Morris County School of Technology Substitute Teacher Manual 2014 - 2015

Transcription

Morris County School of Technology Substitute Teacher Manual 2014 - 2015
Morris County School of Technology
Substitute Teacher Manual
2014 - 2015
Table of Contents
BOARD OF EDUCATION .............................................4
SCHOOL ADMINISTRATION ..........................................4
OFFICE STAFF ...................................................4
SECRETARIAL STAFF ..............................................4
BUILDINGS, GROUNDS MAINTENANCE & CUSTODIAL STAFF ...............5
SECURITY STAFF .................................................5
STUDENT RESOURCE OFFICER .......................................5
IMPORTANT SCHOOL NUMBERS .......................................6
FACULTY/ROOM # .................................................7
MISSION STATEMENT ..............................................9
EFFECTIVE COMMUNICATIONS FOR HEARING IMPAIRED STUDENTS .........9
ANNUAL INTEGRATED PEST MANAGEMENT NOTICE .......................9
AHERA ANNUAL NOTIFICATION .................................... 13
SCHOOL CLOSINGS .............................................. 14
GENERAL PROCEDURES ........................................... 14
ELECTRONIC PORTABLE COMMUNICATION DEVICES .................... 15
SUBSTITUTE TEACHER RESPONSIBILITIES .......................... 18
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DISCIPLINE – Neil Torino, ext. 207 ........................... 19
MEDICAL PROCEDURES ........................................... 19
CRISIS RESPONSE REFERENCE GUIDE FOR TEACHERS ................. 20
Common Reactions for Students ...................... 21
EMERGENCY PROCEDURES ......................................... 21
JANET’S LAW .................................................. 22
CARE OF SCHOOL PROPERTY ...................................... 24
CORPORAL PUNISHMENT .......................................... 25
QUESTIONS YOU MAY NEED ANSWERED .............................. 25
NEW JERSEY SAFESCHOOLS TRAINING .............................. 26
HARASSMENT, INTIMIDATION AND BULLYING ........................ 27
SUBSTITUTE REVIEW CONFIRMATION ............................... 28
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BOARD OF EDUCATION
Ms. Barbara Dawson, President
Honorable Reginald Stanton, Vice President
Mr. Lawrence J. Colasurdo
Mr. John P. Hyland
Dr. Rosalie Lamonte, Interim Executive Morris County Superintendent
Susan Young, Board Secretary
SCHOOL ADMINISTRATION
Scott Moffitt, Superintendent
Susan Young, Business Administrator
Shari Castelli, Director of Curriculum & Instruction
Lynne Jackson, Principal
Athena Borzeka, Director of Student Personnel Services & Special Education
Neil Torino, Director of Athletics & Student Affairs
Kerry Eberhardt, Supervisor of Science, Technology, Engineering & Mathematics
Michael Gowdy, Supervisor of Grants & Program Management
Rori Benson, Supervisor of Vocational Technical Careers
Mark Menadier, Supervisor of Humanities
Keith Azzolina, Network Administrator
Irene Schrader, Enterprise Program Manager
OFFICE STAFF
Susan Phillips, Administrative Assistant to Superintendent
Lorraine Olano, Secretary
Sue Sorbera, Business Office Manager
