, Pension Reports, Multiple Worksite Report)

• W2 Processing Wizard

Purchase cost includes set-up/data conversion of the following information:

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• District's Earning & Deduction Pay Codes

Employee Payroll Profile Information

• Pension Type, Pension Number & Pension Tier

• Working Months & Total Pays

• Filing Status & Exemptions

• Employee Deductions

• Loan Information & Balances

• Budget Spread Information

• Employee Direct Deposit Account Information

• Direct Deposit Bank Set-Up

• Payroll Agency Module Set-Up

• Establishment of User Profiles & Permissions

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Change Order

Document G70 ITM 2001

PROJECT (Name and address):

CHANGE ORDER NUMBER: 001

West Orange BOE

DATE: 08/21/14Tunnel Repairs at Gregory ESGregory Elementary School301 Gregory AveWest Orange, NJ 07052

TO CONTRACTOR (Name and address): ARCHITECT'S PROJECT NUMBER: 5840

Drill Construction

CONTRACT DATE:80 Main Street

CONTRACT FOR: General ConstructionWest Orange, NJ 07052

THE CONTRACT IS CHANGED AS FOLLOWS:(Include, where applicable, any undisputed amount attributable to previously executed Construction Change Directives)Scope of Work:COR-2: Additional CMU Block

$4,309.00COR-3: Bilco Door Entrance

$7,780.00

Total Amount of this Change Order:

$12,089.00

The original Contract Sum was

$

146,000.00The net change by previously authorized Change Orders

$

0.00The Contract Sum prior to this Change Order was

$

146,000.00The Contract Sum will be increased by this Change Order in the amount of

$

12,089.00The new Contract Sum including this Change Order will be

$

158,089.00

The Contract Time will be increased by Zero (0) days.The date of Substantial Completion as of the date of this Change Order therefore is

NOTE: This Change Order does not include changes in the Contract Sum, Contract Time or Guaranteed Maximum Price which havebeen authorized by Construction Change Directive until the cost and time have been agreed upon by both the Owner andContractor, in which case a Change Order is executed to supersede the Construction Change Directive.

NOT VALID UNTIL SIGNED BY THE ARCHITECT, CONTRACTOR AND OWNER.

OWNER: l

ARCHITECT:

CONTRACTOR:

FIELD:

OTHER: LI

Parette Somjen Architects, LLC

Drill ConstructionARCHITECT (Firm name)

CONTRACTOR (Firm name)

439 Route 46 East, Rockaway, NJ 07866

80 Main Street, West Orange, NJ 07052

West Orange Board of EducationOWNER (Firm name)

179 Eagle Rock Aye, West Orange, NJ07052ADDRESS

BYfure)

B'f(Sipzathre)

BY (Signature.

David Didimamoff AlA(Typed ame)

DAT

Philip S. Drill(Typed name)

/DATE

Ms. Marlene Wendolowski(Typed name)

DATE

AlA Document G701 M 2001. Copyright © 1979, 1987, 2000 and 2001 by The American Institute of Architects. All rights reserved. WARNING: This AlA®Document is protected by U.S. Copyright Law and International Treaties. Unauthorized reproduction or distribution of this AlA® Document, or anyportion of it, may result in severe civil and criminal penalties, and will be prosecuted to the maximum extent possible under the law. This documentwasproduced by AlA software at 16:14:53 on 08/20/2014 under Order No.9607259749_i which expires on 06/11/2015, and is not for resale.User Notes:

(1228 172660)

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APPLICATION FOR DUAL USE OF EDUCATIONAL SPACE____ -

7/1( SCHOOL YEARThis form is to be used when educational space is required but limited. Dual use of educationalspaces is permitted under limited circumstances wherein two small group classes of similar natureseparated by a movable divider are operating simultaneously within the same educational space.Permission to operate a dual use educational space must be obtained from the county superintendentANNUALLY.

County: L3.5 E$

District:

School: ecvv'oo SJ0jRoom Numberjame:LJ

fei& Cestate Approved Use:_______________

Requested Use:_

of t

r

d:

I)5rcRoo

.Number of students and teachers (total) in each group: 'lfS

^rJs_ And: '7

_SLLei

rh±cric

c'rç

cfDescription of movable divider used (e.g. height, length, boolcshel.f, acoustical, etc.):__________hke(N+ o

Y1edi

I 5h i

(A

(

dtvid,ct-Submit the following with this application:A sketch of the space showing room size, location of exit doors, fire detection systems,ventilation systems and divider, must accompany this form.

The Board of Education approved the Dual Use Application for the ZO/51 - Zoñ-school year on_______________________(Date).***A COPY OF RESOLUTION FROM MINUTES MUST BE ATTACHED***

Certified by:(Chief School Adm mstrator)

(Date)

(School Business Administrator)

(Date)

FOR COUNTY SUPERINTENDENT'S USE ONLY:Date of Inspection by County Office:________________________________________Inspected by:

______Approved as is

_______ Not approved_____ Approved subject to the following conditions:______________________________

County051602gb

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C,-

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FW: West Orange BOE - Managed Care quote - SBA Page 1 of2

FW: West Orange BOE - Managed Care quote

Stout, Debra <[email protected] >

Sri 8/15/2.014 2:50 PM

OSBA <[email protected] >;

Good Afternoon Ralph and Marlene,

As a follow up to our meeting, you had asked us to provide you with a fee for managedcare. Our quote is $17,250.00 per year for managed care services as outlined below:

Telephonic Case Management:

o First Report of Injury

o Med Only or Lost Time Claims (no charge

for Report Only)

o Toll-Free Claims Reporting

o Case Management (in office)

o Medical Director Consult

o Case Management in accordance with URAC

guidelines

Network Accesso Full and complete access to First MCO Network

o Bill Review and Re-pricing

ADDITIONAL SERVICES AND FEES BELOW:

Field Case Managemento Catastrophic Claims with Cost

Proj act ion

o IME Coordination and attend appointment

o Case Management in accordance with URAC

guidelines

$88 per hour plus expenses (tolls, etc.), with

prior approval from the Board or the Board's

Claims Administrator

(Per Mile/Per Diem: Federal Rate)

(Tolls/Parking: Pass thru Expenses

https://email.woboe.org/owal

8/19/2014

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FW: West Orange BOE - Managed Care quote - SBA Page 2 of 2

Once you have had an opportunity to review the above, if you have any questions,

please feel free to contact me.

Dea Stoctt

Claim Service Office Managertnatcom

800-334-1348 ext. 55493150 Brunswick PikeSuite 200Crossroads Corporate CenterLawrenceville, NJ 08648

***********************************************************************************

PERSONAL & CONFIDENTIAL. THE E-MAIL MESSAGE (INCLUDING ANY ATTACHMENTS) FROM THIS SENDER IS FOR THE SOLE USE OF THE

INTENDED RECIPIENT(S) AND MAY CONTAIN CONFIDENTIAL AND PRIVILEGED INFORMATION. IF THE READER OF THIS MESSAGE IS NOT

THE INTENDED RECIPIENT, YOU ARE HEREBY NOTIFIED THAT ANY DISSEMINATION, DISTRIBUTION, UNAUTHORIZED REVIEW, USE OR

DISCLOSURE OF THIS E-MAIL IS PROHIBITED.

IF YOU HAVE RECEIVED THIS COMMUNICATION IN ERROR, PLEASE IMMEDIATELY NOTIFY US, BY CONTACTING

RETURNING THE ORIGINAL MESSAGE TO THE SENDER AND DELETING ANY COPIES FROM YOUR SYSTEM. THANK YOU.

Scanned by the Clearswift SECURE Email Gateway.

https ://email.woboe . org/owa/

8/19/2014

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IT Asset Removal Agreement

Client: West Orange Public Schools

Client Contact: Fit Santiago

Date: September 4, 2014

Presented By: Mark DeTroia

Upcycle LLC Contacts/Title Project Role Contact Info

Mark DeTroia - Account Manager Key contact for all inquiries regardingproject management.

973-567-8341

[email protected]

Upcycle LLC, is committed to providing a cost effective, environmentally conscious and sociallyresponsible outlet for end of life IT equipment while improving the access to vital technology for those inneed. We are excited to partner with West Orange Public Schools

, to dispose of your retired ITequipment. One of our goals is to make the process of partnering with Upcycle LLC as effortless andrewarding as possible. We pride ourselves on being flexible and amenable to fit all of each of our clients'needs and specific requests. All services listed below, but not limited to, are guaranteed by Upcycle LLC toWest Orange Public Schools, upon agreeing to work with Upcycle LLC to handle your retired IT hardwaredisposal.

Services:

1. Upcycle LLC will package and remove equipment from the storage facility, office or whereverthe equipment is being held.

2. Upcycle LLC will receive right of first refusal on all end of life, surplus, obsolete, and retired ITequipment.

3. Upcycle LLC will provide full removal of assets identified for disposal4, Upcycle LLC will accept anything with a plug in any condition and will pick any and all of your

end of life equipment and electronic waste.5. Each shipment will be assigned a unique job number and all assets associated with the job

will be catalogued and inventory will be taken on site.

6. All equipment will be transported to the Upcycle LLC facility where it will be weighed withthe weights being sent directly to our contact at WEST ORANGE Public Schools.

www.upcyc1ellccom(973)575-1400 f(973)575-1404

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7. As part of our commitment to helping increase the access to vital technology for those inneed, we are going to open up our inventory to qualified students and their families fromWEST ORANGE Public Schools and provide an opportunity to receive refurbished hardwarefrom Computers for Kids of America (an affiliated NPO and partner of Upcycle).

8. If units cannot be refurbished and restored to good working condition, they will be recycledaccording to the responsible recycling practices set forth by the industry by our R2 certifiedRecycling Partner

9. The following reports will be provided to the Client.V An Inventory Report detailing a list of all equipment received from WEST ORANGE Public

Schools.V A Letter of Responsibility ensuring that all equipment is handled properly and that nothing

ends up in a land fill or overseas OR a Certificate of Recycling (if necessary) linked to the jobnumber and list of equipment processed guaranteeing that all equipment is recycledaccording to local, state, and federal guidelines.

V A Certificate of Destruction or a Certificate of Data Security that pertains to all hard drives

Upcycle LLC will agree to pay West Orange Public Schools $1541 for the attached list of equipment.Payment will be made at the time of pick up via company check.

There are no charges or fees associated with any of these services and we look to make it easy, costeffective, and fulfilling for our partners and our goal is to develop long term and mutually beneficialrelationships. We hope to develop an effective partnership in handling your old IT equipment in a costeffective, environmentally conscious, and socially beneficial and responsible fashion. As mentioned, weare able to tailor our IT asset removal projects to each client's specifications so please feel free to contactme directly with any questions and or requests.

Mark [email protected]

www.upcyclellc.com(973)575-1400 f(973)575-1404

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___

Computer RecyclingQty. Description

1 Box of misc items

2 Apple eMac

1 HP Color LaserJet 2600n

1 HP Color LaserJet 2605dn

1 HP Color LaserJet 1600

2 Dell 1110 Printer

1 HP LaserJet 2300L1 HP LaserJet 1320

1 Epson Workforce 30 lnkjet

1 Epson STYLUS Photo 1270 lnkjet1 Epson STYLUS C84 Inkjet

1 Brother MIC 420CN All-in-One

1 DELL 24" Widescreen LCD

2 17-19" Fullscreen LCD Monitor

2 CRT Monitor

1 APC SmartUPS 2200

2 Dell OptiPlex 745

2 Monitor stands

21 Laptop batteries

10 UPS Battery modules

3 UPS Battery

13 Dell Latitude D630

24 Dell Latitude D610

1 Dell OptiPlex 620

2 Cisco core switch power supply

2 CRT Monitors

1 Box of assorted wireless NlCs

1 HP LaserJet Pro CM1415

1 HP LaserJet 1300

5 Dell PowerEdge 2950

1 APC SmartUPS 3000

1 APC SmartUPS 450

11 Dell GX620 Desktops

8 CRT Monitors

1 HP LaserJet 1300 Printer

1 HP LaserJet 1000 Printer

1 Back-UPS APC 280

1 SmartUPSl400

1 SmartUPS700

1 Cisco Catalyst 3500 XL series16 Dell Latitude D6305 Dell GX620 Desktops

3 CRT Monitors

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___ _______

Computer Recyding4 Back-UPS APC 280

9 DelI Latitude D630

49 Dell GX620 Desktops

31 CRT Monitors

2 Box of Keyboards, Mice, Power Cords

1 HP LaserJet 4050N

1 HP LaserJet 1300

1 DelI Lattitude D630

2 DelI Printers

1 Hitachi Projector

1 Televison

3 DelI Desktops

26 DeU 62027 CRT Monitors

3 27 inch TV/VCR

1 15 Unit Laptop cart34 Dell GX620

33 CRT Monitors

1 Dell GX270

1 UPS

1 Box of Keyboards, Mice and Power Cords1 DelI 620

1 HP 1320

3 Cisco 2600 Router1 Lexmark 4227 P.O Printer

1 lSCRTMonitor1 Dell 280

1 22 LCD Monitor

1 HP 2015 Printer

3 misc items/power cords/Cisco AP's

1 DelI 745

4 HP 4100 Printer Trays1 HP4300

36 DelI 620/745/D600/CRT

12 D600/745

6 745/CRT

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ConsteLlationLoad Response

Load Response helps your business earn moneyby making strategic energy decisions.

Load Response comprises programs throughwhich end-users agree to reduce theirenergy consumption during high wholesaleenergy prices or periods of grid instability.Customers in PJM can access new revenue streamsby leveraging our expertise andtechnology to manage their controllable loads.

Participating in Load Response can be easy: Whena curtailment event is called, customers can eithercurtail their consumption of electricity or displaceit with onsite generation. Taking these stepshelps bring relief to the grid and may help avoidblackouts or brownouts in your area.

Multiple Load Response Options: There are manydifferent Load Response programs available inthe market today. Choosing the program that bestfits your business, operations and energymanagement strategy can be challenging. YourConstellation team can show you all the optionswhile revealing how each choice works for yourspecific business needs. In the end, you'llmaximize your Load Response benefits andoptimize your overall energy spend, while helpingto ensure grid reliability.

Leveraging the Power of Constellation:Constellation offers a broad suite ofenergy services unlike any other energyprovider. As one of the only integrated responseproviders and electric suppliers, Constellation hasdesigned innovative products that allow youto combine both supply and demand solutions tostrategically and effectively meet your energygoals.

Load Response Options for PJM

Constellation's Load Response offerings aremanaged through an aggregated portfolio of PJM'sdistinctive Demand Response programs:

Emergency Capacity aka

Demand Response (DR) Program

PJM's Demand Response (DR) Program is anemergency program offered through theIndependent System Operator (ISO) to helppreserve the grid. Capacity programs such as DRlet businesses earn financial incentives when theyreduce their energy usage during high powerdemand periods. In addition to payments,customers can realize avoided cost benefits duringactual events; since energy is often at its mostexpensive during peak demand times, DRcan significantly impact overall energy spend.

200

3M)

0

$E TL

4©2014 Constellation Energy Resources, LLC. The materials provided and any offerings described herein are those of Constellation

NewEnergy, Inc., a subsidiary of Exelon Corporation. Brand names and product names are trademarks or service marks of their respectiveholders. All rights reserved. Errors and omissions excepted.

Page 38:  · I Full Cancelle _____ Partial Re-Issued. S TECHNOLOGICALLY ADVANCED ... Pension Reports, Multiple Worksite Report) • W2 Processing Wizard Purchase cost includes set-up/data

Revenue Potential

Financial benefits are typically realized bycustomers as earned market payments (possiblycreating a new revenue stream) or lowerpurchased cost of electricity. By uniquelybalancing the energy equation, our team can showyou beneficial strategies for purchasing and usingpower most effectively in dynamic marketconditions. Ultimately, the level of payments isdetermined by the amount of your offer, energyprices and performance during events and tests.

Customers frequently want to know three keypieces of information:

How much can be earned?Actual revenue depends on how much power isreduced or displaced, the price of the loadresponse product or service you are providingand measured performance levels

When can I realize revenue or savings?

Savings can accrue as soon as activeparticipation begins; payments are typicallydisbursed within 60 days of program quarterand in a series of equal quarterly disbursements.Rate Response customers can receive paymentseven earlier as previously described.

What happens if I can't perform or meet myobligation?Revenues are based on level of performance andproportional to delivered amounts ofcommitment.

Engineering & CurtailmentPlanning

Once you sign up with Constellation, our LoadResponse team works with you step-by-step todevelop a curtailment plan that suits your uniqueneeds and leverages your onsite resources. Ourteam uses historical consumption data, input fromyour personnel, site survey information, andpossibly a live test of your resources to effectivelyassess your committed curtailment.

Flexible Program Management

Since electricity markets and your businessconstantly change, we continuously look foroptimal ways to create value for our customers.Whether it's taking advantage of a newprogram/offering or avoiding future costs, we willprovide periodic account reviews/assessmentsthrough your dedicated account manager or salesteam. Our team will work directly with your staffto identify an optimal strategy for your business.We strive to bring you innovation and knowledgethat could help you improve your bottom line.

Throughout the year, Customer ProgramManagers (CPMs) are also available to address anyquestions or concerns you may have on allmatters relating to your participation. These sameindividuals are instrumental in getting you up andrunning and are most likely familiar with yourprofile before you call.

7

©2014 Constellation Energy Resources [[C. The materials provided and any offerings described herein are those of ConstellationNewEnergy, Inc., a subsidiary of Exelon Corporation. Brand names and product names are trademarks or service marks of their respective

holders. All rights reserved. Errors and omissions excepted.

Page 39:  · I Full Cancelle _____ Partial Re-Issued. S TECHNOLOGICALLY ADVANCED ... Pension Reports, Multiple Worksite Report) • W2 Processing Wizard Purchase cost includes set-up/data

App

endi

\ BN

ew

Jerse

y D

ep

artm

en

t of

Ed

ucati

on

Scho

ol S

elf-

Ass

essm

ent f

or D

eter

min

ing

Gra

des

Und

er th

e A

nti-

Bul

lyin

g B

ill o

f R

ight

s A

ct(A

BR

)S

UM

MA

RY

RE

PO

RT

Dis

tric

t N

am

e:W

est

Ora

nge

Sch

ool

Nam

e:G

reg

ory

Cor

e E

lem

ent

#1:

1-fi

B P

rogr

ams,

Ap

pro

ach

es o

r O

ther

In

itia

tive

s('

N.J

.S.A

. 184

:3

7.-I

74)

1111

1______

__

__

__

__

_

__

_In

dic

ator

_____

A.

Th

e sc

ho

ol

ann

ual

ly e

stab

lish

es H

IB P

rog

ram

s, a

pp

roac

hes

an

d i

nit

iati

ves

.

_______

2-

B.

Th

e sc

ho

ol

ann

ual

ly j

km

ents

and d

ocu

men

ts H

113 p

rogra

ms,

ap

pro

ach

es o

r o

ther

in

itia

tiv

es.

2C

.

Th

e sc

ho

ol

ann

ual

ly a

sses

ses

HIB

pro

gra

ms,

ap

pro

ach

es o

r o

ther

in

itia

tiv

es.

__

__

__

_2

D,

The

sch

oo

l's H

11

3 p

rog

ram

s, a

pp

roac

hes

or

oth

er i

nit

iati

ves

are

des

igned

to c

reat

e sc

hool-

wid

e co

ndit

ions

to p

reven

t an

d a

ddre

ss 1

1113.

3E

.

Th

e sc

ho

ol

safe

ty t

eam

(S

ST

)has

id

enti

fied

pat

tern

s o

f H

IB a

nd

rev

iew

ed s

cho

ol

clim

ate

and

sch

oo

l p

oli

cies

fb

r th

e p

rev

enti

on

of

HIB

2S

UB

-TO

TA

L (

pos

sib

le 1

5)_________

__

__

__

__

__

__

__

__

__

__

__

__

__

__

__

__

__

_ _

__

__

__

__

__

__

__

__

__

__

__

__

__

__

______

12_

__

__

__

__

__

__

__

__

_('

ore

Ele

men

t #2:

Tra

inin

g on

the

BO

E -

app

rove

d H

IB P

olic

y (N

.J.S

.A.

184

:3 7

-1 7

b an

dç)

__

__

__

_______________

________________

Ind

icat

or

-____

____

A.

Sch

ool

empl

oyee

s, c

ontr

acte

d se

rvic

e pr

ovid

ers

and

volu

ntee

rs a

re p

rovi

ded

trai

ning

on

the

H1B

pol

icy.

2______________________ _

_______

B.

The

1-1

113

poli

cy t

rain

ing

incl

udes

ins

truc

tion

on

prev

enti

ng B

IB o

n th

e ba

sis

of p

rote

cted

c

ones

enu

mer

ated

in

the

AB

R,

char

acte

rist

ics

that

may

inc

ite

inci

dent

s of

dis

crim

inat

ion

or H

IB.

3C

.

The

HIB

_pol

icy

was

dis

cuss

ed w

ith

stud

ents

, in

acco

rdan

ce w

ith

the

dist

rict

's p

roce

ss f

or t

hese

dis

cuss

ions

.3

____

____

____

____

____

____

____

____

________*

SU

B-T

OT

AL

(p

ossi

ble

9)

__

__

__

_

___________________

__

__

_

__

__

__

__

__

__

__

8_

__

__

__

__

__

__

__

Cor

e E

lem

ent

#3:

Oth

er S

taff

In

stru

ctio

n a

nd

Tra

inin

g P

rogr

ams

(N.J

.S.A

.18

4 :6

-112

, N.J

.S.A

._18

4 :3

7-2

2d, N

.J.S

,A 1

84 :

3 7-

26a)

Ind

icat

orA

ra(.

htc

achi

ng

talt

mcm

ber

eo

mp

letL

d a

t le

ast

2 h

ou

rs o

f m

stru

cuo

njn

su

iel

cnti

on t

hat

incl

uded

inL

orm

atio

n o

nfl

ll3 i

n c

a.h f

ivc

cii

pro

kss

ioual

deyprnett

erio

d_

__

__

__

_2

___________

__

__

__

B.

Eac

h t

each

ing s

taff

mem

ber

com

ple

ted a

t le

ast

2 h

ours

of

inst

ruct

ion o

iJ1l

ple

nti

on

, in

eac

h f

ive-

yea

r P

rofe

ssio

nal

dev

elo

pm

ent

per

iod

.3

_________

C.

Th

e s

chool

anti

-bull

yin

g s

pecia

list

(A

BS

) w

as

giv

en t

.uri

i

the

usu

al s

cho

ol

sch

edu

le t

o p

arti

cip

ate

in

-ser

vic

e ra

jpjn

in p

repar

atio

n t

o a

ct a

s th

eA

BS

__

__

_

___________ _

____

__

__

_

__

__

__

______

I).

Th

e m

emb

ers

ot't

he

sch

oo

l sa

fity

tea

m (

SS

...)

wer

e p

rov

ided

wit

h p

rofe

ssio

nal

dev

elo

pm

ent

in e

ffec

tiv

e p

ract

ices

of

succ

essf

ul

sch

oo

l cl

imat

e p

rog

ram

sor

app

roac

hes

._

__

__

__

__

__

__

__

-__

__

__

__

__

__

__

__

__

__

__

__

__

__

__

_

--

-____________

B.

Sch

oo

l le

ader

s h

ave

rece

ived

in

fbrm

atio

n o

n t

he

pre

ven

tio

n o

f h

aras

smen

t, i

nti

mid

atio

n a

nd

bu

lly

ing

as

par

t o

f th

eir

trai

nin

g o

n i

ssu

es o

f sc

ho

ol

eth

ics.

--

school

law

and s

ciool'o

ver

nan

ce.

__

__

__

__

__

__

_

____

__

__

_

________

_____________

____________

__

__

__

__

__

__

__

__

SU

B-T

OT

AL

(poss

ible

15)

Cor

e E

le,n

ent

#4:

Cu

rric

ulu

m a

nd

In

stru

ctio

n o

f H

IB a

nd

Rel

ated

In

form

atio

n a

nd

Sk

ills

(N

.J.S

.A.

18.4

:37-

29)

2

________

Ind

icat

or

A.

Th

e sc

ho

ol

pro

vid

ed o

ng

oin

g,

ggpro

pri

atc

inst

ruct

ion o

n p

reven

ting 1

1113 i

n a

ccord

ance

wit

h t

he

Core

CulT

iculu

m C

onte

nt

Sta

ndar

ds.

313

.

Ihe

school

obse

rved

the

ek

ot'R

ese

c

du

rin

g t

he

wee

k b

egin

nin

g w

ith

th

e fi

rst

Mo

nd

ay i

n O

cto

ber

of

each

yea

r.

of

_____

__

__

_

SU

B-T

OT

AL

(p

ossi

ble

6)

6

Page 40:  · I Full Cancelle _____ Partial Re-Issued. S TECHNOLOGICALLY ADVANCED ... Pension Reports, Multiple Worksite Report) • W2 Processing Wizard Purchase cost includes set-up/data

App

endi

x B

New

Jerse

y D

ep

artm

en

t of

Ed

ucati

on

Scho

ol S

elf-

Ass

essm

ent f

or D

eter

min

ing

Gra

des

Und

er th

e A

nti-

Bul

lyin

g B

ill o

f R

ight

s A

ct(A

BR

)S

UM

MA

RY

RE

PO

RT

co

reE

lem

ent

#5:

HIB

Per

son

nel

(N

.J.S

.A. 1

8A:3

7-20

a, N

.J.S

.A. I

SA

:3

7-20

c, N

.J.S

.A. I

8A :

3 7-

2/a,

,)In

dic

ato

r

A.

The

pri

nci

pal

ppsi

nte

d a

sch

ool

anti

-bull

yin

g s

pec

iali

st_(A

BS

).3

____________

_______

BT

he A

BS

t li

t.

me

aea

st t

wo t

mes

per

sch

ool

yea

r w

ith t

he

dis

tric

t an

ti-b

ull

yin

g c

oord

inat

or

(AB

C).

Ente

r th

e to

tal

num

ber

of

mee

tings.

____

___

C['

he s

choo

l sa

fet

team

(S

Sl')

t

li

3t t

.y

aea

sw

o t

mes

per

sch

ool

yea

r to

dev

elop, fo

ster

and m

ainta

in a

posi

tive

school

clim

ate

by f

ocu

sing o

n t

he

ongoin

g.

ad

dre

ss s

ch

oo

l cli

mate

iss

ues

inclj

gj1

lB.

En

tert

he t

ota

l n

um

ber

ol'all

SS

T m

eeti

: _

__

__

SU

B-T

OT

AL

(po

ssib

le9

)C

ore

El

t #6

S9

hL

emen

:c

ool-

evel

H/B

In

cid

ent

Rep

orti

ng

Pro

ced

ure

(N

.J.S

.A 1

8A:3

7-15

b(c

,), N

.J.S

.A. l

&4:

3 7-

15b

('óX

a,)

_____

Ind

icai

or-

Op

tion

A (

for

sch

ools

th

at h

ad a

t le

ast

one

rep

ort

of H

IB)

__

__

__

__

__

__

__

_ _

__

__

__

_

__

__

__

__

A.

The

school

jjj,

l,gjj

nte

d t

he

dis

tric

t's p

roce

dure

for

report

ing H

IB t

hat

incl

udes

all

req

uir

ed e

lem

ents

..B

.

The

school

ijpj,

eente

j th

e dis

tric

t's p

roce

dure

for

report

ing n

ew i

nfo

rmat

ion o

n a

pri

or

HID

rep

ort

_____

__________________________

Ind

icato

r -

Op

tion

8fo

r sc

hools

th

at

had

no r

eport

s of

1118

,,)

_____________ _

________

_______ _

_____

-A

.

The

school

not

only

has

a p

roce

ss f

or

imple

men

ting t

he

dis

tric

t's p

roce

dure

for

report

ing H

ID b

ut

also

inco

rpora

tes

elem

ents

ofe

ffec

tive

pre

ven

tion w

hic

hre

sult

ed i

n n

o i

nci

den

ts o

f H

ID.

-

3 N/A

3______

B.

The

school

fost

ers

a posi

tive

school

clim

ate

that

enco

ura

ges

rep

ort

s of

all

conce

rnin

g b

ehav

iors

, in

cludin

g 1

3113

_____ _

____

SU

B-T

OT

AL

(p

ossi

ble

6)0

_C

ore

Ele

men

t#7

:H

/B I

nve

stig

atio

n P

roce

du

re (

'N. J

S,A

. IS

A :

37-

lSb

(5.)

and

('6,1

(a)

and

(b

))_

__

__

__

__

__

__

__

__

__

__

Ind

icat

or -

Op

tion

A (

for

sch

ools

th

at h

ad a

t le

ast

one

rep

ort

of H

/B,.)

__

__

__

__

__

__

__

__

_

The

sch

ool

foll

owed

the

_130

fi-a

ppro

ved_

poli

cy o

n H

ID_i

nves

tiga

tion

_pro

cedu

res,

whi

ch p

rovi

des

for:

A.

Noti

tica

tion t

o p

aren

ts o

f al

leged

ofl

inder

s an

d a

lleg

ed v

icti

ms

in e

ach r

eport

ed_H

IB i

nci

den

t.

____

____

__B

.

Com

ple

tion o

f th

e in

ves

tigat

ion w

ithin

10 s

chool

day

s of

the

wri

tten

_in

ciden

t_re

port

.3 3

C.

Pre

par

atio

n o

la w

ritt

en r

eport

on t

he

findin

gs

of

each

11113 i

nves

tigat

ion.

__________

_______

I.).

Res

ult

s of

the

inves

tigat

ion r

eport

ed t

o t

he

chie

f sc

hool

adm

inis

trat

or

(CS

A)

wit

hin

2 s

chool

day

s of

com

ple

tion o

f' t

he

inves

tigat

ion.

3 3-

Ind

icat

or -

Op

tion

B (

for

.sch

ools

th

at h

adno

rep

orts

of

H/B

,)

______

A.

The

school

has

a p

roce

dure

for

noti

fyin

g p

aren

ts o

f al

leged

off

i.m

der

s an

d a

lleg

ed v

icti

ms

in e

ach r

eport

ed H

ID i

nci

den

t.13

.

The

school

has

a p

roce

dure

in p

lace

to e

nsu

re c

om

ple

tion o

f ea

ch i

nves

tigat

ion w

ithin

10 s

chool

day

s of

the

wri

tten

rep

ort

._

__

__

__

C.

The

school

has

a p

roce

dure

in p

lace

to p

repar

e a

wri

tten

rep

ort

on t

he

findin

gs

of

each

HIB

inves

tigat

ion.

__

__

__

__

__

I).

The

school

has

a p

roce

dure

for

report

ing

the

resu

lts

of

each

inves

tigat

ion t

o t

he

chie

f sc

hool

adm

inis

trat

or

(CS

A)

wit

hin

2 s

chool

day

s ot'c

om

ple

tiori

of

the

uw

esti

atio

n.

___

___

___

______________

SU

B-T

OT

AL

(p

ossi

ble

12)

12co

re E

lem

ent

#8:

HIB

Rep

orti

ng

('N

.J.S

.A. I

SA

:17-

46,)

_____

Ind

icat

orA

.

i'he

school

has

a p

toce

.lure

for

ensu

ring t

hat

sta

ll m

ember

rep

ort

s (i

.e., v

erbal

and w

ritt

en)

Incl

ude

the

requir

ed i

nfo

rmat

ion t

'or

all

inci

den

ts o

f' v

iole

nce

.va

ndal

ism

_and

H 1

13,

B.

'l'he

ot't

icia

l gra

des

rec

eived

fro

m t

he

N.I

DO

E. fo

r th

e S

eliA

sses

srnen

t fr

om

the

pre

vio

us

report

ing p

erio

d, fo

r th

e sc

hool

and f

or

the

school

dis

tric

t ar

e,p

tedon t

he s

choors

web i

te

ert

heA

t3R

an

d_

the r

eq

iip

t o

f th

e N

J D

OE

SU

B-T

OT

AL

(Io

ssib

le 6

)T

OT

AL

SC

OR

E (

pos

sib

le78

)4 66

Dis

tric

t N

ame:

Wes

t O

rang

eS

choo

l Nam

e:G

rego

r

Page 41:  · I Full Cancelle _____ Partial Re-Issued. S TECHNOLOGICALLY ADVANCED ... Pension Reports, Multiple Worksite Report) • W2 Processing Wizard Purchase cost includes set-up/data

App

endi

x H

New

Jerse

y D

ep

artm

en

t o

f E

du

ca

tio

nSc

hool

Sel

f-A

sses

smen

t for

Det

erm

inin

g G

rade

sU

nder

the

Ant

i-B

ully

ing

Bill

of

Rig

hts

Act

(A

BR

,)

SU

MM

AR

Y R

EP

OR

TD

istr

ict

Nam

e:W

est

Ora

nge

Sch

ool N

ame:

Haz

el S

choo

l

Cor

e E

!ert

u.'n

t #1

:H

IB P

rogr

ams,

Ap

pro

ach

es o

rO

ther

Init

iati

ves

(N

.J.S

.A.

18

A:3

7-1

7A

)

__

__

__

__

__

__

__

Ind

icat

orA

.

The

school

annual

ly e

stab

lish

es H

ID P

rogra

ms.

appro

aches

and i

nit

iati

ves

.

________

3B

.

The

school

annual

ly i

mple

men

ts a

nd d

ocu

men

ts N

IB p

rogra

ms.

appro

aches

or

oth

er i

nit

iati

ves

.

____

___

2______________________

- _

__

__

__

__

_C

.

The

school

annual

ly a

sss

HID

pro

gra

ms,

appro

aches

or

oth

er i

nit

iati

ves

.

__

__

__

__

__

__

__

__

__

_2

__

__

__

__

__

__

__

__

__

__

__

_-

D.

The

school's

HID

pro

gra

ms,

appro

aches

or

oth

er i

nit

iati

ves

are

des

igned

to c

reat

e sc

hool-

wid

e co

ndit

ions

to p

reven

t an

d a

ddre

ss H

ID.

______

3E

.

The

school

safe

ty t

eam

(S

ST

)has

iden

tifi

ed p

atte

rns

of

HIB

and r

evie

wed

sch

ool

clim

ate

and s

chool

poli

cies

for

the

pre

ven

tion o

f N

IB2

__

__

__

__

__

__

SU

B-T

OT

AL

(poss

ible

15)

12C

ore

Ele

rnen

ii^

2:T

rain

ing

on t

he B

OE

appr

oved

HIB

Pol

icy

(NJ.

S.A

. 18A

:37-

17b

andc

,________

______

_________________

Ind

icat

or

A.

Sch

ool

empl

oyee

s, c

ontr

acte

d se

rvic

e pr

ovid

ers

and

volu

ntee

rs a

re p

rovi

ded

trai

ning

on

the

HIB

pol

icy.

____________ _

___________

B.

The

NIB

pol

icy

trai

ning

inc

lude

s in

stru

ctio

n on

pre

vent

ing

HIB

ott

the

bas

is o

fp

tect

edca

teori

es e

num

erat

ed i

n t

he

AB

R.

gjQ

thrI

stin

(1i.

ship

gar

acte

rist

ics

that

may

inc

ite

inci

dent

s of

dis

crim

inat

ion

or H

ID.

C.

The

HID

pol

icy

was

dis

cuss

ed w

ith

stud

ents

, in

acco

rdan

ce w

ith

the

dist

rict

's p

roce

ss f

or t

hese

dis

cuss

ions

.3

_______

SU

B-T

OT

AL

(p

ossi

ble

9)

5C

ore

Ele

men

t3:

Oth

er S

taff

In

stru

ctio

n a

nd

_Tra

inin

gP

rogr

ams_

(N.J

.S.A

. 18A

:6-1

12, N

.J.S

.A. I

SA

:3

7-22

d,_

N.J

.S.A

l8A

:37-

26a)

_____

Ind

icat

orA

,

Eac

h t

each

ing s

taff

mem

ber

com

ple

ted a

t le

ast

2 h

ours

of

inst

ruct

ion i

ns

jcid

e

reven

tion t

hat

incl

uded

info

rmat

ion o

n H

ll3 i

n e

ach t

Ive-

yea

r pro

fess

ional

dev

elop

ntp

erio

d.

______________

______________

2_

__

__

__

__

__

__

__

__

__

__

-__

__

__

_

_______

_____

13.

Eac

h t

each

ing s

tall

mem

ber

com

ple

ted a

t le

ast

2 h

ours

of

inst

ruct

ion o

n N

IB p

reven

tion. in

eac

h f

ive-

yea

r pro

fess

ional

dev

elopm

ent

per

iod.

3C

.

'l'he

school

anti

-bull

yin

g s

pec

iali

st (

AD

S)

was

giv

en t

ime

duri

ng t

he

usu

al s

chool

sched

ule

to p

arti

cipat

e in

in-s

ervic

e tr

ainjg

g i

n p

repar

atio

n t

o a

ct a

s th

eA

BS

_______

__________

I).

The m

em

bers

of

the s

chool

safe

ty t

eam

(S

ST

) w

ere

pro

vid

ed w

ith p

rofe

ssio

nal

develo

pm

ent

in e

lThcti

ve p

racti

ces

ol

success

lul

school

cli

mate

pro

gra

ms

orpppach.

__-_

__

_-

_______ ___ _____

F.

Sch

ool

lead

ers

hav

e re

ceiv

ed i

nfb

rmat

ion o

n t

he

pre

ven

tion o

f har

assm

ent,

inti

mid

atio

n a

nd b

ull

yin

g a

s par

t of

thei

r tr

ainin

g o

n i

ssues

of

school

ethic

s,_

__

__

_sc

hool

law

and

hoolo

vrn

ance.

__

__

__

__

__

__

_

__

__

__

_

__

__

__

__

__

__

__

__

__

__

__

__

__

-

__________

SU

B-T

OT

AL

(p

ossi

ble

15)

______

12_

Cor

eE

lem

ent

#4:_

Cu

rric

ulu

m a

nd

In

stru

ctio

n o

f H

1B a

nd

Rel

ated

In

form

atio

n a

nd

Sk

ills

(JV

.J.S

.A. 1

8A :

3 7-

2 9)

______

___________ _

____

Ind

icat

or

A.

The

school

pro

vid

ed o

ngoin

g,

e-ap

pro

pri

a(c

inst

ruct

ion o

n p

reven

ting [

lID

in a

ccord

ance

wit

h t

he

Core

Curr

iculu

m C

onte

nt

Sta

ndar

ds.

2B

.

The

school

obse

rved

the

:.W

kc)f

Rnsp

ect:

duri

ng t

he

wee

k b

egin

nin

g w

ith t

he

lirs

t M

onday

in O

ctober

of

each

yea

r.to

cust

ngpn H

ID p

reven

tion.

3_

__

__

__

__

__

__

_

__

__

__

-

____

___

____

_

SU

B-T

OT

AL

_(p

ossi

ble

6)

______

5

Page 42:  · I Full Cancelle _____ Partial Re-Issued. S TECHNOLOGICALLY ADVANCED ... Pension Reports, Multiple Worksite Report) • W2 Processing Wizard Purchase cost includes set-up/data

App

enlo

HN

ew

Jerse

y D

ep

artm

en

t o

f E

du

ca

tio

nSc

hool

Sel

f-A

sses

smen

t for

Det

erm

inin

g G

rade

sU

nder

the

Ant

i-B

ully

ing

Bill

of

Rig

hts

Act

(AB

R)

SU

MM

AR

Y R

EP

OR

T

Cor

e E

lem

ent

#5:

H/B

Per

son

nel

(N

.J.S

.A. 1

84 :

3 7-

20a,

N.J

.S.A

.18

A:3

7-2

0c,

N.J

.S.A

. 184

:3

7-21

a)_

__

__

__

_

Ind

icat

or

A.

The

pri

nci

pal

appoin

ted a

sch

ool

anti

-bull

yin

g s

pec

iali

st (

AB

S).

-.B

.

The

AB

Sm

et a

t le

ast

two t

imes

per

sch

ool

yea

r w

ith t

he

dis

tric

t an

ti-b

ull

yin

g c

oord

inat

or

(AB

C).

Ente

r th

e to

tal

num

ber

of

mee

tings.

____

____

C.

The

school

safe

ty t

eam

(S

ST

) pt

at l

east

tw

o t

imes

per

sch

ool

yea

r to

dev

elop, fo

ster

and m

ainta

in a

posi

tive

school

clim

ate

by f

ocu

sing o

n t

he

ongoin

g,

_ic

rcess

an

d p

racti

ces

in t

he s

ch

oo

l an

d t

o a

dd

ress

sch

oo

l cli

mate

iss

ues

inclu

din

g f

11

F3

. E

nte

r th

e t

ota

l n

um

ber

of

all

ss

mee

ting

s:

3 3 2

__

__

__

__

_ _

__

__

__

__

__

_SU

B-T

OT

AL

_(po

ssib

le9)

Core

Ele

men

t #6

: S

choo

l-L

evel

H/B

In

cid

ent

Rep

orti

ng

Pro

ced

ure

(N.J

.S.A

184

:3 7

-15b

(5),

JVJ.

S.A

. 184

:3 7

-lS

b(6

) (a

)8

______ _

___________

Ind

icat

or-

Op

tion

A (

for

sch

ools

th

at h

ad a

! le

ast

one

rep

ort

of H

I/I,

)__________

A.

The

school

imple

men

ted t

he

dis

tric

t's p

roce

dure

for

report

ing H

IB t

hat

incl

udes

all

req

uir

ed e

lem

ents

..3

-____________________

_____________

B.

The

school

jipie

men

ted t

he

dis

tric

t's p

roce

dure

for

report

ing n

ew i

nfo

rmat

ion o

n a

pri

or

HIB

rep

ort

________

I_

__

__

__

__

__

-_

__

__

__

__

__

__

Ind

icat

or -

Op

tion

B(f

or s

choo

ls t

hat

had

no

rep

orts

of

HIB

,)A

.