Michele Meechan, Payroll, Benefits and Insurance Manager
Donna Fiederer, Accounts Payable
SECRETARIAL STAFF
Rosemary DeCagna, Grants Office
Mary Anne Hartman, Main Office
Carol Knapp, Curriculum Office
Patricia Mann, Guidance Office
Penny Manser, Athletics & Student Affairs
Patricia Mercurio, Main Office
Miriam Paz, Adult Education Office
Linda Scapicchio, Guidance Office
Denise Trimmer, Main Office
Dorothy VanHouten, Attendance Office
Helen Zeris, Child Study Team
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BUILDINGS, GROUNDS MAINTENANCE & CUSTODIAL STAFF
Michael Orlovsky, Supervisor
William Mickley Assistant Supervisor
Christopher Daniel
Simone D'Alessio
Lloyd Davenport
Robert Jeannette
Jeff Krause
Guiseppe Parisi
SECURITY STAFF
Michael Harriet
John Knapp
STUDENT RESOURCE OFFICER
Richard Duda
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IMPORTANT SCHOOL NUMBERS
Morris County School of Technology: (973) 627-4600
Superintendent, Scott Moffitt
Susan Phillips, Administrative Assistant
Director of Curriculum & Instruction, Shari Castelli
Carol Knapp, Secretary
Principal, Lynne Jackson
Pat Mercurio, Secretary
Supervisor/Vocational Technical Careers, Rori Benson
Mary Anne Hartmann, Secretary
Denise Trimmer, Secretary
Supervisor of Science, Tech, Eng. & Math, Kerry Eberhardt
Mary Anne Hartmann, Secretary
Denise Trimmer, Secretary
Supervisor of Humanities, Mark Menadier
Mary Anne Hartmann, Secretary
Denise Trimmer, Secretary
Supervisor of Grants & Program Mgmt., Michael Gowdy
Rosemary DeCagna, Secretary
Director of Student Personnel Services, Athena Borzeka
Patricia Mann, Secretary
Linda Scapicchio, Secretary
Dorothy VanHouten, Secretary (Attendance)
Guidance:
Kevin Elias, Counselor
Jennifer Katz, Counselor
Marisa Pelosi, Counselor
Stephen Ward, Counselor
Child Study Team:
Tina Alberto, Student Assistance Counselor & School Social Worker
Amanda Montani, School Psychologist
Robin Ravotto, School Psychologist
Tina Steinberg, Special Ed Classroom Liaison
Helen Zeris, Secretary
Director of Athletics & Student Affairs, Neil Torino
Penny Manser, Secretary
Nurse,
Julia Ioannou
Structured Learning Experience Coordinator,
Dave Keidel
213
214
206
225
243
260
124
269
226
202
269
226
224
269
226
244
258
229
238
230
211
221
205
220
228
204
203
230
297
207
189
241
242
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Craig Schreiner, Structured Learning Coordinator (PT)
FACULTY/ROOM #
Adams, Lisa
Adler, Gayle
Annuzzi, Vincenia
Arakelian, Sheila
Bendsak, Dale
Bienkowski, Cathy
Bohn-Drake, Emily
Brillon, Peter
Brophy, Kevin
Browne, Herbert
Chase, Jeffrey
Clark, Ruth
Cohen, Gregory
Condron, Kevin
Conover, Kevin
Dandino, Dana
Delesky, Kimberly
DeMarco, John
Dessel, Laura
Doherty, Pauline
Donahue, Marilynn
Doran, Robert
Dorothy Parker
Eckoff, Melissa
Evans, Latoya
Feakins, Bruce
Felix, Rocio
Fitzpatrick, Irene
Flechsig, Tina
Gordon, Timothy
Greenman, Michael
Harrington, Kathleen
Havas, Robert
Hendricks, Steven
Hietanen, Christine
English
Physical Education
World Language - French
Media Specialist
Design
Health Care Sciences
Social Studies
Math
Physical Education
Welding
Auto Service Technology
Dance
Social Studies
English
Electrical Trades
Cosmetology
Retail/Supermarket
B.E.S.T.