The

school

not

only

has

a p

roce

ss f

or

imple

men

ting t

he

dis

tric

t's p

roce

dure

for

report

ing H

IB h

ut

also

inco

rpora

tes

elem

ents

ofe

ffèe

tive

pre

ven

tion w

hic

hre

sult

ed i

n n

o i

nci

den

ts o

f B

IB.

B.

rite

sch

ool

fost

ers

a posi

tive_

school

clim

ate

that

enco

ura

ges

rep

ort

s of

all

conce

rnin

g b

ehav

iors

, in

cludin

g H

IB

__

__

__

__

__

__

__

__

__

_

SU

B-T

OT

AL

(p

ossi

ble

6)

4C

ore

Ele

men

t#7

:II

IB I

nve

stig

atio

n P

roce

du

re (

N.J

.S.A

. 184

:37-

lS

b(5

,) a

nd

(6,

) (a

.) a

nd

(b

))_

__

__

__

__

__

__

__

__

_

Ind

icat

or -

Op

tion

A (

for

sch

ools

th

at h

ad a

t le

ast

one

rep

ort

of H

IB,)

__

__

__

__

__

__

__

__

__

__

__

__

__

_

The

school

foll

ow

ed t

he

BO

E-a

ppro

ved

poli

cy o

nB

IB in

vest

igat

ion

pro

ced

ure

s,w

hic

h p

rovid

es f

or:

A.

Noti

fica

tion t

o p

aren

ts o

f' a

lleg

ed o

fknder

s an

d a

lleg

ed v

icti

ms

in e

ach r

eport

ed H

lB i

nci

den

t.3

__

__

__

_

13.

Com

ple

tion o

f th

e in

ves

tigat

ion w

ithin

10 s

chool

day

s of

the

wri

tten

inci

den

t re

port

.3

__

__

__

__

__

__

_

____

____

____

____

____

____

____

____

C.

Pre

par

atio

n o

l'a w

ritt

en r

eport

on t

he

findin

gs

of

each

FII

B_in

ves

tigat

ion.

3__

____

____

____

____

____

____

_1)

.

Res

ult

s of'

the_

inves

tigat

ion_re

port

ed t

o t

he

chie

f sc

hool

adm

inis

trat

or

(CS

A)

wit

hin

2 s

chool

day

s of

com

ple

tion o

f th

e in

ves

tigat

ion.

3_______

Ind

icat

or -

Op

tion

B(f

or

sch

ools

th

ath

ad

no

rep

orts

of

HIB

,)-

__

__

_

__

__

__

__

__

__

__

__

_

__

__

_A

.

The

school

has

a p

roce

dure

for

noti

fyin

g p

aren

ts o

f al

leged

off

ender

s an

d a

lleg

ed v

icti

ms

in e

ach r

eport

ed H

IB i

nci

den

t.-

13.

The

school

has

a p

roce

dure

in p

lace

to e

nsu

re c

om

ple

tion o

f ea

ch i

nves

tigat

ion w

ithin

10 s

chool

day

s of

the

wri

tten

rep

ort

._

__

__

_C

.

The

school

has

a p

roce

dure

in p

lace

to p

repar

e a

wri

tten

rep

ort

on t

he

findin

gs

of

each

11113 i

nves

tigat

ion.

____

____

____

____

____

____

____

____

____

____

____

__I)

.

The

school

has

a p

roce

dure

lbr

report

ing t

he

resu

lts

of

each

inves

tigat

ion t

o t

he

chie

f sc

hool

adm

inis

trat

or

(CS

A)

wit

hin

2 s

chool

day

s of

com

ple

tion o

f_

__

__

_

__

__

__

__

___.---.___

_____

SU

B-T

OT

AL

_(p

oss

ible

12)

Co

re_

Ele

men

t #8:

1118

Rep

orti

ng_

(N.J

.S.A

. 184

:17-

46,)

____________

12

__________

__________

Ind

icat

orA

.

The

school

has

a p

Qcd

ure

for

epir

t' th

at s

tat'f

mem

ber

rep

ort

s (i

.e.. v

erbal

and w

ritt

en)

Incl

ude

the

requir

ed i

nfo

rmat

ion f

or

all

inci

den

ts o

f vio

lence

.va

ndal

ism

and

111

13.

2B

.

The

off

icia

l gra

des

rec

eived

fro

m t

he

NJD

OF

, fo

r th

e S

eli.

Ass

essm

ent

f'ro

m t

he

pre

vio

us

report

ing p

erio

d, fo

r th

e sc

hool

and f

or

the

school

dis

tric

t ar

epo

s

onU

esc

hool's

wete

er t

he A

I3R

and

the

qrenhe N

JD

OE

1___

___

____

___

SU

B-T

OT

AL

(n

ossi

ble

6)

__

__

__

__

__

__

__

_

rOT

A i.

SC

OR

E(p

oss

ible

78>

61

Dis

tric

t N

ame:

Wes

t O

rang

e

Sch

oo' N

ame:

Haz

el S

choo

l

Page 43:  · I Full Cancelle _____ Partial Re-Issued. S TECHNOLOGICALLY ADVANCED ... Pension Reports, Multiple Worksite Report) • W2 Processing Wizard Purchase cost includes set-up/data

App

endi

x l

New

Jerse

y D

ep

artm

en

t of

Ed

ucati

on

Scho

ol S

elf-

Ass

essm

ent f

or D

eter

min

ing

Gra

des

Und

er th

e A

nti-

Bul

lyin

g B

ill o

f R

ight

s A

ct(A

BR

)S

UM

MA

RY

RE

PO

RT

Dis

tric

tN

ame:

Wes

t O

ran

geS

cho

ol

Nam

e: M

t. P

leas

ant

Cor

e E

lem

ent

#1:

BIB

Pro

gram

s, A

pp

roac

hes

or

Oth

er I

nit

iati

ves

(N..L

S.A

.18

4:37

-17,

1)In

dic

ator

AT

hh

l.

e sc

ooan

nual

ly e

stab

lish

esB

IBP

rogra

ms,

app

roac

hes

an

d i

nit

iati

ves.

B.

Th

e sc

hoo

l an

nu

ally

im

ple

men

tsan

dd

ocu

men

ts 1

1W p

rogr

ams,

ap

pro

ach

es o

r ot

her

in

itia

tive

s.2

______ _____

C.

Th

esc

hool

ann

ual

ly a

sses

ses

H1B

pro

gra

ms,

app

roac

hes

or

oth

er i

nit

iati

ves.

-_

__

__

__

2______________

__________

________

t).

Th

e sc

hoo

l's

fIB

pro

gram

s, a

pp

roac

hes

or

oth

er i

nit

iati

ves

are

des

ign

ed t

o cr

eate

sch

ool-

wid

e co

nd

itio

ns

to p

reve

nt

and

ad

dre

ss B

IB.

3E

.

Th

e sc

hoo

l sa

fety

tea

m (

SS

T)h

as i

den

tifi

ed p

atte

rns

offI

Ban

d r

evie

wed

sch

ool

clim

ate

an

d s

chool

poli

cies

for

the

pre

ven

tion

of

fIB

3______ _

_______

_____

______

_____

SU

B-T

OT

AL

(p

ossi

ble

15)

'12

(or

e E

lem

ent

#2:

Tra

inin

g on

the

BO

E -

_app

rove

d fi

B P

olic

yW

J.S.

A. 1

84 :3

7-1

7b

and

c.)

________ _

________

__________

Ind

icat

or

A.

Scho

ol e

mpl

oyee

s, c

ontr

acte

d se

rvic

e pr

ovid

ers

and

volu

ntee

rs a

re p

rovi

ded

trai

ning

_on

the

HIB

pol

icy.

1_

__

__

__

__

__

__

__

__

__

_

B.

The

HIB

pol

icy

trai

ning

incl

udes

inst

ruct

ion

on p

reve

ntin

g H

IBon

the

basi

sofp

ote

gte

dcate

.gs

enum

erat

edin

the

AB

R, g

9her

dis

tinguis

hin

g-

char

acte

rist

ics

that

may

inci

te in

cide

nts

of d

iscr

imin

atio

n or

HIB

.I

C.

The

HIB

pol

icy_

was

dis

cuss

ed w

ith s

tude

nts,

in a

ccor

danc

e w

ith th

e di

stri

ct's

pro

cess

for

thes

e di

scus

sion

s.3

______

________________

___________

___________

_________

__________

___________

__________

SU

B-T

OT

AL

(po

ss

ible

9)

5_

Cor

e E

lem

ent

#3:

Oth

er S

taff

In

stru

ctio

n a

nd

Tra

inin

g_P

rogr

ams_

(N.J

S.A

.18

4:6-

112,

N.J

.SA

. 184

:3

7-22

d, N

.J.S

.A 1

8A:3

7-26

a)_

__

__

_In

dic

ator

______________

______

____

____

____

____

____

____

____

____

____

____

____

____

____

________ _

__________________________

A

1R

h u.

ichi

ngst

ill

mcm

bcr

conip

lctc

dit

kast

2 h

ours

ol

rict

ion

in s

uici

depE

c\cl

nto

n t

hjn

dudcd

inlo

rjnjj

pn o

n 1

-1113 i

n c

ich I

ts c

ifpro

kss

ton i

l.

-._______

depm

ent

peri

od.

______-

-________

213

.

Eac

h t

each

ing s

taff

' mem

ber

com

ple

ted a

t le

ast

2 h

ours

_ofn

truct

jc.ç

.Jil

1pre

yjj

ti, in

eac

h f

ive-

yea

r pro

fess

ional

dev

elopm

ent

per

iod.

3C

I hc

school

inti

bull

\ ta

g s

pci

.

hst

(A

13')

ssas

gis

cn

tic

urt

n

thcu

su s

i sc

loQ

L.i

Lcd

uk t

o p

irt

lcip

ate

in t

jLar

xi

tram

lnL

in p

rcpar

itio

n t

oic

ta

(hi.

AB

S _

______ _

________________

__

__

__

__

__

__

__

__

1).

The

mem

ber

s of

the

school

sait

y t

eam

(S

ST

) w

ere

pro

vid

ed w

ith p

rofe

ssio

nal

dev

elopm

ent

in e

ffec

tive

pra

ctic

es o

f su

cces

sful

school

clim

ate

pro

gra

ms

iroaches.

1E

,

Sch

ool

lead

ers

hav

e re

ceiv

ed i

nE

wm

atio

n o

n t

he

pre

ven

tion o

f har

assm

ent.

inti

mid

atio

n a

nd b

ull

yin

g a

s par

t of'

thei

r tr

ainin

g o

n i

ssues

ol

school

ethic

s.

scho

ol l

aw a

nd s

choo

l_go

vern

ance

.

__________

__

__

__

__

__

__

__

__

__

_

__

__

__

__

_

__

__

__

__

__

__

__

__

__

__

__

__

__

__

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__

_

SU

B-T

OT

AL

_(p

ossi

ble

IS

)12

core

Ele

men

t #4

:C

urr

icu

lum

an

d I

nst

ruct

ion

of

BIB

an

d R

elat

ed I

nfo

rmat

ion

and

Sk

ills

(N.J

.S.4

. 184:3

7-2

9)

_In

dic

ator

A.

The

school

pro

vid

ed o

ngoin

g,

gg:a

ppro

pria

te i

nstr

ucti

on o

n pr

even

ting

1-1

113

in a

ccor

danc

e w

ith

the

Cor

e C

urri

culu

m C

onte

nt S

tand

ards

.2

B

I hi

. sch

ool

ohsc

rvcd

thc

Wcc

k o

f R

LQ

duri

ng t

hi.

ssc

ek b

cgtn

ntn

g s

sttl

i th

i. h

rst

Mond i

x i

n O

ctober

ot

cich

'vi.

It

rcg

m/i

nh

cin

rti

ncco

t

__

__

_

__

__

_

__

__

SU

B-'

I'O

TA

L (

pos

sib

le 6

)

3 5

Page 44:  · I Full Cancelle _____ Partial Re-Issued. S TECHNOLOGICALLY ADVANCED ... Pension Reports, Multiple Worksite Report) • W2 Processing Wizard Purchase cost includes set-up/data

App

cndi

13

New

Jerse

y D

ep

artm

en

t o

f E

du

ca

tio

nSc

hool

Sel

f-A

sses

smen

t for

Det

erm

inin

g G

rade

sU

nder

the

Ant

i-B

ully

ing

Bill

ofR

ight

s A

ct(A

BR

)S

UM

MA

RY

RE

PO

RT

Dis

tric

tN

ame:

Wes

t O

ran

ge

Sch

ool N

ame:

Mt.

Ple

asan

t

Cor

e E

lem

ent

#5:

RiB

Per

son

nel

('N

.f.S

.A. l

&4:

37-2

0a, N

.J.S

.A. 1

8A:3

7-20

c, !

V.J

.S.A

. 184

:3

7-21

a.l

__

__

_

__

__

__

Ind

icat

or

A.

The

pri

nci

pal

appoin

ted a

sch

ool

anti

-bull

yin

g s

pec

iali

st (

AE

3S

).

__________

__________

3___________ _

_____

13.

The

AB

S

et a

t le

ast

two t

imes

per

sch

ool

yea

r w

ith t

he

dis

tric

t an

ti-b

ull

yin

g c

oord

inat

or

(AB

C).

Ente

r th

e to

tal

num

ber

of

mee

tings.

3-

__

__

__

_C

.

The

school

safe

ty t

eam

(S

S'F

) jg

t at

lea

st t

wo t

imes

per

sch

ool

yea

r to

dev

elop, fo

ster

and m

ainta

in a

posi

tive

school

clim

ate

by f

ocu

sing o

n t

he

ongoin

g,

syst

enm

jroce

ss a

nd p

ract

ices

in t

he

school

and t

o a

ddre

ss s

chool

clim

ate

issu

es i

ncl

jgF

IIB

. E

nte

r th

e to

tal

num

ber

of

all

SS

T m

eeti

ngs:

_______

________

SU

B-T

OT

AL

(p

ossi

ble

9)

9C

ore

Ele

men

t #6

: S

choo

l-L

evel

RIB

In

cid

ent

Rep

orti

ng

Pro

ced

ure

(N

.J.S

A 1

84 :

3 7-

lSb

q'S

,), N

.J.S

.A. l

8A:3

7-15

b6.

)'a,

.}_____________

_________

Ind

icat

or-

Op

tion

A (

for

sch

ools

th

at h

ad a

t le

ast

one

rep

ort

of R

iB,)

__

__

__

__

__

__

__

__

__

__

__

A.

The

school

imple

men

ted t

he

dis

tric

t's p

roce

dure

for

report

ing N

IB t

hat

incl

udes

all

req

uir

ed e

lem

ents

..3

__

__

__

13

The

school

imple

men

ted t

he

dis

tric

t's p

roce

dure

for

report

ing n

ew i

nfo

rmat

ion o

n a

pri

or

HIB

rep

ort

i__________

Ind

icat

or -

Op

tion

B(f

or s

choo

ls t

hat

had

no

rep

orts

of

RIB

)______

A.

The

school

not

only

has

a p

roce

ss f

or

imple

men

ting t

he

dis

tric

t's p

roce

dure

for

report

ing

NIB

hu

tal

so i

nco

rpora

tes

elem

ents

ofe

ffi.

ctiv

e pre

ven

tion w

hic

hre

sult

ed i

n n

o i

nci

den

ts o

f H

IB.

B.

The

school

fost

ers

a posi

tive

school

clim

ate

that

enco

ura

ges

rep

ort

s of

all

conce

rnin

g b

ehav

iors

, in

cludin

g H

IB

_____

SUB

-TO

TA

L(p

ossi

ble

6)

4C

ore

Ele

men

t#7

:I/

lB I

nve

stig

atio

n P

roce

du

re (

N. J

.S.A

.184:3

7-

l5b'

5,) a

nd ('

6,.)'

a,) a

nd ('

h,),)

__

__

__

__

__

__

__

__

__

__

__

_in

dic

ator

- O

pti

on .4

(fo

r sc

hoo

ls t

hai

had

at

leas

t on

e re

por

t of

RIB

,)

__

__

__

__

__

__

__

_

The

school

foll

ow

ed t

he

BO

E-a

ppro

ved

poli

cy o

n H

IB i

nves

tigat

ion p

roce

dure

s, w

hic

h_pro

vid

esfo

r:_

A.

Noti

lIca

tion t

o p

aren

ts o

f al

leged

olT

hnder

s an

d a

lleg

ed v

icti

ms

in e

ach r

eport

ed N

IB i

nci

den

t,2

B.

Com

ple

tion o

l'the

inves

tigat

ion w

ithin

10 s

chool

day

s of

the

wri

tten

inci

den

t re

port

.3

______

_________

___________________

C.

Pre

par

atio

n o

f a

wri

tten

rep

ort

on t

he

findin

gs

of'

eac

h N

IB i

nves

tigat

ion.

3_

__

__

__

_

__

__

__

__

__

__

__

__

__

__

__

__

__

__

__

I),

Res

ult

s of

the

inves

tigat

ion r

eport

ed t

o t

he

chie

f sc

hool

adm

inis

trat

or

(CS

A)

wit

hin

2 s

chool

day

s of

com

ple

tion o

f th

e in

ves

tigat

ion.

3in

dic

ator

- O

pti

on B

(fo

r sc

hoo

ls t

hat

had

no

report

sof

RIB

)

_______

_______

A.

The

school

has

a p

roce

dure

for

noti

fyin

g_par

ents

of

alle

ged

off

ender

s an

d a

lleg

ed v

icti

ms

in e

ach r

eport

ed N

IB i

nci

den

t.B

.

The

school

has

a p

roce

dure

in p

lace

to e

nsu

re c

om

ple

tion 0

1' e

ach i

nves

tigat

ion w

ithin

10 s

chool

day

s of

the

wri

tten

rep

ort

._________

C.

The

school

has

a p

roce

dure

in p

lace

to p

repar

e a

wri

tten

rep

ort

on t

he

findin

gs

of

each

H113 i

nves

tigat

ion.

__

__

__

__

__

__

__

__

_

__

__

__

__

__

__

__

__

__

_

-I)

.

'l'he

school

has

a p

roce

dure

for

report

ing t

he

resu

lts

of

each

inves

tigat

ion t

o t

he

chie

f sc

hool

adm

inis

trat

or

(CS

A)

wit

hin

2 s

chool

day

s of

com

ple

tion o

fth

e in

ves

tigat

ion.

______

_____

_________

__

__

----------------_

__

__

_________

____

____

SU

B-T

OT

AL

(p

ossi

ble

12)

11C

'ore

Ele

men

t #8:

1/l

B R

eport

ing (

N.J

.S.A

. l8

4:1

7-4

6,

______

Ind

icat

orA

.

The

school

has

a

for

cnsu

ripg t

hat

sta

fi'm

ember

rep

ort

s (i

.e.. v

erbal

and w

ritt

en)

Incl

ude

the

requir

ed i

nfo

rmat

ion f

or

all

inci

den

ts o

I'vio

lcnce

,va

ndal

ism

and

Ill

B.

2B

.

The

off

icia

l gra

des

rec

eived

fro

m t

he

NJD

OE

. fo

r th

e S

d f

Ass

essm

ent

from

the

pre

vio

us

report

ing p

erio

d, fo

r th

e sc

hool

and b

r th

e sc

hool

dis

tric

t ar

epost

ed o

n t

he

school's

_w

ebsi

te p

the

AB

R a

nd

itir

emen

t of

the

NJJ

)OE

o_

__

__

_

____

__

SU

B-T

OT

AL

(pos

sib

le 6

)2

__

__

__

__

__

TO

TA

L_S

CO

RE

(p

ossi

ble

78)

57

Page 45:  · I Full Cancelle _____ Partial Re-Issued. S TECHNOLOGICALLY ADVANCED ... Pension Reports, Multiple Worksite Report) • W2 Processing Wizard Purchase cost includes set-up/data

App

endi

\ 13

New

Jerse

y D

ep

artm

en

t of

Ed

ucati

on

Scho

ol S

elf-

Ass

essm

ent f

or D

eter

min

ing

Gra

des

Und

er th

e A

nti-

Bul

lyin

g B

ill o

f R

ight

s A

ct(A

BR

)S

UM

MA

RY

RE

PO

RT

Dis

tric

t N

ame:

Wes

t O

ran

geS

choo

lN

ame:

Ple

asan

tdal

e

core

Ele

men

i #1

: H

JB P

rogr

ams,

Ap

pro

ach

es o

r O

ilie

r In

itia

tive

s (N

.J.S

.A, 1

84 :

37-1

74)

Ind

icat

or

A.

The

sch

ool a

nnua

lly e

stab

lishe

s 1-

fIB

Pro

gram

s, a

ppro

ache

s an

d in

itia

tive

s.

__

__

__

__

_3

B.

The

sch

ool a

nnua

lly im

p,ie

lner

lts

and

docu

men

ts 1

1113

pro

gram

s. a

ppro

ache

s or

oth

er in

itia

tive

s.2

--

_______

C.