Mathematics
Biology
Health Care Science
Social Studies
Business & Finance
Special Education
Biology
Building Construction
Spanish
Theatre Arts
Cosmetology
Mathematics
Multi-Media
Mathematics
Special Education
Computer & Information Sciences
English
605
Gym
617
407
107
203
104
614
Gym
408
402
DL
607/608
606
305
103
109
302
615
412L
202
608
108
412
303
610
102
611
105
613
106
7
Ilardi, Katherine
Ingrassia, Laura
Johnson, Eric
Koehler, Tommy
Kucinski, Nancy
Latincsics, Andrew
Leonard, Helene
Le Rose, Michael
Lo, Sharon
Lopreiato, Timothy
Malagold, Scott
Malave, Leonardo
McNeill, Regina
Moschella, Tairran
Murphy, Jessica
Naegele, Joan
Netherland, Edward
O’Keefe, Patrice
Palladino, David
Petrucelli, Megan
Pien, Jennifer
Prentice, Albert
Quaglio, Michael
Quinones, Edward
Remillard, Stephen
Romano, Debra
Rosado, Ruben
Rosso, Louis
Rust, Kenneth
Saez, Tania
Schweon, Terry
Sevola, Melissa
Silversey, Joseph
Skomial, Jennifer
Visconti, Gina
Weems, Scott M.
Younce, Danah
Mathematics
Mathematics
Building & Grounds Maintenance
Veterinary Science
Child Related Careers
Science
Math
Music
Chinese
Science
Social Studies
CADD
Culinary Arts
Social Studies
Physical Education
English
Automotive Service Technology
Cosmetology
Social Studies
English
Science
Physical Education
Special Education
LPN
Food Services
Special Education
Art
Auto Body/Collision Repair
Plumbing
Spanish
Adult Education Program Specialist
Spanish
Auto Body/Collision Repair
Child Related Careers
English
Carpentry
Special Education
612
408
302A
414
410
301
417
102A
416
607
GYM
602
401
101
604
603
418
Gym
205
129
406
403
306
616
207
618
403
414
304
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MISSION STATEMENT
The mission of the Morris County Vocational School District is to provide vocational and
enrichment programs that inspire and prepare students to succeed in today’s world and pursue
tomorrow’s opportunities.
AFFIRMATIVE ACTION STATEMENT
It is the policy of Morris County School of Technology not to discriminate in its education
programs, activities, admission policies and practices on the basis of age, race, color, national
origin, sex, disability, sexual orientation or religion. Lack of English language skills will not be a
deterrent to attend classes or participate in activities at the Morris County School of Technology.
This is consistent with Board of Education Policy 453 Affirmative Action, Policy 211 Equal
Education Opportunity, Policy 546 Student Harassment & Bullying and Policy 441 Sexual
Harassment. In the event that any of the above noted polices are violated contact Affirmative
Action Officer and 504 Officer is the Director of Student Personnel Services, in Building
Four or phone extension 229.
EQUAL EMPLOYMENT OPPORTUNITY
The Board reaffirms its policy to insure equal employment opportunity for all persons and to
prohibit discrimination on the basis of sex, race, color, creed, religion, age, parental status,
physical disability, learning disability, sexual orientation, and/or national origin and to provide
equal access to all categories of employment in the public educational system of Morris County
Vocational School District.
EFFECTIVE COMMUNICATIONS FOR HEARING IMPAIRED STUDENTS
Morris County Vocational School District will provide communication aids, auxiliary aids and
services for effective communication to secondary and post secondary prospective and current
students with hearing impairment, at no cost to the student being served in accordance with
the student’s educational plan or section 504 plan.
ANNUAL INTEGRATED PEST MANAGEMENT NOTICE
This notice is being distributed to comply with the New Jersey School Integrated Pest
Management Act. Morris County Vocational School District (MCVSD) has adopted an Integrated
Pest Management (IPM) policy and implemented an IPM Plan to comply with this law. IPM is a
holistic, preventive approach to managing pests that is explained further in the school’s IPM
Policy # 3510, readopted on November 11, 2009, included with this notice.
All schools in New Jersey are required to have an Integrated Pest Management Coordinator (IPM
Coordinator) to oversee all activities related to IPM and pesticide use at the school. The IPM
Coordinator for MCVSD is:
Name of IPM Coordinator:
Phone Number:
Michael Orlovsky, Supervisor of Buildings & Grounds
973-627-4600, Ext. 227
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School Address:
400 East Main Street, Denville, NJ 07834
The IPM Coordinator maintains the pesticide product label and the Material Safety Data Sheet
(MSDS, when one is available) of each pesticide product that may be used on school property.