The

sch

ool a

nnua

lly a

sses

ses

1111

1 pr

ogra

ms,

app

roac

hes

or o

ther

init

iati

ves.

2ft

The

sch

ool's

111

8 pr

ogra

ms,

app

roac

hes

or o

ther

init

iati

ves

arc

desi

gned

to c

reat

e sc

hool

-wid

e co

ndit

ions

to p

reve

nt a

nd a

ddre

ss 1

118.

3I

lhc

scho

ol s

ikty

Ic

sm (

SS

I )

his

idci

mti

edj

ms

of H

IB a

nd r

evic

wcd

sch

ool c

lim

ati.

and

scho

ol p

ohci

cs to

r th

c pr

c\cn

tion

of

1119

3(p

ossi

ble

______-_______

__

__

_ _

__

__

__

__

-_

__

__

SU

B-T

OT

AL

15)13t

__

('or

e E

lem

ent #

2:T

rain

ing

on t

heB

OE

- a

ppro

ved

HIB

Polic

y_(iV

.J.S

.A. 1

8A:3

7-1

7ban

dc,)

_________

___________

Indi

cato

r

A.

Scho

ol e

mpl

oyee

s, c

ontr

acte

d se

rvic

e pr

ovid

ers

and

volu

ntee

rs a

re p

rovi

ded

trai

ning

on

the

BIB

pol

icy.

3_

__

__

__

_

B.

The

HIB

pol

icy

trai

ning

incl

udes

inst

ruct

ion

Ofl

prev

entin

g H

IBon

the

basi

s of

pLpe

cted

cate

gori

es e

num

erat

edin

the

AB

R,

gd

oth

jsti

nu

ish

inch

arac

teri

stic

s th

at m

ay in

cite

inci

dent

s of

dis

crim

inat

ion

or 1

1113

.3

CIh

e 11113 p

oli

cy w

as d

iscu

ssed

vit

h s

tuden

ts i

n a

ccord

ance

wit

h t

he

dis

tric

t S

pro

cess

for

thes

e dis

cuss

ions

2_______

_____________ ________

__

__

__

_

SU

B-T

OT

AL

(pos

sibl

e9)

8C

ore

Ele

men

t#3

:O

ther

Sta

ffIn

stru

ctio

n a

nd

Tra

inin

g P

rogr

ams

(N.J

.S.A

. 184

:6-

112,

N.J

,S.A

.18

4 :3

7-22

d,N

.J.S

.A 1

8A:3

7-26

a,)

_________

Ind

icat

or______

A

Etc

h t

each

ing s

taff

mcm

hcr

com

plc

ted i

t Ic

ast

2 h

ours

of

inst

ruct

ion i

n s

uic

idc_

ptc

vcn

ti

that

incl

udcd

into

rnrt

tion o

n 1

-1113 i

n c

tch

tic

',c

irpro

fcss

ion

il_lnpt p

eriod,

__

__

__

__

__

_

__

__

__

__

__

__

__

__

__

__

__

__

__

_

__

__

__

__

__

__

_________-_______

B.

Eac

h t

each

ing s

taff

' mem

ber

com

ple

ted a

t le

ast

2 h

ours

of

inst

ruct

ion

on 1

-118

pre

vent

ion,

in

each

liv

e-ye

arpr

ofes

sion

aldev

elopm

ent

per

iod.

3C

.

The

school

anti

-bull

yin

g s

pec

iali

st (

AIl

S)

was

giv

en t

ime

duri

j

isal

sch

ool_

sched

ule

to p

arti

cipat

e in

serv

ice

traj

jg i

n p

repar

atio

n t

o a

ct a

s th

eA

ll S

____

____

____

____

____

_

_______

_________________

1).

l'he

mem

ber

s of

the

school

safe

ty t

eam

(S

ST

) w

ere

pro

vid

ed w

ith p

rot'e

ssio

nal

dev

elopm

ent

in e

ffec

tive

pra

ctic

es o

f su

cces

sful

school

clim

ate

pro

gra

ms

ppacle

___

_2

_____

____

_--__

F.

Sch

ool

lead

ers

hav

e re

ceiv

ed i

nfb

rmat

ion o

n t

he

pre

ven

tion o

fhar

assi

nen

t, i

nti

mid

atio

n a

nd b

ull

yin

g a

s par

t of

thei

r tr

ainin

g o

nis

sues

of

school

ethic

s,sc

ho

ol

law

an

d s

c,,

gv

erp

an

ce.

__

__

__

_ _

__

__

__

_-_

__

__

__

_

_-.

2_________ _

______

_____________ (p

ossi

ble

IS)

__

__

__

__

__

__

__

_

__

__

SU

B-T

OT

AL

13_

Cor

e E

lem

ent

#4:

cu

rric

ulu

m a

nd

Inst

ruct

ion

of

HIB

an

d R

elat

ed I

nfo

rmat

ion

an

d S

kil

ls (

'N.J

.S.,4

. 18A

:37

-29,

)_

__

__

_In

dic

ator

A.

I'he

school

pro

vid

ed o

ngoin

g. ag

e-ap

pro

pri

ate

inst

ruct

ion o

n p

reven

ting 1

118 i

n a

ccord

ance

wit

h t

he

Core

Curr

iculu

m C

onte

nt

Sta

ndar

ds.

3II

lhc

school

obsc

rcd t

hc

Wcc

k of

Rcs

ct,t

duri

ngth

c

cck h

cgin

nin

g w

ith t

hc

lust

Mondiv

in(k

iohcr

of

cach

cai

cii

gic

ter

__

__

__

3_

__

__

_

__

__

_

SU

B-T

OT

AL

_(p

ossi

ble

6)6

Page 46:  · I Full Cancelle _____ Partial Re-Issued. S TECHNOLOGICALLY ADVANCED ... Pension Reports, Multiple Worksite Report) • W2 Processing Wizard Purchase cost includes set-up/data

App

endf

\ BN

ew

Jerse

y D

ep

artm

en

t of

Ed

ucati

on

Scho

ol S

elf-

Ass

essm

ent f

or D

eter

min

ing

Gra

des

Und

er th

e A

nti-

Bul

lyin

g B

ill o

f R

ight

s A

ct(A

BR

)S

UM

MA

RY

RE

PO

RT

Dis

tric

tN

ame:

Wes

t O

range

Sch

ool

Nam

e:

Ple

asa

ntd

ale

Cor

e E

lem

ent

#5:

HIB

Per

son

nel

"N

.J.S

,A,

18,1

:37-2

0a,

N.J

.S.A

. 18A

:3 7

-20c,

TV

.J.S

.A. l8

,4:3

7-2

1a)

_____

ind

icato

r

A.

The

pri

nci

pal

appoin

ted a

sch

ool

anti

-bull

yin

g s

pec

iali

st (

AD

S).

_______________

3_______ _

________

B

Ihe

AB

S

at I

cist

t\o

tu'n

cs p

cr s

chool

yca

r vit

h t

he

dis

tric

t an

ti b

ull

yin

g c

oord

inat

or

(AB

C)

I ntc

r th

e to

tal

num

hcr

of

mcc

ttng',

________

C.

The

school

safe

ty t

eam

(S

ST

)

at l

east

tw

o t

imes

per

sch

ool

yea

r to

dev

elop, fo

ster

and m

ainta

in a

posi

tive

school

clim

ate

by f

ocu

sing o

n t

he

ongoin

g,

school

and t

o a

ddre

ss s

chool

clim

ate

issu

cs i

ncl

ud1lI

B

Lntc

r th

e to

tal

num

ber

of

all

551

m&

3 2_

__,,

_____

______

__

__

_ _

__

__

__

__

__

__

_

SUB

-TO

TA

L(p

ossi

ble

9)

8co

re E

lem

ent

#6:

Sch

ool-

Lev

el H

IB i

nci

den

tR

eport

ing P

roce

dure

(N.J

.S.A

18.

4:37

-15b

('S

), N

.J.S

.A. 1

8A:3

7-lS

b(6

)('a

,)_______

ind

Icat

or-O

pti

on A

(fo

r sc

hoo

ls t

hat

had

at

leas

t on

e re

por

t of

HIB

)

_______

A.

The

school

imple

men

ted t

he

dis

tric

t's p

roce

dure

for

report

ing 1

3113 t

hat

incl

udes

all

req

uir

ed e

lem

ents

.,3

B.

[he

school

imple

men

ted t

he

dis

tric

t's p

roce

dure

for

report

ing n

ew i

nfo

rmat

ion o

n a

pri

or

1-1

113 r

eport

2_

__

__

__

_ _

__

__

__

ind

icat

or -

Op

tion

B(f

or s

choo

ls t

hat

had

no

rep

orts

of

HiB

)A

.

The

school

not

only

has

a p

roce

ss f

or

imple

men

ting t

he

dis

ti-i

ct's

pro

cedure

for

report

ing H

ID h

ut

also

inco

rpora

tes

elem

ents

of

efl'e

ctiv

e pre

ven

tion w

hic

hre

sult

ed i

n no

inc

iden

ts o

f IL

IB.

13.

The

sch

ool

fost

ers

a po

siti

ve s

choo

l cl

imat

e th

at e

ncou

rage

s re

port

s of

all

_con

cern

ing

beha

vior

s, i

nclu

ding

111

13_____________________________

_________

SU

B-T

OT

AL

(loss

ible

6)

Core

Ele

men

t #7:

HIB

in

vest

igat

ion

Pro

ced

ure

('N

.J.S

A.

18A

:37-

15b

(S,)

an

d (

6.)a

.) a

nd

(b

))

-

5

__

__

__

_

__

__

__

__

__

__

__

Ind

icat

or -

- O

pti

on A

(fo

r sc

hoo

ls t

hat

had

at

leas

tone

rep

ort

of N

IB,)

__

__

__

__

__

__

__

The

school

foll

ow

ed t

he

DO

E-a

ppro

ved

poli

cy o

nh

IDin

ves

tigat

ion_pro

cedure

s, w

hic

h p

rovid

es f

or:

A.

Noti

fica

tion t

o p

aren

ts o

f al

leged

off

ender

s an

d a

lleg

ed_vic

tim

s in

eac

h_re

port

ed H

ID i

nci

den

t.3

13.

Com

ple

tion o

f th

e in

ves

tigat

ion w

ithin

10 s

chool

day

s of

the

wri

tten

inci

den

t re

port

.

______

______

_______

C.

Pre

par

atio

n o

fa w

ritt

en r

eport

on t

he

findin

gs

of

each

HID

inves

tigat

ion.

3 3___________

___________

I).

Res

ult

s of

the

inves

tigat

ion r

eport

ed t

o t

he

chie

f sc

hool

adm

inis

trat

or

(CS

A)

wit

hin

2 s

chool

day

s of

com

ple

tion o

f th

e in

ves

tigat

ion.

3In

dic

ator

- O

pti

on B

(fo

r sc

hoo

ls t

hat

had

no

rep

orts

of

NIB

,)____________________

A.

The

school

has

a p

roce

dure

for

noti

fyin

g p

aren

ts o

f al

leged

off

ender

s an

d a

lleg

ed v

icti

ms

in e

ach r

eport

ed H

l13 i

nci

den

t.B

.

the

school

has

a p

roce

dure

in p

lace

to e

nsu

re c

om

ple

tion o

f ea

ch i

nves

tigat

ion w

ithin

10 s

chool

day

s of

the

wri

tten

rep

ort

.C

.

The

school

has

a p

roce

dure

in p

lace

to p

repar

e a

wri

tten

rep

ort

on t

he

findin

gs

of

each

1-l

ID i

nves

tigat

ion.

__

__

__

__

__

__

__

__

__

__

__

__

__

__

__

__

__

_D

.

The

school

has

a p

roce

dure

for

report

ing t

he

resu

lts

of

each

inves

tigat

ion t

o t

he

chie

f' s

chool

adm

inis

trat

or

(CS

A)

wit

hin

2 s

chool

day

s of

com

ple

tion o

f-

theitiot.

_____

____

____

__

__

_.-

--.'-'_

__

__

____

__________________

SU

B-T

OT

AL

(po

ss

ible

12)

_______ _

_____________

_______

_____

______________

_________________

12_______

_co

reE

lem

ent

#8:

NIB

Rep

orti

ng

(N.J

.SA

. 18A

: 17

-46)

__

__

__

ind

icat

orA

.

The

school

has

a p

pce

dure

for

cnsu

rjgg t

hat

sta

ff m

ember

rep

ort

s (i

.e.. v

erbal

and w

ritt

en)

Incl

ude

the

requir

ed i

nfo

rmat

ion f

or

all

inci

den

ts o

f vio

lence

,van

dal

ism

and I

ll B

.13

.

The

off

icia

l gra

des

rec

eived

f'r

om

the

NJD

OE

, fo

r th

e S

elf-

Ass

essm

ent

from

the

pre

vio

us

report

ing p

erio

d, fo

r th

e sc

hool

and f

or

the

school

dis

tric

t ar

epost

cd o

n t

he

Sch

ool's

web

te

crth

eAB

R a

nd t

he

iire

men

t ol't

he

NJD

OE

_______

SU

B-T

OT

AL

(p

ossi

ble

6)

4_

__

__

TO

TA

L S

CO

RE

(p

ossi

ble

78)

169

Page 47:  · I Full Cancelle _____ Partial Re-Issued. S TECHNOLOGICALLY ADVANCED ... Pension Reports, Multiple Worksite Report) • W2 Processing Wizard Purchase cost includes set-up/data

App

endi

x B

New

Jerse

y D

ep

artm

en

t o

f E

du

ca

tio

n

Sch

ool

Sel

f-A

sses

smen

t fo

r D

eter

min

ing

Gra

des

Und

er t

he A

nti-

Bul

lyin

g B

ill

of R

ight

s A

ct(A

BR

)

SU

MM

AR

Y R

EP

OR

TD

istr

ict

Nam

e:W

est

Ora

nge

Sch

ool

Nam

e: R

edw

ood

Sch

ool

Cor

e E

lem

ent

#1:

Fu

Ji P

rogr

ams,

Ap

pro

ach

es o

r O

ther

in

itia

tive

s (N

.J.S

.A. 1

8A:3

7-1

7A)

_____ _______

ind

icat

or

A.

The

school

annual

ly e

stab

lish

es H

ID l

'rogra

ms.

appro

aches

and i

nit

iati

ves

.

__

__

__

_3

B.

The

school

annual

ly i

mple

men

ts a

nd d

ocu

men

ts H

ID p

rogra

ms,

_ap

pro

aches

or

oth

er i

nit

iati

ves

.3

__

__

_C

.

The

school

annual

ly a

sses

ses

HiD

pro

gra

ms,

appro

aches

or

oth

er i

nit

iati

ves

.

_______

________

______

3D

.

The

school's

H113 p

rogra

ms,

appro

aches

or

oth

er i

nit

iati

ves

are

des

igned

to c

reat

e ck

ool-

wid

e co

ndit

ions

to p

reven

t an

d a

ddre

ss H

ID,

3E

.

The

school

safe

ty t

eam

(S

ST

)has

iden

tifi

ed p

atte

rns

of

HIB

and r

evie

wed

sch

ool

clim

ate

arid

sch

ool

poli

cies

for

the

pre

ven

tion

of H

ID3

__

________

SU

B-T

OT

AL

(p

ossi

ble

15)

15C

ore

Ele

men

t #2:

Tra

inin

g on

the

BO

E -

app

rove

d H

IB P

olic

y(N

J.S.

A. 1

8A:3

7-17

b an

dc)

_______________

_____

____________

________-

Ind

icat

or

______

A.

Sch

ool

empl

oyee

s, c

ontr

acte

d se

rvic

e pr

ovid

ers

and

volu

ntee

rs a

re p

rovi

ded

trai

ning

on

the

HIB

pol

icy.

I_

__

__

__

__

__

__

__

__

__

__

__

__

__

_B

.

The

HIB

pol

icy

trai

ning

inc

lude

s in

stru

ctio

n on

pre

vent

ing

HIB

on

the

basi

s of

p

c4

cg

ori

es

en

um

era

ted

in

th

e A

BR

,ch

arac

teri

stic

s th

at m

ay i

ncit

e in

cide

nts

of d

iscr

imin

atio

n or

H1B

.

*3

__

__

__

__

__

__

__

_

__

__

__

__

__

__

_

__

__

__

__

C.

The

HIB

pol

icy

was

dis

cuss

ed w

ith

stud

ents

, in

acco

rdan

ce w

ith

the

dist

rict

's_p

roce

ss f

or t

hese

dis

cuss

ions

.

__

__

__

3

_______

SU

B-T

OT

AL

(p

ossi

ble

9)

7C

ore

Ele

men

t #3

: O

ther

Sta

ff I

nst

ruct

ion

an

d T

rain

ing

Pro

gram

s q

YV

.J.S

.A. 1

8A:6

-112

, N..L

S.A

.18

A:3

7-22

d, N

.J,S

.A 1

8A:3

7-26

a,)

________

Ind

icat

orA

.

Eac

h t

each

ing s

taff

mem

ber

com

ple

ted a

t le

ast

2 h

ours

ofi

tru

nm

suic

i

ven

tjonth

at i

ncl

uded

info

rmat

ion o

n H

ID i

n e

ach l

ive-

yea

r pro

fess

ional

-

1cx

it)e

riod.'

-[3

.

Eac

h t

each

ing s

taff

mem

ber

com

ple

ted a

t le

ast

2 h

ours

of

trct

ion o

n H

ID p

reven

tion, in

eac

h f

ive-

yea

r pro

fess

ional

dev

elopm

ent_

per

iod.

____

___

(

I he

school

mci

bull

yin

g s

pcc

rili

st (

AD

S)

wa.

' giv

tn

jcd

uri

n,g

,jjs

uals

ch

oo

lsch

ed

uk

to

part

iup

att

in

rx1gj,

g i

n p

rcpara

tion t

oit

t

sth

eA

BS

3

I).

The

mem

ber

s of

the

school

safe

ty l

earn

(S

ST

) w

ere

pro

vid

ed w

ilh p

rofe

ssio

nal

dev

elopm

ent

in e

ffec

tive

pra

ctic

es o

f su

cces

sful

school

clim

ate

pro

gra

ms

orp

ach

es.

____

____

____

____

____

____

____

__2

__

__

__

__

__

__

__

__

__

__

__

E.

Sch

ool

lead

ers

hav

e re

ceiv

ed i

nfo

rmat

ion o

n t

he

pre

ven

tion o

f har

assm

ent,

inti

mid

atio

n a

nd b

ull

yin

g a

s par

t of

thei

r tr

ainin

g o

n i

ssues

of

school

ethic

s.sch

oo

l la

w a

nd

_sch

og

nan

,,,_

__

__

__

__

__

__

__

__

__

__

__

__

__

__

__

__

____

____

_

__________________________ _

____

_______

______________ _

____

______

SU

B-T

OT

AL

(po

ssib

le15

)14

_C

ore

Ele

men

t #4

: C

'urr

icu

lum

an

d I

nst

ruct

ion

of

HIB

an

d R

elat

ed i

nfo

rmat

ion

an

d S

kil

ls(I

V.J

.S.A

.18

A:3

7-2

9,)

____

__In

dic

ator

A.

'l'he

school

pro

vid

ed o

ngoin

g, ag

e-ap

nro

pri

ate

inst

ruct

ion o

n p

reven

ting H

ID i

n a

ccord

ance

wit

h t

he

('ore

Curr

iculu

m C

onte

nt

Sta

ndar

ds.

313

.

The

school

obse

rved

the

duri

ng t

he

wee

k b

egin

nin

g w

ith t

he

firs

t M

onday

in O

ctober

of

each

yea

r.

giz

ing

jJij

prtp

ceo

fra

cter

cat

on

h

rovid

ing a

'3

__

__

__

__

__

*_

__

_

__

__

____

_

____

_

SU

B-T

OT

AL

(p

ossi

ble

6)

6

Page 48:  · I Full Cancelle _____ Partial Re-Issued. S TECHNOLOGICALLY ADVANCED ... Pension Reports, Multiple Worksite Report) • W2 Processing Wizard Purchase cost includes set-up/data

App

endi

x B

New

Jerse

y D

ep

artm

en

t o

f E

du

ca

tio

nSc

hool

Sel

f-A

sses

smen

t for

Det

erm

inin

g G

rade

sU

nder

the

Ant

i-B

ully

ing

Bill

of

Rig

hts

Act

(AB

R)

SU

MM

AR

Y R

EP

OR

T

Cor

e E

lem

ent

#5:I

IJB

Per

son

nel

_(N

.J.S

.A._

l8A

:37-

20a.

_jV

J.S

.A. 1

8A:3

7-20

c, N

.J.S

.A.

ISA

:3 7

-2Jq

)_

Ind

icat

or

A.

i'he

pri

nci

pal

pjn

ted a

sch

ool

anti

-bull

yin

g s

pec

iali

st (

AD

S).