The label and MSDS are made available for review by a parent, guardian, staff member or
student attending the school. Also, the IPM Coordinator is available to parents, guardians and
staff members for information and to discuss comments about IPM activities and pesticide use at
the school. No pesticides have been used in the past 12 months on school property.
All pest-related issues at MCVSD are referred to a licensed certified contractor.
As part of a school pest management plan MCVSD may use pesticides to control pests. The
United States Environmental Protection Agency (EPA) and the New Jersey Department of
Environmental Protection (DEP) register pesticides to determine that the use of a pesticide in
accordance with instructions printed on the label does not pose an unreasonable risk to human
health and the environment. Nevertheless, the EPA and DEP cannot guarantee that registered
pesticides do not pose any risk to human health, thus unnecessary exposure to pesticides should
be avoided. The EPA has issued the statement that where possible; persons who are potentially
sensitive, such as pregnant women, infants and young children should avoid unnecessary
pesticide exposure.
OPERATION AND MAINTENANCE OF PLANT
The board of education is responsible for providing school facilities that are safe from hazards;
sanitary; properly equipped, lighted and ventilated; and aesthetically suited to promoting the
goals of the district. School buildings and site accommodations shall include provisions for
individuals with disabilities pursuant to law and regulations.
The superintendent/principal shall develop and enforce detailed regulations for the safe and
sanitary operation of the buildings and grounds. The regulations shall be reviewed and adopted
by the board, and explained to all staff annually at the beginning of each school year and when
any changes are made.
The superintendent/principal and board secretary shall develop a multiyear comprehensive
maintenance plan for board approval, to be updated annually.
Work Order System
The school district has an automated work order system for prioritizing, performing and
recording all maintenance and repair request for all district buildings and grounds.
The chief school administrator or designee shall establish in the standard operating procedures
for business functions the approval and prioritization of work order requests which take into
account the health and safety of building occupants, priorities and objectives established
annually to carryout the district Strategic Plan, the need for the work requested, and other
factors the district deems appropriate.
The work order system shall include the following information for a request for work before work
begins, except in an emergency where the work is necessary to correct a situation that poses an
imminent threat to the health or safety of students and/or staff:
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
The name of the person making the request;
The date of the request;
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The appropriate approval(s) as established by Standard Operating Procedures (SOP);
The date of approval(s);
The location of work requested;
The priority level (for example, urgent, high, average, low);
The scheduled date(s) of service;
The trade(s) needed such as general maintenance worker; custodian; carpenter; plumber;
electrician; heating, ventilation and air conditioning (HVAC); grounds; roofer; masonry;
glazer; other;
A description of the work requested;
A projection of the materials and supplies needed for the work;
The estimated man hours needed to complete task;
The name of the work order assigner; and
The name of the employee(s) working on the order.
The work order system shall include the following close-out information for each request for
work:
 The actual hours worked by date for each assigned staff member;
 The actual hourly rate paid, both regular and over-time, for each assigned staff member;
 The aggregate cost of labor by regular, over-time and total;
 The actual materials and supplies needed to complete the work order;
 Actual cost of materials and supplies; and
 The name of the employee responsible for attesting that the job was completed satisfactorily.
Except where prohibited by collective bargaining agreement, the SOP shall require for any work,
which cannot be completed during regular working hours by the needed completion date, an
assessment of the cost-benefit of outsourcing any such work in excess of the quote threshold as
determined under N.J.S.A. 18A:18A-37.
Where, according to the assessment, the cost of outsourcing work is less than the in-house
estimated cost of labor, at over-time rates, and materials for the same work, the work shall be
outsourced provided the work can be contracted in accordance with N.J.S.A. 18A:18A-1 et seq.,
completed by the projected completion date contained in the prioritized work order system and
does not violate the terms of the collective bargaining agreement for maintenance workers
and/or custodians.