_______

_______

__________

___________

13T

he A

DS

t

li

3.

gj a

east

tw

o t

mes

per

sch

ool

yea

r w

ith t

he

dis

tric

t an

ti-b

ull

yin

g c

oord

inat

or

(AB

C).

Ente

r th

e to

tal

num

ber

of

mee

tings.

5__

____

_C

The

school

safe

tte

am (

SS

T)

tt

li

3t

.y

aea

stw

o t

mes

per

sch

ool

yea

r to

dev

elop, fo

ster

and m

ainta

in a

posi

tive

school

clim

ate

by f

ocu

sing o

n t

he

ongoin

g,

_yst

emic

pro

cess

and p

ract

ices

in t

he

school

and t

o a

ddre

ss s

chool

clim

ate

ssues

elu

din

'IU

B.

En

ter

the

tota

l_

__

__

__

__

__

__

__

__

__

_-_

__

__

__

__

__

__

__

__

__

_

__

__

_

__

_

SU

B-T

OT

AL

(pos

sib

le9)

tore

Ele

men

t #6

: S

choo

l-L

et'e

l H

ID I

nci

den

t R

epor

tin

g P

roce

du

re (

'N.J

.S.A

I8A

:37-

l5b

(5,,

N.J

.S.A

.18

A:3

7-15

h(6

)('a

)9

_-

__________________

Ind

icat

or-

Op

tion

A (

for

sch

ools

th

at h

ad a

t le

ast

one

rep

ort

of H

ID,)

_________

A.

The

school

imple

men

ted t

he

dis

tric

t's_pro

cedure

for

report

ing H

IB t

hat

incl

udes

all

req

uir

ed e

lem

ents

..13

.

The

school

imple

men

ted t

he

dis

tric

t's p

roce

dure

for

report

ing n

ew i

nfo

rmat

ion o

n a

pri

or

HIB

rep

ort

__

__

_

N/A

N/A

__

__

__

_In

dic

ator

- O

pti

on B

(for

sch

ools

th

at h

ad n

o re

por

ts o

f H

IB)

______

A.

The

school

not

only

has

a p

roce

ss f

or

imple

men

ting t

he

dis

tric

t's p

roce

dure

for

report

ing H

ID h

ut

also

inco

rpora

tes

elem

ents

of

effe

ctiv

e pre

ven

tion w

hic

hre

sult

ed i

n n

o i

nci

den

ts o

f H

IB.

-_______

13.

The

school

fost

ers

a posi

tive

school

clim

ate

that

enco

ura

ges

rep

ort

s of

all

conce

rnin

g b

ehav

iors

, in

cludin

g H

IB

_____

SU

B-T

OT

AL

(io

ssib

le 6

)C

ore

Ele

men

t#7

:H

ID I

nve

stig

atio

n P

roce

du

re (

'N.J

.SA

. 18A

:3 7

-15b

(5,)

an

d (

6,)(

a, a

nd

(b

3 6_

__

__

__

__

__

__

__

__

__

__

__

Ind

icat

or -

Op

tion

A (

for

sch

ools

th

at h

ad a

t le

ast

one

rep

ort

of K

ID,)

_____

_____

The

school

foll

ow

ed t

he

HO

E-a

ppro

ved

poli

cy o

n H

ID i

nves

tigat

ion p

roce

dure

s, w

hic

h p

rovid

es f

or:

--.

A.

Noti

fica

tion t

o p

aren

ts o

f al

leged

off

ender

s an

d a

lleg

ed v

icti

ms

in e

ach r

eport

ed H

1B

inci

den

t.N

/A_

__

__

__

__

__

__

__

_

__

__

__

-13

.

Com

ple

tion o

l th

e in

ves

tigat

ion w

ithin

I (

) sc

hool

day

s of

the

wri

tten

_in

ciden

t_re

port

.

__

__

__

__

__

__

__

__

__

__

__

__

__

__

C.

Pre

para

tion

of

a w

ritt

en r

epor

t_on

the

fin

ding

s_of

eac

h H

ID i

nves

tiga

tion

.N

/AN

/A________

1).

Res

ult

s of

the

inves

tigat

ion r

eport

ed t

o t

he

chie

f sc

hool_

adm

inis

trat

or_

(CS

A)

wit

hin

2 s

chool_

day

s of

com

ple

tion o

f th

e in

ves

tigat

ion.

N/A

Ind

icat

or -

Op

tion

B (

for

sch

ools

th

at h

ad n

o re

por

ts o

f H

IB)

A.

The

school

has

a p

roce

dure

for

noti

fyin

g p

aren

ts o

f' a

lleg

ed o

ffen

der

s an

d a

lleg

ed v

icti

ms

in e

ach r

eport

ed 1

1113 i

nci

den

t.[3

.

The

school

has

a p

roce

dure

in p

lace

to e

nsu

re c

om

ple

tion o

f ea

ch i

nves

tigat

ion w

ithin

10 s

chool

day

s of

the

wri

tten

rep

ort

.3 3

C.

The

school

has

a p

roce

dure

in p

lace

to p

repar

e a

wri

tten

rep

ort

on t

he

findin

gs

of

each

HIB

inves

tigat

ion.

__

__

__

__

__

__

__

__

_1)

.

The

school

has

a p

roce

dure

for

report

ing t

he

resu

lts

of

each

inves

tigat

ion t

o t

he

chie

f sc

hool

adm

inis

trat

or

(CS

A)

wit

hin

2 s

chool

day

s of

com

ple

tion o

f_'e

stiation.

__

3

_ ___ ___

____

_

____

_

SUB

-TO

TA

L (

poss

ible

12)

12('

ore

Ele

men

t #8

: H

IB R

epor

tin

g 'N

.J.S

.A. 1

8A:1

7-46

,)In

dic

ator

A.

The

school

has

a p

pce

dure

for

l3!r

ijg t

hat

sta

ff m

ember

rep

ort

s (i

.e., v

erbal

and w

ritt

en)

Incl

ude

the

requir

ed i

nfo

rmat

ion

for

all

inci

den

ts o

f vio

lence

.va

ndal

ism

and

H 1

13.

13.

The

off

icia

l gra

des

rec

eived

fro

m t

he

NJD

(B, fo

r th

e S

elf-

Ass

essm

ent

from

the

pre

vio

us

report

ing p

erio

d, fo

r th

e sc

hool

and f

or

the

school

dis

tric

t ar

ep

ost

ed

on

th

e s

ch

oo

lweb

s e

er U

le A

I3R

and

the

gti

irem

ent

of

the

NJJ

)OE

__

__

__

__

TO

TA

L S

CO

RE

(po

ssib

le 7

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tric

t N

ame:

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t O

rang

e

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oo

l N

ame:

Red

wo

od

Sch

oo

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Page 49:  · I Full Cancelle _____ Partial Re-Issued. S TECHNOLOGICALLY ADVANCED ... Pension Reports, Multiple Worksite Report) • W2 Processing Wizard Purchase cost includes set-up/data

App

endi

x B

New

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y D

ep

artm

en

t o

f E

du

ca

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hool

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f-A

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g G

rade

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nder

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i-B

ully

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of

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hts

Act

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R)

SU

MM

AR

Y R

EP

OR

TD

istr

ict

Nam

e:W

est

Ora

nge

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ool

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e: S

t.C

loud

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e E

lem

ent_

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Pro

gram

s, A

pp

roac

hes

or

Oth

er I

nit

iati

ves

(N.J

.S.A

. 184

:37-

174)

Ind

icat

or

A.

The

sch

ool a

nnua

lly

esta

blis

hes

HIB

Pro

gram

s, a

ppro

ache

s an

d in

itia

tive

s.B

.

The

school

annual

ly i

mple

men

ts a

nd d

ocu

men

ts H

IB p

rogra

ms,

appro

aches

or

oth

er i

nit

iati

ves

.2

__

__

__

__

_C

.

The

school

annual

ly a

sses

ses

HIB

pro

gra

ms,

appro

aches

or

oth

er i

nit

iati

ves

.

________

2_____________________

_______

-D

.

'Ehe

school's

HIB

pro

gra

ms,

appro

aches

or

oth

er i

nit

iati

ves

are

des

igned

to c

reat

e sc

hool-

wid

e co

ndit

ions

to p

reven

t an

d a

ddre

ss H

IB,

2F.

The

school

safe

ty t

eam

(S

ST

)has

iden

tifi

ed p

atte

rns

of'

HIB

and r

evie

wed

sch

ool

clim

ate

and s

chool

poli

cies

for

the

pre

ven

tion o

f H

1B

2_

__

__

__

_

_____

SU

B-T

OT

AL

(poss

ible

15)

10C

ore

Ele

men

t 2:

Tra

inin

g on

the

BO

E -

appr

oved

HIB

Pol

icy

(N.J

.S.A

.18

4:37

-/7b

and

c,)

_____

_________

______

__________

______-

Ind

icat

or

__________

A.

Sch

ool

empl

oyee

s, c

ontr

acte

d se

rvic

e pr

ovid

ers

and

volu

ntee

rs a

re p

rovi

ded

trai

ning

on

the

HIB

pol

icy.

1_______

______

______ _

_____

______-.

B.

The

HIB

pol

icy

trai

ning

incl

udes

inst

ruct

ion

on p

reve

ntin

g H

IB o

n th

e ba

sis

ofp

ccate

Qfi

es

enum

erat

ed in

the

AB

R. an

d o

ther

dis

tinggjh

inch

arac

teri

stic

s th

at m

ay in

cite

inci

dent

s of

dis

crim

inat

ion

or H

IB.

C.

The

HIB

pol

icy

was

dis

cus,

,,wit

h st

uden

ts, i

n ac

cord

ance

wit

h th

e di

stri

ct's

pro

cess

for

thes

e di

scus

sion

s.2

_____________

SU

B-T

OT

AL

(p

ossi

ble

9)

4('

ore

Ele

men

t#3

:O

ther

Sta

ff i

nst

ruct

ion

an

d T

rain

ing

Pro

gram

s ('

N.J

.S.A

. 184

:6-1

12, N

.J.S

.A. 1

84 :

3 7-

22d

, N.J

.S.A

184

:37-

26a,

,)_

ind

icat

orA

Iac

h t

c ic

hin

g s

till

mcm

btr

cem

plc

ltd

itlt

.ist

2 h

ours

of

i

truct

ion

wci

dr.

pre

nti

on t

hat

incl

uded

info

rmat

ion o

1111

3 in

c ic

hIi

",_

yt.

ir p

roic

ssto

n il

dev

elopm

ent

per

iod.''

__

__

__

__

__

__

__

__

__

_ _

__

__

__

2________-

__

__

_13

.

Eac

h t

each

ing s

tali

'mem

ber

com

ple

ted a

t le

ast

2 h

ours

of

inst

ruct

ion o

n 1

I1B

pre

ven

tion, in

eac

h l

ive-

yea

r pro

fess

ional

dev

elopm

ent

peri

od,

(

ftc

school

inti

hull

vm

gsp

ccl

ilis

t (A

BS

) x

isgi

vcn

lirn

urn

thc

usu

al s

chool

sched

ult

. to

par

lici

pit

e in

n_sc

rvic

in p

rcpar

atio

n t

oIc

t 'is

thc

AB

S

__

__

_

__

__

__

__

_

______

2

I).

'l'hc

mem

ber

s ot't

he

school

safe

ty t

eam

(S

ST

) w

ere

pro

vid

ed w

ith p

rofe

ssio

nal

dev

elopm

ent

in e

ffec

tive

pra

ctic

es o

fsucc

essf

iul

school

clim

ate

pro

gra

ms

-_

F.

Sch

ool

lead

ers

have

rec

eive

d in

l'orm

atio

n on

the

pre

ven

tion o

f har

assm

ent,

inti

mid

atio

n a

nd b

ull

yin

g a

s par

t of

thei

r tr

ainin

g o

n i

ssues

of

school

eth

ics,

scho

ol la

wan

d s

chool

gover

nan

ce,

-2

_______-_

_____

______

__________________________

______

_____

______ _

_________

SU

B-T

OT

AL

(p

ossib

le15

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Cor

e E

lem

ent

#4:

curr

icu

lum

an

d I

nst

ruct

ion

of

IIJB

an

d R

elat

ed I

nfo

rmat

ion

an

d S

kil

ls(7

V.J

.S.A

. 184

:3

7-29

)_

____

_In

dic

ator

A.

The

school

pro

vid

ed o

ngoin

g,

t

ropr

jatc

ins

truc

tion

on_

prev

enti

ng 1

1113

in

acco

rdan

ce w

ith

the

Cor

e C

urri

culu

m C

onte

nt S

tand

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.2

B

ftc

school

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ixcd

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ng

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wcL

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iit

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hc

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__

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Page 50:  · I Full Cancelle _____ Partial Re-Issued. S TECHNOLOGICALLY ADVANCED ... Pension Reports, Multiple Worksite Report) • W2 Processing Wizard Purchase cost includes set-up/data

App

endi

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on

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S_

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Ind

icat

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The

pri

nci

pal

pir

itcc

l a

school

anti

-bull

yin

g s

pec

iali

st (

AB

S).

__

__

__

__

_

__

__

__

_3

B.

The

AB

Sm

,gt

at l

east

tw

o t

imes

per

sch

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r w

ith t

he

dis

tric

t_an

ti-b

ull

yin

g c

oord

inat

or

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C).

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r th

e to

tal

num

ber

of

mee

tings.

4C

.

'['h

e sc

hool

safe

ty t

eam

(S

ST

) m

et a

t le

ast

two t

imes

per

sch

ool

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r to

dev

elop, fo

ster

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ainta

in a

posi

tive

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ate

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ocu

sing o

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pro

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ota

l n

um

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t all

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Tm

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ss

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Ele

men

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: S

choo

l-L

evel

HIB

In

cid

ent

Rep

orti

ng

Pro

ced

ure

('N

.J.S

A 1

8A:3

7-IS

bt"

5,),

JV

.J.S

.A. i

8A:3

7-15

b('

4,('

a)_________________

Ind

icat

or-

Op

tion

A (

for

sch

ools

th

at h

ad a

! le

ast

one

rep

ort

of H

IB,)

_______

___________________________

A.

The

school

impie

men

ted t

he

dis

tric

t's p

roce

dure

for

report

ing H

IB t

hat

incl

udes

all

req

uir

ed e

lem

ents

..2

B.

'l'he

school

imple

men

ted t

he

dis

tric

t's p

roce

dure

for

report

ing n

ew i

nfo

rmat

ion o

n a

pri

or

HIB

rep

ort

0______

__

__

__

-In

dic

ator

- O

pti

onB

(for

sch

ools

th

at h

adno

rep

orts

of

HIB

)_

__

__

__

__

__

__

-

__

__

__

__

__

__

__

__

__

__

__

__

__

A.

'l'he

school

not

only

has

a p

roce

ssfo

rim

ple

men

ting t

he

dis

tric

t's p

roce

dure

for

report

ing H

IB h

ut

also

inco

rpora

tes

elem

ents

of

effe

ctiv

e pre

ven

tion w

hic

hre

sult

ed i

n n

o i

nci

den

ts o

f H

IB.

N A

B.

'The

school

fost

ers

a posi

tive

school

clim

ate

that

enco

ura

ges

rep

ort

s of

all

conce

rnin

g b

ehav

iors

, in

cludin

g B

iBN

/A__

____

____

____

____

____

____

-_

__

__

__

__

SU

B-T

OT

AL

(p

ossi

ble

6)

2C

'ore

Ele

men

t#7:

IJIB

In

vest

igat

ion

Pro

ced

ure

('N

.J.S

.A. 1

8A :

37-

lSb

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an

d (

'6, (

a) a

nd

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))_

__

__

__

__

__

__

_

__

__

_In

dic

ator

"-

Op

tion

A(f

or

sch

ools

th

at h

ad a

t le

ast

one

rep

ort

of H

ill,

)

__

__

__

__

__

__

__

__

__

__

_T

hesc

hool

l'oll

ow

cd t

he

BO

E-a

ppro

ved

poli

cy o

n l

ilB

inves

tigat

ion p

roce

dure

s, w

hic

h_pro

vid

es I

'or:

A.

Noti

fica

tion t

o p

aren

ts o

f al

leged

ofi

cnder

s an

d a

lleg

ed v

icti

ms

in e

ach r

eport

ed H

IB i

nci

den

t,

____

__13

.

Com

ple

tion o

f' t

he_

inves

tigat

ion_w

ithin

10 s

chool

day

s of

the

wri

tten

inci

den

t re

port

.2 3

__

__

__

__

__

__

__

_ _

__

__

__

__

__

__

__

_-

C.

Pre

para

tion

ot'a

wri

tten

rep

ort

on t

he f

indi

ngs

of'e

ach

1111

3 in

vest

igat

ion.

3_

__

__

__

__

__

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.

Res

ult

s of

the

inves

tigat

ion r

eport

ed t

o t

he

chie

f sc

hool

adm

inis

trat

or

(CS

A)

wit

hin

2 s

chool

day

s of

com

ple

tion o

f th

e in

ves

tigat

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3in

dic

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- O

pti

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(for

sch

ools

th

at h

ad n

o re

por

ts o

f H

IB,)

______

A

lhcc

hool

h t

s a

pro

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leged

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knder

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lleg

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msi

nea

chrc

port

cd B

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nci

dcn

tN

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'i'he

school

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dure

in p

lace

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nsu

re c

om

ple

tion o

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ch i

nves

tigat

ion w

ithin

10 s

chool

day

s of

the

wri

tten

_re

port

.N

/AC

.

'l'he

school

has

a p

roce

dure

in p

lace

to p

repar

e a

wri

tten

rep

ort

on t

he

findin

gs

of

each

HIB

inve

stig

atio

n.N

/AI)

.

The s

chool

has

a p

rocedure

for

report

ing t

he r

esu

lts

of

each i

nvest

igati

on t

o t

he c

hie

f' s

chool

adm

inis

trato

r (C

SA

) w

ithin

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chool

days

of'

com

ple

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festi

itin

,

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N/A

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#8:

111

8 R

epor

tin

g (N

.J.S

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8A:I

7-4

6)11

Ind

icat

orA

.

'l'hc

school

has

a p

j.pce

dure

for

ensu

ring t

hat

sta

t'f m

ember

rep

ort

s (i

.e., v

erbal

and w

ritt

en)

Incl

ude

the

requir

ed i

nfo

rmat

ion l

br

all

inci

den

ts o

f' v

iole

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.va

ndal

ism

and

111

13.

B.

l'he

of'

lici

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rades

rec

eived

fio

m t

he

NJD

OF

. fo

r th

e S

elf'

Ass

essn

ient

fiorn

the

pre

vio

us

report

ing p

erio

d, fo

r th

e sc

hool

and f

or

the

school

dis

tric

t ar

e-_

___

don t

he

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web

sp

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the A

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hg

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1 4 54

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ndIX

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Jerse

y D

ep

artm

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t of

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ucati

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Scho

ol S

elf-

Ass

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eter

min

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des

Und

er th

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Bul

lyin

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ill o

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ight

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ct(A

BR

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UM

MA

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RE

PO

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Dis

tric

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ame:

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t O

ran

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Was

hing

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Cor

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le,n

enl

#1:

HIB

Pro

gram

s, A

pp

roac

hes

or

Oth

er I

nit

iati

ves

(AJ.

.LS

.A. 1

84:3

7-1

7A

tIn

dic

ator

A.

Th

esc

hool

ann

uall

y es

tabl

ishe

s 1-

1113

Pro

gram

s, a

ppro

ache

s an

d in

itia

tive

s.

_________

213

.

The

school

annual

ly j

mpjc

nen

ts a

nd d

ocu

men

ts 1

-JIB

pro

gra

ms,

appro

aches

or

oth

er i

nit

iati

ves

.2

C.

The

school

annual

ly a

sses

ses

H113 p

rogra

ms,

appro

aches

or

oth

er i

nit

iati

ves

.2

I).

The

sch

ool's

1-1

113

prog

ram

s, a

ppro

ache

s or

oth

er i

niti

aliv

es a

re d

esig

ned

to c

reat

e sc

hool

-wid

e co

ndit

ions

to

prev

ent

and

addr

ess

1311

3.3

B.

The s

chool

safe

ty t

eam

(S

ST

)has

jntj

ed

aite

rns

of

IIIB

and r

evie

wed

sch

ool

clim

ate

and s

chool

poli

cies

for

the

pre

ven

tion

of 1

1113

3_

__

__

_

______ _____-_____

__

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_

__

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rain

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on t

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OE

-ap

prov

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IBPo

licy

(N.J

.S.A

.18

4 :3

7-i

7b

and

c)______

______________________

Ind

icat

or

A.

Sch

ool_

empl

oyee

s,_c

ontr

acte

d se

rvic

e pr

ovid

ers_

and

volu

ntee

rs a

re p

rovi

ded

trai

ning

on

the

HIB

_pol

icy.

I______

________

______

B.

The

HIB

poli

cy t

rain

ingin

cludes

inst

ruct

ion o

n p

reven

ting 1

318 o

n t

he

bas

is o

f ro

tect

ed c

ate

ones

enum

erat

ed i

n t

he

AB

R, an

d o

ther

dis

tingjj

tjag

ract

erij

çs t

hat

may

inci

te i

nci

den

ts o

f dis

crim

inat

ion o

r 1318.

C.

The

1-J

IB p

olic

y w

as d

iscu

ssed

wit

h st

uden

ts, i

n ac

cord

ance

wit

h th

e di

stri

ct's

_pro

cess

for

the

se d

iscu

ssio

ns.

3________

SU

B-T

OT

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(poss

ible

9)_

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_________________

tore

Ele

ment

#3:

Oth

er S

taff

In

stru

ctio

n a

nd

Tra

inin

g_P

rogr

ams

('N

.J.S

.A. 1

84:6

-112

, N.J

.S.A

. 18A

:37-

22d

, N.J

.S.A

184

:3

7-26

a,_______

Ind

icat

orA

.

Eac

h t

each

ing s

taff

men

iher

com

ple

ted a

t le

ast

2 h

ours

of

inst

ruct

ion i

n s

uic

ide

ven

tion t

hat

incl

uded

info

rmat

ion o

njj

ffi

in e

ach l

ive-

yea

r pro

fess

ional

_4

eli

en

t p

erio

d.''

__

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__

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__

__

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_13

,

Eac

h t

each

ing s

taff

mem

ber

com

ple

ted a

t le

ast

2 h

ours

of

tr

n on

1-1

113

prcv

cnti

g, i

n ea

ch f

ive-

year

pro

fess

iona

l de

velo

pmen

t pe

riod

.

______

C.

The

school

anti

-bull

yin

g s

pec

iali

st (

AI3

S)

was

giv

en J

iffi

e dunn

tleu

sual

sch

ool

sched

ule

to p

arti

cipat

e in

in p

repar

atio

n t

o a

ct a

s th

eA

BS

______

_____

_____

______

_____

2 3

I).

'1-h

e m

ember

s of

the

school

safe

ty t

eam

(S

ST

) w

ere

pro

vid

ed w

ith p

rofe

ssio

nal

dev

elopm

ent

in e

ffec

tive

pra

ctic

es o

f su

cces

sful

school

clim

ate

pro

gra

ms

or2

oach

es,

_______

____

__________

___________

______

B

Sch

ool

lead

ers

hav

e re

ceiv

ed i

nfo

rmat

ion o

n t

he

pre

ven

tion o

f har

assm

ent,

inti

mid

atio

n a

nd b

ull

yin

g a

s par

t of

thei

r tr

ainin

g o

n i

ssues

of

school

ethic

s,sc

hool

law

and s

choo2yer

nan

ce.

______

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SUB

-TO

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Ele

men

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: C

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an

d I

nst

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of

Hu

B a

nd

Rel

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In

form

atio

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Sk

ills

(7V

.J.S

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84 :

3 7-

29)

Ind

icat

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sch

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ided

_ong

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-app

rQpr

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inst

ruct

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on p

reve

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1113

in

acco

rdan

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cach

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Page 52:  · I Full Cancelle _____ Partial Re-Issued. S TECHNOLOGICALLY ADVANCED ... Pension Reports, Multiple Worksite Report) • W2 Processing Wizard Purchase cost includes set-up/data

App

endi

x 13

New

Jerse

y D

ep

artm

en

t o

f E

du

ca

tio

nSc

hool

Sel

f-A

sses

smen

t for

Det

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rade

sU

nder

the

Ant

i-B

uUyi

ng B

ill o

f R

ight

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ct(A

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UM

MA

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PO

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Cor

eE

km

ent

#5

it/l

B

-in

dic

ator

A.

The

pri

nci

pal

appoin

ted a

sch

ool

anti

-bull

yin

g s

pec

iali

st (

AB

S).

3_

__

__

__

__

__

_

__

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_

__

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The

AB

Sat

li

t th

.ea

sw

o t

mes

per

sc

inool

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r w

ith t

he

dis

tric

t an

ti-b

ull

yin

g c

oord

inat

or

(AB

C).

Ente

r th

e to

tal

num

ber

of

mee

tings.

C.

ftc

school

safe

ty t

eam

(S

ST

)

at l

east

tw

o t

imes

per

sch

ool

yea

r to

dev

elop, fo

ster

and m

ainta

in a

posi

tive

school

clim

ate

by f

ocu

sing o

n t

he

ongoin

g.

in t

hc

school

md t

o m

ddre

ss s

chool

clir

nat

c Is

sues

incl

udij

Lntc

rtli

e to

tal

nu

mb

cro

falI

SS

letn

1

3

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__

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__

SU

B-T

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(p

ossi

ble

9)

cE

l#6

_____

9S

ore

emen

t:

choo

l-L

evel

HJB

in

cid

ent

Rep

orti

ng

Pro

ced

ure

(N

J.S

.A 1

8A:3

7-IS

h(5

), N

.J.S

.A.

l8A

:37-I

5b

('6'q

)_

_________

ind

icat

or-

Op

tion

A (

Jbr

sch

ools

th

at h

ad a

t le

ast

one

rep

ort

of H

/B)

_______

__

__

__

_-.--_

__

_A

.

The

school

imple

men

ted t

he

dis

tric

t's p

roce

dure

for

report

ing 1

-JIB

that

incl

udes

all

req

uir

ed e

lem

ents

.._____

3_

__

__

__

_B

.

The

school

imple

men

ted t

he

dis

tric

t's p

roce

dure

for

report

ing_new

info

rmat

ion o

n a

pri

or

HIB

rep

ort

I_

__

__

__

_In

dic

ator

- O

pti

on B

(for

sch

ools

that

had

no

rep

orts

of

H/B

)________

A.

The

school

not

only

has

a p

roce

ss (

'or

impld

men

ting t

he

dis

tric

t's p

roce

dure

for

report

i ig

resu

lted

in n

o in

cide

nts

of F

IIB

.

__

__

_

13.

The

sch

ool

fost

ers

a_po

siti

ve s

choo

l cl

imat

e th

at e

ncou

rage

s re

port

s of

all

con

cern

ing

beha

vior

s, i

nclu

ding

111

13-

-_

__

__

__

__

__

_

______

SU

B-T

OT

AL

(p

ossi

ble

6)

_______

4C

ore

Ele

men

t #7

: H

/B i

nve

stig

atio

n P

roce

du

re (

N.J

S.A

. 18A

:37-

15b(

5.)

and

('ó.

)(a.

) an

d (b

))_

__

__

ind

icato

r-O

pth

rnA

fors

chools

tha1l:

ad

a1le

ast

Qfl

erep

orf

of

fIB

)___________________

The

school

foll

ow

ed t

he

130E

-appro

ved

poli

cyon

HIB

inves

tigat

ion p

roce

dure

s, w

hic

h p

rovid

es f

or:

A.

Noti

fica

tion t

o p

aren

ts o

f al

leged

off

ender

s an

d a

lleg

ed v

icti

ms

in e

ach r

eport

ed H

IB i

nci

den

t.2

[3.

Com

ple

tion o

f th

e in

ves

tigat

ion w

ithin

10 s

chool

day

s of

the

wri

tten

inci

den

t_re

port

.3

C.

Pre

para

tion

ofa

wri

tten

rep

ort

on t

he_f

indi

ngs

of e

ach

1118

inv

esti

gati

on.

__________

_______

1).

Res

ult

s of

the

inves

tigat

ion r

eport

ed t

o t

he

chie

f' s

chool

adm

inis

trat

or

(CS

A)

wit

hin

2 s

chool

day

s of'

com

ple

tion o

f th

e in

ves

tigat

ion.

3 3____________

Ind

icat

or -

Opti

on

B (

for

sch

ools

th

at h

ad n

o re

por

ts o

f II

1B)

__________

________

_______

______

-A

.

The

sch

ool h

as a

pro

cedu

re f

or n

otif

ying

par

ents

ofal

lege

d of

fend

ers

and

alle

ged

vic

tim

s in

each

repo

rted

HIB

inci

den

t._

13.

The

sch

ool h

as a

pro

cedu

re in

pla

ce to

ens

ure

com

plet

ion

of e

ach

inve

stig

atio

n w

ithi

n 10

sch

ool d

ays

of' t

he w

ritt

en r

epor

t.C

.

i'he

scho

ol h

as a

pro

cedu

re in

pla

ce to

pre

pare

a w

ritt

en r

epor

t on

the

find

ings

of

each

HIB

inve

stig

atio

n.D

,

The s

chool

has

a p

rocedure

for

report

ing t

he r

esu

lts

of

each i

nvest

igati

on t

o t

he c

hie

f sc

hool

adm

inis

trato

r (C

SA

) w

ithin

2 s

chool

days

of

com

ple

tion o

f'th

e i

nyti

'ati

o

__

__

_

__

__

____

_

SUB

-TO

'FA

L (

poss

ible

12)

11_

core

Ele

men

t #8:

1118

_Rep

orti

ng_

(NJ.

S.,4

. 18A

:17

-46)

__

__

__

Ind

icat

orA

.

'l'hc

school

has

a p

ccsj

!lie

for

enjj

' that

sta

ff'm

emher

rep

ort

s (i

.e., v

erbal

and w

ritt

en)

Incl

ude

the

requir

ed i

nfo

rmat

ion f

or

all

inci

den

ts o

f vio

lence

.va

ndal

ism

_and

111

13.

213

.

The

off

icia

l gra

des

rec

eived

f'r

om

the

N.l

l)O

E, fo

r th

e S

elf-

Ass

essm

ent

from

the

pre

vio

us

report

ing p

erio

d, t'o

r th

e sc

hool

and

for

the

school

dis

tric

t ar

e,p

sted

on

th

e s

ch

oo

l's

web

site

pr

the A

I3R

an

d t

he r

qir

cto

t'th

e N

JDO

E____

____

_

____

_

SU

B-T

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(poss

ible

6)

TO

TA

L S

CO

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(poss

ible

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12 60

Dis

tric

t N

ame:

Wes

t O

rang

eS

choo

l Nam

e:W

ashi

ngto

n

Page 53:  · I Full Cancelle _____ Partial Re-Issued. S TECHNOLOGICALLY ADVANCED ... Pension Reports, Multiple Worksite Report) • W2 Processing Wizard Purchase cost includes set-up/data

Appendix

13

New

Jerse

y D

ep

artm

en

t o

f E

du

ca

tio

n

Sch

ool

Sel

f-A

sses

smen

t fo

r D

eter

min

ing

Gra

des

Und

er t

he A

nti-

Bul

lyin

g B

ill

of R

ight

s A

ct(A

BR

)

SU

MM

AR

Y R

EP

OR

TD

istr

ict

Nam

e:W

est

Ora

nge

Sch

ool

Nam

e:E

dis

on M

S

Cor

e E

lem

ent

^^

!: I

-JIB

Pro

gram

s, A

pp

roac

hes

or

Oth

er I

ni:

iath

'es

(N.J

.S.A

.18

,4:3

7.-I

7A

)In

dic

ator

A.

The

sch

ool_

annu

ally

est

abli

shes

I-hR

Pro

gra

ms,

appro

aches

and i

nit

iati

ves

.

-B

.

The

school

annual

ly I

mple

men

ts a

nd d

ocu

men

ts N

IB p

rogra

ms.

appro

aches

or

oth

er i

nit

iati

ves

.

_____

_____

._:-

iii

C.

The

school

annual

ly a

sses

ses

NIB

pro

gra

ms,

appro

aches

or

oth

er i

nit

iati

ves

.________

3 _______

2I)

.

The

school's

HiD

pro

gra

ms,

appro

aches

or

oth

er i

nit

iati

ves

are

des

igned

to c

reat

e

.ool-

wid

e co

ndit

ions

to p

reven

t an

d a

ddre

ss N

IB.

3F.

.

The

school

safe

ty t

eam

(S

ST

)has

iden

tifi

ed p

atte

rn

of

HID

and r

evie

wed

sch

ool

clim

ate

and s

chool

poli

cies

for

the

pre

ven

tion o

f B

IB2

__

__

__

__

_

SU

B-T

OT

AL

(p

ossi

ble

IS

)13

Cor

eE

lem

ent #

2:T

rain

ing

on t

he B

OE

- a

ppro

ved

fIB

Pol

icy

t'N

,J.S

.A. 1

8A.'3

7-17

b an

d c.

)______

_______

______

_________

Ind

icat

or

-________

A.

Sch

ool

empl

oyee

s, c

ontr

acte

d se

rvic

e pr

ovid

ers

and

volu

ntee

rs a

re p

rovi

ded

trai

ning

_on

the

HIB

pol

icy.

__

__

__

__

__

__

__

__

__

__

__

__

__

__

__

__

B.

The

NIB

poli

cy t

rain

ing i

ncl

udes

inst

ruct

ion o

n p

reven

ting H

IB o

n t

he

bas

is o

fQct

e.ça

tggQ

rieS

enum

erat

ed i

n t

he

AB

R, an

d o

ther

dis

tingin

shin

char

acte

rist

ics

that

may

inc

ite

inci

dent

s of

dis

crim

inat

ion

or H

IB.

C.

The

NIB

pol

icy

was

dis

cuss

ed w

ith

stud

ents

, in

acco

rdan

ce w

ith

the

dist

rict

's_p

roce

ss f

or t

hese

dis

cuss

ions

.3

__

__

__

__

SU

B-T

OT

AL

(p

ossi

ble

9)

5C

ore

Ele

men

t 3:

Oth

er S

taff

In

stru

ctio

n a

nd

Tra

inin

g P

rogr

ams

(N.J

.S.A

. 18,

1:6-

112,

N.J

.S.A

. IS

A :

3 7-

22d

, A'J

.S.A

18A

:37-

26a,

f______

Ind

icat

orA

.

Eac

h t

each

ing s

taff

mem

ber

com

ple

ted a

t le

ast

2 h

ours

of

truc

tion

_j,

sgjç

Ic

reven

tion t

hat

incl

uded

info

rmat

ion o

n N

IB i

n e

ach l

ive-

yea

r pro

fCss

ional

__

__

2__.---__

__

13.

Eac

h t

each

ing s

taff

mem

ber

com

ple

ted a

t le

ast

2 h

ours

of'

inst

ruct

ion o

n H

IB p

reven

tion, in

eac

h l

ive-

yea

r pro

fess

ional

dev

elopm

ent

per

iod.

C.

The

school

anti

-bull

yin

g s

pec

iali

st (

AI3

S)

was

giv

en

jed

urj

n

the

usu

aLch

ool

sched

ule

to p

arti

cipat

e in

in-s

eige

trai

nin

o i

n p

repar

atio

n t

o a

ct a

s th

eA

13 S

3

1).

The

mem

ber

s of

the

school

safe

ty t

eam

(S

ST

) w

ere

pro

vid

ed w

ith p

rofe

ssio

nal

dev

elopm

ent

in e

tlct

ive

pra

ctic

es o

f su

cces

sful

school

clim

ate

pro

gra

ms

or

appro

aches

.

--.---._____

_________-___________________ _

_____ _

___________

F.

Sch

ool

lead

ers

hav

e re

ceiv

ed i

nfo

rmat

ion o

n t

he

pre

ven

tion o

f har

assm

ent.

inti

mid

atio

n a

nd b

ull

yin

g a

s par

t of

thei

r tr

ainin

g o

n i

ssues

of

school

ethic

s,sc

hool

law

and s

chool

gover

nan

ce.

(pos

sib

le 1

5)_

__

__

__

_

__

__

__

_

SU

B-T

OT

AL

12_

Cor

eE

lem

ent

#4:

curr

icu

lum

an

d I

nst

ruct

ion

of

HIB

an

d R

elat

ed I

nfo

rmat

ion

an

d S

kil

ls (

N.J

.S.A

. 18A

:37-

29,)

____

_In

dic

ator

A.

The

school

pro

vid

ed o

ngoin

g.

rorl

ate

inst

rucu

o

on_p

reve

ntin

g 1-

1113

in

acco

rdan

ce w

ith

the

Cor

e C

urri

culu

m C

onte

nt S

tand

ards

.3

13.

The

school

obse

rved

the

cek

ofR

es

eeC

' du

rin

g t

he w

eek

beg

inn

ing

wit

h t

he f

irst

Mo

nd

ay

in

Octo

ber

of

each

year,

cco

gp

izi.

pg

jpo

rtp

cccf

-

ch

ara

cte

r ed

ucati

on

by

vid

in

-ro

fia

lcin

str

ucti

on

_lb

ion

Fli

ftj

'ep

tio

.3

__

__

_

__

_

__

__

__

__

_

__

__

_

SU

B-T

OT

AL

(p

ossi

ble

6)

6

Page 54:  · I Full Cancelle _____ Partial Re-Issued. S TECHNOLOGICALLY ADVANCED ... Pension Reports, Multiple Worksite Report) • W2 Processing Wizard Purchase cost includes set-up/data

App

endi

x B

New

Jerse

y D

ep

artm

en

t o

f E

du

ca

tio

nSc

hool

Sel

f-A

sses

smen

t for

Det

erm

inin

g G

rade

sU

nder

the

Ant

i-B

ully

ing

Bill

of

Rig

hts

Act

(AB

R)

SU

MM

AR

Y R

EP

OR

TD

istr

ict

Nam

e:W

est

Ora

nge

Sch

ool

Nam

e:E

dis

on M

S

Cor

e E

lem

ent

#5:

HIB

Per

son

nel

t'N

.J.S

.A. I

BA

:37-

20a,

NJ.

S.A

. I&

4:37

-20c

, N.J

.S.A

._I8

A:3

7-21

a,,

__

__

_In

dic

ator

A.

the

pri

nci

pal

rioin

ted a

sch

ool

anti

-bull

yin

g s

pec

iali

st (

AB

S).

________

___________________

__

__

__

--

-.-

13.

The

AB

S

at l

east

tw

o t

imes

per

sch

ool

yea

r w

ith t

he

dis

tric

t an

ti-b

ull

yin

g c

oord

inat

or

(AB

C).

Ente

r th

e to

tal

num

ber

of

mee

tings.

C.

The

school

safe

ty t

eam

(S

ST

) m

ej a

t le

ast

two t

imes

per

sch

ool

yea

r to

dev

elop, fo

ster

and m

ainta

in a

posi

tive

school

clim

ate

by f

ocu

sing o

n t

he

ongoin

g,

iuic

pro

ccsx

and p

ract

lccs

in t

he

school

and t

o a

ddrc

ss s

chool

clim

ate

isu

cs i

ncl

u

lB

11.n

tci

thc

tota

l num

ber

ofa

lL

Sl

ctt

ns

3 3 1

________

SU

B-T

OT

AL

(poss

ible

9)7

('ore

Ele

men

t #6

: S

choo

l-L

evel

HIB

In

cid

ent

Rep

orti

ng

Pro

ced

ure

(N

.J.S

.A J

8A:3

7-15

b(5

),IV

.J.S

.A.

184

:3 7

-J5b

"6)'

a,1

__

- ______

______

Ind

icat

or-

Op

tion

A (

for

sch

ools

th

at h

i-id

at

leas

tone

rep

ort

of H

IB

__

__

__

__

__

__

__

_____

__

__

_

__

__

__

__

__

__

A.

The

school

imple

men

ted t

he

dis

tric

t's p

roce

dure

for

report

ing H

113

that

incl

ud

es a

ll r

equ

ired

ele

men

ts..

-_______

3_

__

__

13.

The

school

imple

men

ted t

he

dis

tric

t's p

roce

dure

for

report

ing n

ew i

nfi

rmat

ion o

n a

pri

or

HIB

rep

ort

_____-.

2_

__

__

__

__

-

__

__

__

__

__

__

__

__

__

_In

dic

ato

r -

Op

tion

Bfo

r sc

hools

i/t

at

had

no r

eport

s of!

IJB

A.

The

school

not

only

has

a p

roce

ss f

or

imple

men

ting t

he

dis

tric

t's p

roce

dure

for

report

ing H

IB h

ut

also

inco

rpora

tes

elem

ents

of

effe

ctiv

e pre

ven

tion w

hic

hre

sult

ed_i

n_no

_inc

iden

ts_o

f H

IB.

____

__13

.

The

sch

ool

fost

ers

a po

siti

ve s

choo

l cl

imat

e th

at e

ncou

rage

s_re

port

s of

' all

con

cern

ing

beha

vior

s, i

nclu

ding

1-1

113

__________ _

_______

SU

B-T

OT

AL

(pos

sib

le 6

)5

Cor

e E

lem

ent

#7:

HIl

l In

ves

tigati

on

Pro

ced

ure

N.J

.S.A

. 184 :

3 7

-l5b

(5 a

nd

(6a)

an

d (

b_____

Ind

icat

or -

Op

tion

A (

for

sc/t

ools

th

at h

ad a

t le

ast

one_

rep

ort

of H

Ill,

)

__

__

_

-

The

school

foll

ow

ed t

he

f3O

E-a

ppro

ved

poli

cy o

n H

l13 i

nves

tigat

ion p

roce

dure

s, w

hic

h p

rovid

es f

or:

3A

.