The business administrator/board secretary in consultation with the supervisor responsible for
this work shall conduct an analysis of the information in the work order system no later than
February 1 of the prebudget year for consideration during budget preparation. The analysis
should include productivity of staff as a whole and individually, significant variations between
estimated labor time and materials and actual labor time and materials, unusual trends for like
projects and other factors that will improve productivity and efficiency.
Integrated Pest Management
The New Jersey School Integrated Pest Management Act of 2002 requires schools to implement
a school integrated pest management policy. As per this policy, each local school board of a
school district, the superintendent/principal shall implement Integrated Pest Management (IPM)
procedures to control pests and minimize exposure of children, faculty, and staff to pesticides.
Morris County Vocational and Technical School shall develop and maintain an IPM plan as part
of the school’s policy.
Integrated pest management procedures in schools
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Implementation of IPM procedures will determine when to control pests and whether to use
mechanical, physical, cultural, biological or chemical methods. Applying IPM principles prevents
unacceptable levels of pest damage by the most economical means and with the least possible
hazard to people, property, and the environment.
Morris County Vocational School District shall consider the full range of management options,
including no action at all. Morris County Vocational School District will use non-pesticide pest
management methods whenever possible. The choice of using a pesticide shall be based on a
review of all other available options and a determination that these options are not effective or
not reasonable. When it is determined that a pesticide must be used, low impact pesticides and
methods are preferred and shall be considered for use first.
Development of IPM plans
The school IPM plan is a blueprint of how Morris County School of Technology will manage pests
through IPM methods. The Morris County Vocational School District IPM plan states the school’s
goals regarding the management of pests and the use of pesticides. It reflects the Morris County
Vocational School District’s site-specific needs. The Morris County Vocational School District IPM
plan provides a description of how each component of the school IPM policy will be implemented
at the Morris County Vocational School District.
IPM Coordinator
The superintendent/principal shall designate the head of maintenance an integrated pest
management coordinator, who is responsible for the implementation of the school integrated
pest management policy.
Education /Training
The head of maintenance, other school staff and pesticide applicators involved with
implementation of the school IPM policy will be trained in appropriate components of IPM as it
pertains to the school environment.
The school community will be educated about potential pest problems and IPM methods used to
achieve the pest management objectives.
Students, parents/guardians will be provided information on this policy and instructed on how
they can contribute to the success of the IPM program.
Record keeping
 Records of pesticide use shall be maintained on site to meet the requirements of the state
regulatory agency and the school board.
 Records shall also include, but are not limited to, pest surveillance data sheets and other
non-pesticide pest management methods and practices utilized.
Notification/Posting
The superintendent/principal of Morris County Vocational School District is responsible for timely
notification to students’ parents or guardians and the school staff of pesticide treatments
pursuant to the School IPM Act.
Re-entry
Re-entry to a pesticide treated area shall conform to the requirements of the Morris County
Vocational School District IPM Act.
Pesticide applicators
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The Morris County Vocational School District IPM coordinator shall ensure that applicators follow
state regulations, including licensing requirements and label precautions, and must comply with
all components of the Morris County Vocational School District IPM Policy.
Evaluation
Annually, Morris County Vocational School District superintendent/principal will report to the
local school board on the effectiveness of the IPM plan and make recommendations for
improvement as needed.
The local school board directs the Superintendent to develop regulations/procedures for the
implementation of this policy.
AHERA ANNUAL NOTIFICATION
In the past, asbestos was used extensively in building materials because of its insulating, sound
absorbing, and fire retarding capabilities. Virtually any building constructed before the late
1970s contained some asbestos. Intact and undisturbed asbestos materials generally do not
pose a health risk. Asbestos materials, however, can become hazardous when, due to damage or
deterioration over time, they release fibers. If the fibers are inhaled, they can lead to health
problems, such as cancer and asbestosis.
In 1986, Congress passed the Asbestos Hazard Emergency Response Act (AHERA) which
requires schools to be inspected to identify any asbestos containing building materials.
Suspected asbestos-containing building materials were located, sampled (or assumed) and rated
according to condition and potential hazard.