Noti

fica

tion t

o p

aren

ts o

f al

leged

off

ender

s an

d a

lleg

ed v

icti

ms

in e

ach r

eport

ed H

113 i

nci

den

t.3

______

_______

.[3

.

Com

ple

tion o

f th

e in

ves

tigat

ion w

ithin

10 s

chool

day

s of

the

wri

tten

inci

den

t re

port

.3

__

__

__

__

__

__

__

_C

.

Pre

par

atio

n o

f a

wri

tten

rep

ort

on t

he

findin

gs

of

each

HIB

inves

tigat

ion.

3____________

___________

1).

Res

ult

s of

the

inves

tigat

ion r

eport

ed t

o t

he

chie

f sc

hool

adm

inis

trat

or

(CS

A)

wit

hin

2 s

chool

day

s of

com

ple

tion o

f th

e in

ves

tigat

ion.

Ind

icat

or -

Op

tion

B(f

or

sch

ools

th

at h

adno_re

port

s of

HIB

)A

.

The

school

has

a p

roce

dure

for

noti

fyin

g p

aren

ts o

f al

leged

off

ender

s an

d a

lleg

ed v

icti

ms

in e

ach r

eport

ed 1

1113 i

nci

den

t.B

.

1'h

e sc

hool

has

a p

roce

dure

in p

lace

to e

nsu

re c

om

ple

tion o

f ea

ch i

nves

tigat

ion w

ithin

10 s

chool

day

s of

the

wri

tten

rep

ort

.C

.

The

sch

ool

has

a pr

oced

ure

in p

lace

to

prep

are

a w

ritt

en r

epor

t on

the

fin

ding

s of

eac

h 1-

1113

inv

esti

gati

on.

__

__

__

__

__

__

__

__

__

__

1).

The

school

has

a p

roce

dure

for

report

ing t

he

resu

lts

of

each

inves

tigat

ion t

o t

he

chie

f sc

hool

adm

inis

trat

or

(CS

A)

wit

hin

2 s

chool

day

s of

com

ple

tion o

fth

e

tiga

tion

._

__

__

_

__

_

_____

____

SU

B-T

OT

AL

(i,

ossi

ble

12)

____

_12

____

___

('or

e E

lem

ent

#8:

1118

Rep

orti

ng

(N.J

.S.A

. /8,

1:1

7-46

)In

dic

ator

A.

The

school

has

a p

pce

iure

for

ensu

riqg t

hat

sta

ff m

ember

rep

ort

s (i

.e.. v

erbal

and w

ritt

en)

Incl

ude

the

requir

ed i

nfo

rmat

ion f

or

all

inci

den

ts o

f vio

lence

,va

ndal

ism

and

Hl1

3,B

.

The

off

icia

l gra

des

rece

ived

from

the

NJD

OF

. fo

r th

e S

elf-

Ass

essm

ent

from

the

pre

vio

us

report

ing p

erio

d, fo

r th

e sc

hool

and f

Or

the

school

dis

tric

t ar

ete

do

the s

choo[s

wit

cjr

the A

BR

and t

he r

e

rem

ent o

f th

e 1"

IJ D

OE

__

__

__

_

SU

B-T

OT

AL

(lo

ssib

le 6

)4

__

__

TO

TA

L. S

CO

RE

_(p

ossi

ble

78)

64

Page 55:  · I Full Cancelle _____ Partial Re-Issued. S TECHNOLOGICALLY ADVANCED ... Pension Reports, Multiple Worksite Report) • W2 Processing Wizard Purchase cost includes set-up/data

App

endi

x B

New

Jerse

y D

ep

artm

en

t of

Ed

ucati

on

Sch

ool

Sel

f-A

sses

smen

t fo

r D

eter

min

ing

Gra

des

Und

er t

he A

nti-

Bul

lyin

g B

ill

of R

ight

s A

ct(A

BR

)S

UM

MA

RY

RE

PO

RT

Dis

tric

t N

am

e:W

est

Ora

nge

Sch

oo'

Nam

e:L

iber

ty M

S

Cor

e E

lem

ent

#1:

HIB

Pro

gram

s, A

pp

roac

hes

or

Oth

er I

nit

iati

ves

(JV

.J.S

.A. 1

8A:3

7-1

7A

____

__

__

__

__

_

__

__

__

_In

dic

ator

A.

The

school

annual

ly e

stab

lish

es H

ID P

rogra

ms.

appro

aches

and i

nit

iati

ves

.3

B.

The

sch

ool

annu

ally

jjf

lpic

tngn

ts a

nd d

ocum

ents

H1l

3_pr

ogra

ms,

_app

roac

hes

or o

ther

ini

tiat

ives

.3

C.

The

school

annual

ly a

sses

ses

HID

pro

gra

ms,

appro

aches

or

oth

er i

nit

iati

ves

.2

I).

The

school's

HID

pro

gra

ms,

appro

aches

or

oth

er i

nit

iati

ves

are

des

igned

to c

reat

e c±

iool-

wid

e co

ndit

ions

to p

reven

t an

d a

ddre

ss I

IIB

.3

E.

The

school_

safe

ty_te

am (

SS

T)h

as i

den

tifi

ed p

atte

rns

of

HIB

and r

evie

wed

sch

ool

clim

ate

and s

chool

poli

cies

for

the

pre

ven

tion

of H

ID2

_____________________ ________________

_______ _______ ______

_____

_____

SU

B-T

OT

AL

(po

ss

ible

15)

______

13C

ore

Ele

men

t #2:

Tra

inin

g on

the

BO

E -

app

rove

d H

IB P

olic

yN

.J.S

.A, 1

8A:3

7-17

b an

dc,l

__

__

_

__

__

__

__

__

_in

dica

tor

-______

A.

Sch

ool

empl

oyee

s, c

ontr

acte

d se

rvic

e pr

ovid

ers

and

volu

ntee

rs a

re p

rovi

ded

trai

ning

on

the

HID

pol

icy.

3________

B.

The

H113 p

oli

cy t

rain

ing i

ncl

udes

inst

ruct

ion o

n p

reven

ting I

-IIB

on t

he

bas

is o

f pfQ

ctea

tegori

es e

num

erat

ed i

n t

he

AB

R, an

d o

ther

dis

tinguis

hin

gch

arac

te.i

cs t

hat

may

inci

te i

nci

den

ts o

f dis

crim

inat

ion o

r H

IB.

3

C.

The

HID

pol

icy

was

dis

cuss

ed w

ith

stud

ents

, in

acco

rdan

ce w

ith

the

dist

rict

's p

roce

ss_f

or t

hese

dis

cuss

ions

.3

______

___________

______

_______

_____

________________

___________________

SU

B-'

I'O

TA

L (

pos

sib

le 9

)co

re E

lem

ent

#3:

Oth

er S

taff

In

stru

ctio

n a

nd

Tra

inin

g P

rogr

ams

('N

.J.S

.A. 1

8A:6

-112

, N.J

.S.A

, 18A

:37-

22d

. N.J

.S.A

18A

:37-

26a,

9

Ind

icat

orA

.

Ilac

h t

each

ing s

taff

mem

ber

com

ple

ted a

t le

ast

2 h

ours

ofj

ntr

uct

ion i

n

on H

ID i

n e

ach f

ive-

yea

r pro

fess

ional

de^o

men

t_

perio

d."

______________

--

_______________

B.

Eac

h t

each

ing s

taff

mem

ber

com

ple

ted a

t le

ast

2 h

ours

ofj

nf.

rjic

tion o

n H

113 p

reven

tion, in

eac

h i

lve-

yca

r pro

fess

ional

dev

elopm

ent

per

iod.

3_______

C

I h. sL

hool

anti

bull

yin

g s

pt.

cial

ist

(AD

S)

x

gi

tn f

lg..pii

n

the_

qp4L

c.jj

pol

SdlL

dU

lc t

o p

Irt

iup i

te i

n i

n_S

LI

tjjg

jpg i

n p

rLp l

rtio

n t

o k

t is

thc

AB

S

__________________

____________

______

______

______

I).

The

mem

ber

s of

the

school

safe

ty t

eam

(S

ST

) w

ere

pro

vid

ed w

ith p

rofe

ssio

nal

dev

elopm

ent

in e

ff.c

tive

pra

ctic

es o

f su

cces

sful

school

clim

ate

pro

gra

ms

orp

oach

es.

.----_____

________

_________

__

__

__

_ _

__

__

__

__

__

__________________

E,

Sch

ool

lead

ers

hav

e re

ceiv

ed i

nfo

rmat

ion o

n t

he

pre

ven

tion o

f har

assm

ent,

inti

mid

atio

n a

nd b

ull

yin

g a

s par

t of

thei

r tr

ainin

g o

n i

ssues

of

school

ethic

s.schla

iidscli

ooly

ernance.

_____ ____

_____ _______----

--

_________

2

_________________________________________

_____________

SU

B-T

OT

AL

(p

ossi

ble

IS

)10

Cor

e E

lem

ent

#4:

Cu

rric

ulu

m a

nd

in

stru

ctio

n o

f 1/

lB a

nd

Rel

ated

In

form

atio

n a

nd

Sk

ills

(N

.J.S

..4._

18.4

:37-

29)

Ind

icat

or

A.

The

school

pro

vid

ed o

ngoin

g, ag

e-ap

pro

pri

ate

inst

ruct

ion o

n p

reven

ting H

ll3 i

n a

ccord

ance

wit

h t

he

Core

Curr

iculu

m C

onte

nt

Sta

ndar

ds.

2B

I hi

.. sc

hool

ohs

cr c

d th

t..

fL

pL

duri

ng t

hi.

eek h

cgin

nin

gi.it

h t

hc

firs

t M

ond

1\

inO

ctobcr

of

i..ic

h',c

irf

gogm

jgth

impo

rtan

ci_

ofchara

cte

itio

iypid

ipg a

ge-a

pri

ati

nstr

ueti

nfb

cusin

gn1B

peventi

on.

____

_____

___

____

___-.-------.-------.-----.

_____j

Page 56:  · I Full Cancelle _____ Partial Re-Issued. S TECHNOLOGICALLY ADVANCED ... Pension Reports, Multiple Worksite Report) • W2 Processing Wizard Purchase cost includes set-up/data

App

endi

x B

New

Jerse

y D

ep

artm

en

t o

f E

du

ca

tio

nSc

hool

Sel

f-A

sses

smen

t for

Det

erm

inin

g G

rade

sU

nder

the

Ant

i-B

ully

ing

Bill

of

Rig

hts

Act

(AB

R)

SU

MM

AR

Y R

EP

OR

T

Cor

e E

lem

ent

#5:

HIB

Per

son

nel

(N

J.S

,A. 1

84 :

3 7-

20a,

N.J

.S.A

. l84

:37-

20c,

N.J

.S.A

. I84

:3

7-.2

lq)

-in

dic

ator

A.

The

pri

nci

pal

ppoin

tcd a

sch

ool

anti

-bull

yin

g s

pec

iali

st_(A

BS

).3

__

__

__

_

__

__

__

__

_13

.

The

AB

S

tat

lea

st t

wo t

imes

per

sch

ool

yea

r w

ith t

he

dis

tric

t an

ti-b

ull

yin

g c

oord

inat

or

(AB

C).

Ente

r th

e to

tal

num

ber

of

mee

tings.

CT

hh

2l

f_

__

__

__

__

__

__

__

.e

scoo

saet

y t

eam

(S

ST

)

at l

east

tw

o t

imes

per

sch

ool

yea

r to

dev

elop, tb

ster

and m

ainta

in a

posi

tive

school

clim

ate

by f

ocu

sing o

n. th

e ongoin

g.-

th. '

,cho

ol a

nd t

o ad

dres

s sc

hool

_cli

mat

c_Is

suL

s m

el

in

1311

3_L

ntr

thto

taln

urn

be o

f aIl

S

jaeti

ns

2

__

__

__

_

SU

B-T

OT

AL

(p

ossi

ble

9)

Cor

e E

lem

t#6

Sh

'7

lL

len

:c

oo-

eve

HJB

In

cid

ent

Rep

orti

ng

Pro

ced

ure

(N

.J.S

.A 1

84 :

3 7

-l5b

(5),

N.J

.SA

. l8

A:3

7-J

5b

(5a,)

-In

dic

ato

r-O

pti

on

A (

for

sch

oo

ls t

hat

had

at

leas

t o

ne

rep

ort

of F

l/B)

__

__

__

__

_A

The

chl

il

'd

h.

soo

mp

emen

tet

e dis

tric

ts

pro

cedure

for

report

ing H

IB t

hat

incl

udes

all

requir

edel

emen

ts..

3_

________________

13T

heh

l

il

'd

hi

.sc

oom

pem

ente

te

dst

rict

s pro

cedure

for

report

ing n

ew i

nfo

rmat

ion o

n a

pri

or

HIB

rep

ort

2______

Ind

icat

Oti

Bh

or

-p

on

for

sc

oo

ls t

hat

had

no

rep

ort

s o

f F

IB,)

AT

he

school

not

onl

has

aro

cess

fo

il

'i

hi

.y

pr

mp

emen

tng

te

dst

rict

s pro

cedure

for

report

ing H

IB h

ut

also

inco

rpora

tes

elem

ents

ofe

ffic

tive

pre

ven

tion w

hic

hre

sult

ed i

n no

inc

iden

ts o

f 13

113.

B.

The

school

fost

ers

a_posi

tive

school

clim

ate

that

enco

ura

ges

rep

ort

s of

all

conce

rnin

g b

ehav

iors

,in

clud

ing

H11

3_

__

__

_

SU

B-T

OT

AL

(p

ossi

ble

6)

Co

El

t#7

5F

IB i

reem

en:

ni'

esti

gasi

on P

roce

du

re (

?V.J

.S.A

.184:3

7-I5

b(5

) an

d (

6,)

(a)

and

(b

))_

__

__

_

__

__

__

Ind

icat

or-

Op

tion

.4 (

for

sch

ools

th

at h

ad a

t le

ast

one

rep

ort

of F

IB,)

The

school

foll

ow

ed t

he

HO

E-a

ppro

ved

poli

cy o

n 1

1113 i

nves

tigat

ion p

roce

dure

s, w

hic

h p

rovid

es f

or:

A.

Not

ific

atio

n to

_par

ents

of

alle

ged

offi

nder

s an

d_al

lege

d vi

ctim

s in

eac

h_re

port

ed_H

IB i

ncid

ent.

_______

13.

Com

ple

tion o

f th

e_in

ves

tigat

ion_w

ithin

10 s

chool

day

s of

the

wri

tten

inci

den

t re

port

.

__

__

__

_

__

__

__

C.

Pre

para

tion

of

a w

ritt

en r

epor

t on

the

fin

ding

s of

eac

h H

IB i

nves

tiga

tion

.___

____

_______

I).

Res

ult

s oit

he

inves

tigat

ion r

eport

ed t

o t

he

chie

f sc

hool

adm

inis

trat

or

(CS

A)

wit

hin

2 s

chool

day

s of

com

ple

tion o

f th

e in

ves

tigat

ion.

__

__

__

ind

icat

or -

Op

tion

B (

for

sch

ools

th

at h

ad n

o re

por

ts o

f N

IB,)

2 2 3 2

A.

The

school

has

a p

roce

dure

for

noti

fyin

g p

aren

ts o

f al

leged

olT

hnder

s an

d a

lleg

ed v

icti

ms

in e

ach r

eport

ed 1

1113 i

nci

den

t.13

.

lhe

school

has

a_pro

cedure

in p

lace

to e

nsu

re c

om

ple

tion o

f ea

ch i

nves

tigat

ion w

ithin

10 s

chool

day

s of

the

wri

tten

rep

ort

.C

.

The

school

has

a p

roce

dure

in p

lace

to p

repar

e a

wri

tten

rep

ort

on t

he

findin

gs

of

each

13113 i

nves

tigat

ion.

I).

The

school

has

a p

roce

dure

for

report

ing t

he

resu

lts

of

each

inves

tigat

ion t

o t

he

chie

f' s

chool

adm

inis

trat

or

(CS

A)

wit

hin

2 s

chool

day

s of

com

ple

tion

of

1Ves

ti'tL

tiCIl

.

_________-_____ _

________

______

__

__

_ _

__

__

_

_____

_______

SU

B-i

OT

AL

(p

ossi

ble

12)

Cor

e E

lem

ent

#8:

i-JI

B R

epor

tin

g (N

. J.S

,A. 1

84:1

7-46

)

__

__

_

9

ind

icato

r

A.

The

school

has

a p

Qged

ure

for

cjjs

urin

gth

at s

taff

mem

ber

rep

ort

s (i

.e.. v

erbal

and w

ritt

en)

Incl

ude

the

requir

ed i

nfo

rmat

ion f

or

all

inci

den

ts o

f vio

lence

,__

____

__

vand

alis

m a

nd 1

1113

.13

.

The

off

icia

l gra

des

rec

eived

fro

m t

he

NJD

OE

. fo

r th

e S

elf-

Ass

essm

ent

from

the

pre

vio

us

report

ing p

erio

d. fo

r th

e sc

hool

and f

or

the

school

dis

tric

t ar

eo

ed

on

th

e sc

ho

o

cbsi

teL

p

the

AB

and

the

qre

men

t of

the

N.J

DO

E2

-

______

SU

B-T

OT

AL

(poss

ible

6)

_____

TO

TA

L S

CO

RE

_(p

ossi

ble

78)

5 63

Dis

tric

t N

ame:

Wes

t O

rang

eS

choo

l Nam

e:L

iber

ty M

S

Page 57:  · I Full Cancelle _____ Partial Re-Issued. S TECHNOLOGICALLY ADVANCED ... Pension Reports, Multiple Worksite Report) • W2 Processing Wizard Purchase cost includes set-up/data

App

endi

x B

New

Jerse

y D

ep

artm

en

t o

f E

du

ca

tio

n

Sch

ool

Sel

f-A

sses

smen

t fo

r D

eter

min

ing

Gra

des

Und

er t

he A

nti-

Bul

lyin

g B

ill

of R

ight

s A

ct(A

BR

)

SU

MM

AR

Y R

EP

OR

TD

istr

ict

Nam

e: W

est

Ora

nge

Sch

ool

Nam

e:R

oose

velt

MS

Cor

e E

lem

ent

tel:

111

8 P

rogr

ams,

Ap

pro

ach

es o

rO

ther

In

it j

ativ

es (

'N.J

.SA

.IS

A :3

7-1

74)

________

_______

Ind

icato

r

A,

The

school

annual

ly e

stab

lish

es H

IB P

rogra

ms,

appro

aches

and i

nit

iati

ves

.2

__

__

__

__

_

B.

The

school

annual

ly i

mple

men

ts a

nd d

ocu

men

ts B

IB p

rogra

ms,

appro

aches

or

oth

er i

nit

iati

ves

.3

C.

'l'he

school

annual

ly a

sses

ses

BIB

pro

gra

ms,

appro

aches

or

oth

er i

nit

iati

ves

.1

D.

The

school's

HID

pro

gra

ms.

appro

aches

or

oth

er i

nit

iati

ves

are

des

igned

to c

reat

e sc

hool-

wid

e co

ndit

ions

to p

reven

t an

d a

ddre

ss B

IB.

3E

.

The

school

safe

ty t

eam

(S

ST

)has

iden

tifi

ed p

atte

rns

of

HID

and r

evie

wed

sch

ool

clim

ate

and s

chool

poli

cies

for

the

pre

ven

tion o

f B

IB2

__

__

_

__

__

__

__

__

__

__

__

__

__

__

__

__

__

__

__

__

__

__

_______________________

__

__

__

_

SU

B-T

OT

AL

(p

ossi

ble

15)

Cor

e E

lem

ent #

2:T

rain

ing

on t

he B

OE

appr

oved

HIB

Pol

icy

(N,J

.S4,

18,

4:37

-1 7

b an

d c)

11

_______

_________________ _

_____________

___________

Ind

icat

or

A.

Sch

ool

empl

oyee

s, c

ontr

acte

d se

rvic

e pr

ovid

ers

and

volu

ntee

rs a

re p

rovi

ded

trai

ning

on

the

HIB

pol

icy.

2_______________

_______________

B.

The

HIB

poli

cy t

rain

ing i

ncl

udes

inst

ruct

ion o

n p

reven

ting H

IB o

n t

he

bas

is o

f ptç

ed ç

ateo

ries

enum

erat

ed i

n t

he

AB

R, an

d o

ther

dis

tinguis

hin

gch

arac

teri

stic

s th

at m

ay i

ncit

e in

cide

nts

of d

iscr

imin

atio

n or

HIB

.3

C.

The

BIB

pol

icy

was

dis

cuss

ed w

ith

stud

ents

, in

acco

rdan

ce w

ith

the

dist

rict

's p

roce

ss f

or t

hese

dis

cuss

ions

.2

(pos

sib

le 9

)_

__

__

__

__

__

__

_

SU

B-T

OT

AL

7_

Cor

e E

lem

ent

#3:

Oth

er S

taff

In

stru

ctio

n a

nd

Tra

inin

g P

rogr

ams

(N.J

.S.A

._18

A:6

-112

, NJ.

S.A

. 18A

:37-

22d

, N.J

.S.A

18A

:37-

26a,

)In

dic

ator

A

L ic

hti

..ach

ing

stil

l m

Lrn

htr

t.or

nple

ted

itle

ast

2h

ou

rs

01 j

.pru

_çti

on i

n su

icid

tion h

at i

nL

ludcd

info

rmat

ion o

n B

IB i

n L

ath

fix c

xea

r pro

kss

ion d

__

__

__

vL

1ent

peri

od.''

__

__

__

__

__

__

__

__

__

_

__

__

__

__

__

__

__

__

__

__

__

_-_

__

__

__

_

__

__

__

__

13.

Eac

h t

each

ing s

taff

mem

ber

com

ple

ted a

t le

ast

2 h

ours

of

inst

ruct

ion o

n B

IB p

reven

tion, in

eac

h f

ive-

yea

r pro

fess

ional

dev

elopm

ent

per

iod.

3C

.

The

school

anti

-bull

yin

g s

pec

iali

st (

AB

S)

was

giv

en t

ime

duj.

pg,g

. usu

al s

chool

sched

ule

to p

arti

cipat

e in

in-s

ervic

e

inpre

par

atio

n t

o a

ct a

s th

eA

13 S

__

__

__

__

__

__

_

_____________ _

__________

__

__

__

__

__

__

0.

The

mem

ber

s of

the

school

sakty

tea

m (

SS

T)

wer

e pro

vid

ed w

ith p

rofe

ssio

nal

dev

elopm

ent

in e

ffec

tive

pra

ctic

es o

f su

cces

sful

school

clim

ate

pro

gra

ms

or

appro

aches

.

___________-.----_______________

__

__

__

__

__

_

__

__

__

__

__

__

__

__

__

__

__

__

__

__

__

B.

Sch

ool

lead

ers

hav

e re

ceiv

ed i

nfo

rmat

ion o

n t

he

pre

ven

tion o

f har

assm

ent.

inti

mid

atio

n a

nd b

ull

yin

g a

s par

t of

thei

r tr

ainin

g o

n i

ssues

of

school

ethic

s._

__

__

__

__

__

_

__

__

__

__

__

__

__

__

__

_

__

__

__

__

__

__

_-_

__

__

__

__

__

__

__

__

__

__

_

SU

B-T

OT

AL

(p

ossi

ble

15)

__

__

__

_

__

__

__

__

__

__

__

__

__

__

__

__

__

_

__

__

__

__

__

2 2 12_

__

__

Cor

e E

lem

ent

#4:

curr

icu

lum

an

d I

nst

ruct

ion

of

1-11

8 an

d R

elat

ed i

nfo

rmat

ion

an

d S

kil

ls (

N.J

.S.A

.18

A :

37-

29,)

________

Ind

icat

orA

.

The

school

pro

vid

ed o

ngoin

g,

gg.g

p r

o n

ate

inst

ruct

ion o

n_pre

ven

ting H

I B

in a

ccord

ance

wit

h t

he

Core

Curr

iculu

m C

onte

nt

Sta

ndar

ds.

313

.

the

school

obse

rved

the

"Wee

k_oiR

epct

,2 d

uri

ng t

he

wee

k b

egin

nin

g w

ith t

he

firs

t M

onday

in O

ctober

of

each

yea

r. r

ç,çg

izin

g t

he

inip

srta

nce

of

inst

ructi

on_lh

cuopj1

p,p

venti

on.

3________

______

-

_______

_______

_______

SU

B.-

i'O

TA

L_(

pos

sib

le 6

)6

Page 58:  · I Full Cancelle _____ Partial Re-Issued. S TECHNOLOGICALLY ADVANCED ... Pension Reports, Multiple Worksite Report) • W2 Processing Wizard Purchase cost includes set-up/data

App

endi

s H

New

Jerse

y D

ep

artm

en

t o

f E

du

ca

tio

nSc

hool

Sel

f-A

sses

smen

t for

Det

erm

inin

g G

rade

sU

nder

the

Ant

i-B

ully

ing

Bill

of

Rig

hts

Act

(AB

R)

SU

MM

AR

Y R

EP

OR

T

Cor

e E

lem

ent

#5:

RIB

Per

son

nel

q'N

.J.S

.A._

18A

:37-

20a,

N.J

.S.A

._18

A:3

7-20

c, N

.J.S

.4. l

8A:3

7-2I

a)

__

__

_

__

__

__

ind

icat

or

A.

The

pri

nci

pal

anpoin

ted a

sch

ool

anti

-bull

yin

g s

pec

iali

st (

AB

S).

3_

__

__

__

_

__

__

__

_

__

__

__

_13

1 hi

.A

BS

mct

at

kas

t tw

o t

imes

per

sch

ool

\ear

sit

h t

he

dis

tric

t an

ti b

ull

yin

g c

oord

inat

oi

(AB

C)

Ente

r th

i. t

ota

l num

bcr

of

mcc

tings

________

_______

C.

The

school

safe

ty t

eam

(S

ST

) p

at l

east

tw

o t

imes

per

sch

ool

yea

r to

dev

elop, fo

ster

and m

ainta

in a

posi

tive

school

clim

ate

by f

ocu

sing o

n t

he

ongoin

g,

_,,ytc

mic

pro

ccss

indpra

cncc

smth

e sc

hool

'md t

o a

ddre

ss s

chool

chm

at

ssu

csi

ncl4

&l1

lB]n

tcr

thi.

to

tal

nu

mh

cr

of

tU

lmi.

ctm

3

______

-

_________ _

_____________ _

_____________

SU

B-T

OT

AL

(p

ossi

ble

9)

Co

reE

lem

ent

#6:

Sch

ool-

Lev

el R

IB I

nci

den

t R

epor

tin

g P

roce

du

re (

N.J

.SA

18A

:37-

15b

(5,)

, N.J

.S.A

. 18.

4 :3

7-1

5b(6

.('a

,9

__

__

_ _

__

__

_In

dic

ator

-O

pti

on A

(fo

r sc

hoo

ls t

hat

had

a!

leas

t on

e re

por

t of

HIB

)-_____

A.

The

school

imtt

lem

entc

d t

he

dis

tric

t's p

roce

dure

for

report

ing B

IB t

hat

incl

udes

all

req

uir

ed e

lem

ents

..3

B.

The

school

imnle

men

tgd t

he

dis

tric

t's p

roce

dure

for

report

ing n

ew i

nfo

rmat

ion o

n a

pri

or

NIB

repo

rtN

/A_

__

__

__

__

__

__

ind

icat

or -

Op

tion

B(f

or

sch

ools

th

at h

ad n

o re

por

ts o

f R

IB,)

_____

______

_____ _

_________________________

A.

The

school

not

only

has

a p

roce

ss f

or

imple

men

ting t

he

dis

tric

t's p

roce

dure

for

report

ing H

IB b

ut

also

inco

rpora

tes

elem

ents

of

effe

ctiv

e pre

ven

tion w

hic

hre

sult

ed i

n no

_inc

iden

ts o

f N

IB.

B.

'I'h

e sc

hool

fost

ers

a posi

tive

school

clim

ate

that

enco

ura

ges

rep

ort

s of

all

conce

rnin

g b

ehav

iors

, in

cludin

g B

IB

____

___S

UB

-TO

TA

L (

pos

sib

le 6

)3

Core

Ele

men

t #7

: H

IB I

nve

stig

atio

n P

roce

du

re (

N.J

.S.A

. 18.

4:3

7-lS

b(5

,)an

d('ó

,,)('a

,)an

d (

b))

__

__

__

__

__

__

__

_

__

__

__

__

_

__

__

__

__

_In

dic

ator

- O

pti

on A

(fo

r sc

hoo

ls t

hat

had

at

leas

t on

e re

por

t of

RIB

)________

--______

The

school

foll

ow

ed t

he_

13()

E-a

ppro

ved

_poli

cy o

n H

IB i

nves

tigat

ion p

roce

dure

s, w

hic

h p

rovid

es f

or:

A.

Noti

fica

tion t

o p

aren

ts o

f al

leged

off

ender

s an

d a

lleg

ed v

icti

ms

in e

ach r

eport

ed N

IB i

nci

den

t.

____

___

213

.

Com

ple

tion o

f th

e in

ves

tigat

ion w

ithin

10 s

chool

day

s of

the

wri

tten

inci

den

t re

port

.3

__

__

__

__

__

__

__

__

__

__

__

__

C.

Pre

par

atio

n o

f a

wri

tten

rep

ort

on t

he

findin

gs

of

each

BIB

inves

tigat

ion.

3____________________

____________

I).

Res

ult

s of

the

inves

tigat

ion r

eport

ed t

o t

he

chie

f sc

hool

adm

inis

trat

or

(CS

A)

wit

hin

2 s

chool

day

s of'

com

ple

tion o

f th

e in

ves

tigat

ion.

2in

dic

ator

- O

pti

on B

(for

sch

ools

th

at h

adno

rep

orts

of

RIB

)

__

__

_

A,

The

school

has

a p

roce

dure

for

noti

fyin

g p

aren

ts o

f al

leged

ofi

ènder

s an

d a

lleg

ed v

icti

ms

in e

ach r

eport

ed H

IB i

nci

den

t,13

.

The

school

has

a p

roce

dure

in p

lace

to e

nsu

re c

om

ple

tion o

f ea

ch i

nves

tigat

ion w

ithin

10 s

chool

day

s of

the

wri

tten

rep

ort

.C

.

The

school

has

a p

roce

dure

in p

lace

to p

repar

e a

wri

tten

rep

ort

on t

he

findin

gs

of

each

HIB

inves

tigat

ion.

1).

'I'h

e sc

hool

has

a p

roce

dure

for

report

ing t

he

resu

lts

of

each

inves

tigat

ion t

o t

he

chie

f'sc

hool

adm

inis

tral

or

(CS

A)

wit

hin

2 s

chool

day

s oi'c

om

ple

tion o

f'th

e in

ves

tigat

ion.

__

__

__

__

__

__

__

_

__

__

__

__

__

__

__

__

__

SU

B-T

OT

AL

(poss

ible

12)

10_________

_C

ore

Ele

men

t#8

: R

IB R

epor

tin

g JV

. J.S

.A. 1

8.4:

17-4

6)

__

__

_

Indic

ator

A.

'l'he

school

has

a p

Eed

ure

for

cnsu

ripg t

hat

sta

f'i

mem

ber

rep

ort

s (i

.e., v

erbal

and w

ritt

en)

Incl

ude

the

requir

ed i

nfo

rmat

ion f

or

all

inci

den

ts o

f vio

lence

,va

ndal

ism

and

1(1

13.

___________

B.

the

off

icia

l gra

des

rec

eived

fro

m t

he

NJD

OE

. t'o

r th

e S

elf-

Ass

essm

ent

from

the

pre

vio

us

report

ing p

erio

d, fo

r th

e sc

hool

and f

or

the

school

dis

tric

t ar

eon t

he

school's

web

sit

rth

eA

BR

an

dth

eju

irem

en

t o

f' t

he N

JDO

E____

______

_____

SU

B-T

OT

AL

(pos

sib

le6)

__

_

TO

TA

LSC

OR

E(p

oss

ible

78)

4 62

Dis

tric

t N

ame:

Wes

t O

rang

e

Sch

ool N

ame:

Roo

seve

lt M

S

Page 59:  · I Full Cancelle _____ Partial Re-Issued. S TECHNOLOGICALLY ADVANCED ... Pension Reports, Multiple Worksite Report) • W2 Processing Wizard Purchase cost includes set-up/data

App

endi

x B

New

Jerse

y D

ep

artm

en

t o

f E

du

ca

tio

n

Sch

ool

Sel

f-A

sses

smen

t fo

r D

eter

min

ing

Gra

des

Und

er t

he A

nti-

Bul

lyin

g B

ill

of R

ight

s A

ct(A

BR

)

SU

MM

AR

Y R

EP

OR

TD

istr

ict

Nam

e:W

est

Ora

nge

Sch

ool

Nam

e:W

OH

S

Cor

e E

lem

ent

#1:

NIB

Pro

gram

s, A

pp

roac

hes

or

Oth

er I

nit

iati

ves

(N.J

.S.A

. 18,

1:37

-I 7

A)

______

______

_____

_______

Ind

icato

r

A.

The

school

annual

ly e

stab

lish

es H

113 P

rogra

ms,

appro

aches

and i

nit

iati

ves

.2

_________________

B.

The

school

annual

ly i

mple

men

ts a

nd d

ocu

men

ts H

IB p

rogra

ms,

appro

aches

or

oth

er i

nit

iati

ves

.2

_______

_______

__________________-

C.

The

school

annual

ly a

sses

ses

BIB

pro

gra

ms,

appro

aches

or

oth

er i

nit

iati

ves

._

__

__

__

__

__

__

__

__

_

__

__

_ _

__

__

__

__

__

__

__

__

__

__

__

__

__

__

-_

__

__

__

_1)

.

ihe

school's

1-1

113 p

rogra

ms,

appro

aches

or

oth

er i

nit

iati

ves

are

des

igned

to c

reat

e sc

hool-

wid

e co

ndit

ions

to p

reven

t an

d a

ddre

ss H

IB,

3Ii

.

The

school

safe

ty t

eam

(S

ST

)has

iden

tifi

ed p

atte

rns

of

1-1

113 a

nd r

evie

wed

sch

ool

clim

ate

and s

chool

poli

cies

for

the

pre

ven

tion o

f F

ill)

2

_____ _

_____

SU

B-T

OT

AL

(poss

ible

iS

)-

11to

re E

lem

ent

#2:

Tra

inin

g on

the

RO

E -

appr

oved

fIB

Pol

icy

(7V

.J.S

.A.

18A

:37-

17b

andc

,)_

__

__

__

__

__

__

__

__

_

__

__

_In

dica

tor

A.

Sch

ool_

empl

oyee

s,_c

ontr

acte

d se

rvic

e pr

ovid

ers

and

volu

ntee

rs a

re p

rovi

ded

trai

ning

on

the

HIB

pol

icy.

2________

__

__

__

__

__

__

__

__

__

__

__

__

_- _

__

__

__

B.

The

HIB

pol

icy

trai

ning

inc

lude

s in

stru

ctio

n on

pre

vent

ing

I-JI

B o

n th

e ba

sis

of p

t,ec

te

çate

ries

enum

erat

ed i

n t

he

AB

R, an

d o

ther

dis

tinguis

1jg

char

acte

rist

ics

that

may

inc

ite

inci

dent

s of

dis

crim

inat

ion

or H

IB.

3

C.

The

HIB

pol

icy

was

dis

cuss

ed w

ith

stud

ents

,_in

acc

orda

nce

wit

h th

e di

stri

ct's

pro

cess

for

the

se d

iscu

ssio

ns.

2_______

____________

SU

B-T

OT

AL

(p

ossi

ble

9)

7co

re E

lem

ent

#3:

Oth

erS

taff

Inst

ruct

ion

an

d T

rain

ing

Pro

gram

s (N

.J.S

.A. 1

8A:6

-112

, N.J

.S.A

. 18A

:37-

22d

, N.J

.S.A

l8A

:37-

25a)

_______

Ind

icat

orA

.

Eac

h t

each

ing s

taff

mem

ber

com

ple

ted a

t le

ast

2 h

ours

of

inst

ruct

ion i

n s

uic

ide

reven

tion t

hat

incl

uded

info

rmat

ion o

n H

IB i

n e

ach l

ive-

yea

r pro

fess

ional

lo

men

t p

erio

d."

_____________

___________

________

_____ _

________

_______________-

13.

Eac

h t

each

ing s

taff

mem

ber

com

ple

ted a

t le

ast

2 h

ours

of

inst

ruct

ion o

n H

ll3 p

reven

tion, in

eac

h f

ive-

yea

r pro

fess

ional

dev

elopm

ent

per

iod.

C.

The

school

anti

-bull

yin

g s

pec

iali

st (

AIl

S)

was

giv

en I

-e4ri

flg..he

usu

al s

chool_

sched

ule

to p

arti

cipat

e in

in-s

ervic

e tr

ainin

g i

n p

repar

atio

n t

o a

ct a

s th

eA

BS

_________

__________

_____

3

_______________

1).

'I'he

mem

ber

s of

the

school

safe

ty t

eam

(S

S'I

') w

ere

pro

vid

ed w

ith p

rofe

ssio

nal

dev

elopm

ent

in e

ffec

tive

pra

ctic

es o

f su

cces

sful

school

clim

ate

pro

gra

ms

-

ora

ppro

aches

.

__

__

__

_

__

__

__

__

__

__

__

__

__

__

__

_

__

__

__

2_

__

__

__

__

__

__

__

__

__

__

__

__

__

_

__

__

__

__

__

__

__

__

__

__

__

_B.

Sch

ool

lead

ers

hav

e re

ceiv

ed i

nfo

rmat

ion o

n t

he

pre

ven

tion o

f har

assm

ent.

inti

mid

atio

n a

nd b

ull

yin

g a

s par

t of

thei

r tr

ainin

g o

n i

ssues

ot's

chool

ethic

s,sc

hool

law

and s

chool

gyer

nan

cc.

__

__

__

__

__

__

2_

__

__

__

__

__

__

__

__

__

__

__

__

__

__

__

__

__

__

_

SU

B-T

OT

AL

(p

ossi

ble

15)

13______

Cor

e E

lem

ent

#4:

Cu

rric

ulu

m a

nd

In

stru

ctio

n o

f N

IB a

nd

Rel

ated

In

form

atio

n a

nd

Sk

ills

(N

. J.S

.A. 1

8A :

3 7-

29)

__

__

__

_

__

__

__

_In

dic

ator

A

Jhc

school

pw

vid

cd o

ngoin

g

g

ap_i

natc

inru

cti

on

on

pre

\tn

tln

g l

llB

in

icco

rdan

cc \

\ith

thi,

Core

Curr

iculu

m (

ontc

nt

Sta

nd i

rd13

.

The

school

obse

rved

the

e

of

Res

cci

" duri

ng t

he

wee

k b

egin

nin

g w

ith t

he

firs

t M

onday

in O

ctober

of

each

yea

r.E

acte

r educa k

hyJr

ovid

ing

____

____

____

____

____

___

3

_______

SU

B-T

OT

AL

(p

ossi

ble

6)

5

Page 60:  · I Full Cancelle _____ Partial Re-Issued. S TECHNOLOGICALLY ADVANCED ... Pension Reports, Multiple Worksite Report) • W2 Processing Wizard Purchase cost includes set-up/data

App

endi

xU

New

Jer

sey

Dep

art

men

t o

f E

du

cati

on

Scho

ol S

elf-

Ass

essm

ent f

or D

eter

min

ing

Gra

des

Und

er th

e A

nti-B

ully

ing

Bill

of R

ight

s A

ct(A

BR

)SU

MM

AR

Y R

EP

OR

T

Cor

e E

lem

ent

#5:

I-JI

BP

erso

nn

el (

N.J

.S.A

. 18A

:37-

20a,

N.J

.S.A

. 18A

:37-

20c,

_N.J

.S.A

. 18A

:37-

21a)

__

__

__

__

__

_

Ind

icat

orA

Ihi.

pri

nci

pal

appoin

tcda

school

anti

bull

.ing s

pcc

iali

t (A

DS

)

__

__

__

__

__

_

__

__

__

_

__

__

__

__

3________- _

_____ _

_____________

13.

The

AB

S m

et a

t le

ast

two t

imes

per

sch

ool

yea

r w

ith t

he

dis

tric

t an

ti-b

ull

yin

g c

oord

inat

or

(AB

C).

Ente

r th

e to

tal

num

ber

of

mee

tings.

_____

3C

.

The

school

safe

ty t

eam

(S

ST

)

at l

east

tw

o t

imes

per

sch

ool

yea

r to

dev

elop, fo

ster

and m

ainta

in a

posi

tive

school

clim

ate

by f

bcu

sing o

n t

he

ongoin

g7

sy'tcm

ic p

roce

ss a

nd p

ract

ices

in t

hc

school

and t

o a

ddie

ss s

chool

clim

ate

issu

cs l

ncl

u4&

1B

Ente

r th

c t

ota

l nurn

bcr

of

all

Sm

tins

SU

B-T

OT

AL

(poss

ible

9)_____

2 8_________

Core

Ele

men

t #6:

Sch

ool-

Lev

el N

IB I

nci

den

t R

eport

ing P

roce

du

re (

NJ.S

.A l

8A

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dis

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roce

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4113 t

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incl

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ew i

nfo

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n a

pri

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rep

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Bfo

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hoo

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hic

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o i

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ts o

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eport

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tigat

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__________ _

____________________________________

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'the

school

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tigat

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rep

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ritt

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BR

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f th

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(poss

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4 65

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Page 62:  · I Full Cancelle _____ Partial Re-Issued. S TECHNOLOGICALLY ADVANCED ... Pension Reports, Multiple Worksite Report) • W2 Processing Wizard Purchase cost includes set-up/data
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