As required by the federal AHERA law, every three years, the Morris County Vocational School
District (MCVSD) has conducted a reinspection and every 6-months a walkthrough to determine
whether the condition of the known or assumed asbestos containing building materials (ACBM)
has changed and to make recommendations on managing or removing the ACBM. At the last
reinspection, all materials listed in the Management Plan as asbestos containing (or assumed to
be asbestos-containing) were inspected and appropriate response actions recommended.
The law further requires an asbestos management plan to be in place by July 1989. MCVSD
developed a plan, as required, which has been continually updated. The plan has several
ongoing requirements: publish a notification on management plan availability and the status of
asbestos activities; educate and train its employees about asbestos and how to deal with it;
notify short-term or temporary workers on the locations of the asbestos containing building
materials; post warning labels in routine maintenance areas where asbestos was previously
identified or assumed; follow set plans and procedures designed to minimize the disturbance of
asbestos containing building materials; and survey the condition of these materials every six
months to assure that they remain in good condition.
It is the intention of MCVSD to comply with all federal and state regulations controlling asbestos
and to take whatever steps are necessary to ensure students and employees a healthy and safe
environment in which to learn and work. You are welcome to review a copy of the school’s
asbestos management plan in the administrative office of the school during regular business
hours.
Please contact the Business Office at 973-627-4600, Ext. 219 to schedule an appointment.
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SCHOOL CLOSINGS
When it is necessary to close or delay school, TV stations News 12 NJ, WNBC TV, WABC TV and
FOX 5 News will post closings. Also, there will be a recorded message regarding a closing or
delayed opening on the school’s main phone number (973-627-4600) after 6:00 a.m.
GENERAL PROCEDURES
Each substitute should report to the Main Office in Building One upon arrival. The Secretary will
provide you with a substitute folder containing lesson plans, attendance sheets, discipline
referral forms and a class evaluation form which must be completed and returned to the
teacher’s mailbox. The substitute folder along with the classroom keys must be returned to the
Secretary at the end of the day.
Students must be supervised at all times. If it is necessary for a substitute to leave a class or
assigned area in an emergency, the Domain Supervisor must be contacted for assistance.
Attendance must be taken at the start of each class, and hall passes must be issued to any
student who must leave the class.
Follow plans as closely as possible and assign a reasonable amount of work. If specific plans
are not available, request a packet of generic lesson plans from the Domain Supervisor.
Be proactive:
 Be on time for all your assignments, including scheduled duties.
 Make every class minute count through careful planning.
 Check the teacher’s mailbox at the beginning of each session for pertinent information.
 Place notices, information and class evaluation forms in the teacher’s mailbox at day’s end.
 Familiarize yourself with the Student Handbook, which can be viewed on our website
(www.mcvts.org).
 Substitute teachers are expected to assist with student supervision in the halls, between
classes and at dismissal time.
 No student may leave the class without a Hall Pass issued by the assigned substitute. Only
one student at a time may be permitted to leave the class.
No student may leave the building without permission from the Attendance Office, including
students over age 18.
A lesson plan folder for each teacher/program is maintained in the Main Office and should
contain the following:
*Lesson Plans
*Duty Assignments
*Routine Procedures
*Drill Procedures
*Class List
*Class Time Schedule
*Discipline Form
In addition to the above, you may find other information, forms, etc., pertinent to the program.
Substitute teachers are expected to follow these plans.
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All substitute teachers are directly responsible to the Domain Supervisor for the teacher
receiving coverage. All changes or modifications in the initial assignment of a substitute must be
approved by one of these Administrators.
ELECTRONIC PORTABLE COMMUNICATION DEVICES
The school administration understands the benefits of wireless technology for maintaining family
communication. In addition, wireless communication devices provide a level of security for
students. Students may possess, display, and use electronic portable communication devices
only as set forth in this policy.
“Electronic portable communication devices” are defined to include portable two-way
telecommunication devices, including but not limited to cellular telephones, walkie-talkies,
personal digital assistants, IPOD’s, MP3 players and other hand-held computing devices (when
such device is being used as a communication device). This definition will also include any new
technology developed for similar purposes. Excluded from this definition is any device with
communication capabilities that has been approved for instructional purposes.
Students are permitted to use electronic portable communication devices in accordance with the
acceptable use policy for educational purposes under the supervision of school personnel. Any
staff member may direct student to put away their electronic portable communication device if it
interferes with instruction, causes disruption or poses a safety concern. Students are
responsible to ensure that their devices are turned off and out of sight when not being used for
educational purposes. Evidence of unauthorized use will result in disciplinary action in
accordance with the school’s discipline policy 5131 Student Conduct and Discipline.
Unauthorized use and any illegal, destructive, harmful or inappropriate activities, including, but
not limited to computer hacking, cyber-bullying, accessing offensive/obscene materials,
cheating, etc. will not be tolerated and will result in confiscation of the device as well as other
disciplinary actions deemed necessary by the Director of Athletics and Student Affairs and/or
reporting to law enforcement authorities.
The Morris County Vocational School District will assume no responsibility in any circumstance
for the loss/destruction/damage or theft of electronic portable communication devices or for any
communication bill associated with the authorized or unauthorized use of said devices. Students
will be responsible for locating such lost/stolen items.
ELECTRONIC COMMUNICATION BY SCHOOL STAFF
”Electronic communications,” for the purpose of this policy, means a communication transmitted
by means of an electronic device including, but not limited to, a telephone, cellular phone,
computer, computer network, personal data assistant, or pager. Electronic communications
include, but are not limited to, e-mails, instant messages, and communications made by means
of an Internet website, including social media and social networking websites. The chief school
administrator/principals will annually remind staff members and orient new staff members
concerning the importance of maintaining proper decorum in the on-line, digital world as well as
in person. Employees must conduct themselves in ways that do not distract from or disrupt the
educational process.
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The annual orientation and reminder will give special emphasis to improper fraternization with
students using electronic communications:
A. School employees may not list current students as “friends” on networking sites without
written approval of the school principal;
B. All electronic contacts with students should be through the district’s computer and telephone
systems;
C. All electronic contacts by coaches and extracurricular advisors with team members and
members of extracurricular activities shall, as a general rule, be sent to all team members
and activity participants;
D. School employees will not give out their private cell phone or home phone numbers to
students without prior approval of the principal;
E. Electronic communications that are inappropriate and therefore prohibited include but are
not limited to:
1.
2.
3.
4.
5.
Items with sexual content
Items exhibiting or advocating use of drugs, alcohol or other illegal activities
Items that pertain to students, including confidential information
Any content that significantly affects the employee’s ability to perform his/her job or
disrupts the educational environment
Any content that would violate district policies and procedures
F. Examples of inappropriate behavior from other districts shall be covered and discussed,
including behavior to avoid and the need for staff to use common sense in avoiding
inappropriate and unprofessional behavior
G. Staff shall have no expectation of privacy when using district technology, the district
network and/or public social media venues
H. The administration shall reserve the right to monitor for improper staff electronic
communications on district computers, other school issued technology, and the district
computer network
I. Staff shall be informed of the consequences that may result from inappropriate electronic
communications up to and including dismissal from employment.
The chief school administrator or designees may periodically conduct internet searches to see if
staff members have posted inappropriate materials on-line. When inappropriate use of
computers and internet websites is discovered, the school principals and chief school
administrator will seek to preserve the problematic or offensive material and will seek to
maintain storage and chain of custody of the evidence. The chief school administrator/principal
shall promptly bring that alleged misconduct to the attention of the board president.
CELL PHONES
As a general rule, school staff shall not contact students’ cell phones unless directed to do so by
the parent/guardian or student. School district personnel shall limit cell phone interaction with
students to contact that pertains to legitimate school business. Legitimate school business
includes (but is not limited to):
A. Answering academic inquiries regarding homework, other classroom work or assignments;
B. Scheduling appointments for school related conferences and/or extra help;
C. Clarifying classroom expectations and/or assignments;
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D. Notifications related to classroom, club or sports schedules, events, trips, assignments, and
deadlines.
Cell phone contact with students shall be as brief and direct as possible. When brief contact is
not sufficient and/or feasible to resolve the matter, where appropriate, teachers shall schedule
face-to-face conferences during regular classroom and extra-help periods to confer with the
student. No cell phone contact shall exceed three replies.
TEXT MESSAGES
Any text messages by staff members, coaches and volunteers shall, as a general rule, be sent to
the entire class, team, club or organization and not to any student individually. Exceptions may
include situations involving confidential medical issues, emergencies or individual issues not
involving the entire group. Staff shall not send messages containing material that:
A. May be perceived as profane, obscene, racist, sexist or promote illicit, illegal or unethical
activity;
B. Violates the district’s affirmative action policies (2224, 4111.1, 4211.1, and 6121);
C. Is personal in nature and not related to the business of the district;
D. Can be interpreted as provocative, flirtatious or sexual in nature;
E. Is confidential information and not authorized for distribution;
F. Violates board policy 5131.1 Harassment, Intimidation and Bullying.
ELECTRONIC COMMUNICATION
School district personnel shall adhere to the following guidelines when sending or receiving
messages via district owned or issued devices and the district network:
A. All messages shall pertain to legitimate school business;
B. Personnel shall not reveal district issued passwords to others. If a staff member believes
that a password has been lost or stolen, or that email has been accessed by someone
without authorization, he/she must contact the supervisor for technology or the principal;
C. District administrators shall have access to the employee’s password or passwords for all
district owned or issued devices and the use of the district network;
D. Electronic messages (email) on school owned or issued electronic devices and the district
network shall be retained for the period of time specified by the Destruction of Public
Records Law and board policy 3570 Records (retained three (3) years for external
correspondence and one (1) year for internal correspondence)
E. Federal copyright laws shall be observed;
F. Staff shall not send messages that contain material that:
1. May be perceived as profane, obscene, racist, sexist or promote illicit, illegal or
2.
3.
4.
5.
6.
unethical activity;
Violates the district’s affirmative action policies (2224, 4111.1, 4211.1, 6121);
Is personal in nature and not related to the business of the district;
Can be interpreted as provocative, flirtatious or sexual in nature
Is confidential and not authorized for distribution;
Violates board policy 5131.1 Harassment, Intimidation and Bullying.
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G. Personnel shall become familiar with the district’s policies and regulation on staff and
student access to networked information resources and acceptable use of technology
(6142.10 Internet Safety and Technology) before initiating email use;
H. Employees learning of any misuse of the email systems shall notify the supervisor for
technology, principal or chief school administrator immediately.
ONLINE EDUCATION
An online classroom is still a classroom. Though courses and/or assigned
programs of home instruction may be online, appropriate classroom behavior is still mandatory.
Respect for the participants is essential for learning and student achievement.
Staff communications with students during online education will be limited to legitimate school
business as set forth under cell phones, text messages and electronic communication, above.
Professional standards and etiquette shall be observed at all times.
IMPLEMENTATION
This policy shall be made available electronically or otherwise disseminated to all staff members,
annually or as needed.
SUBSTITUTE TEACHER RESPONSIBILITIES
Morris County School of Technology is both a share time and a full time technical school.
When substituting for an academy teacher, share time teacher or an academic teacher, please
note the duties, preparation period and lunch period. Follow the schedule accordingly.
School hours are from 8:00 a.m. to 2:52 p.m. Teacher start time is 7:45 AM. Substitute
teachers should plan to arrive prior to 7:45 a.m. to receive their materials and assignment so
that they can be in the classroom ready to receive students promptly at 8:00 a.m. Substitute
teachers take lunch according to their teacher schedule and are expected to be in the classroom
prior to the beginning of their next class to receive students.
Classroom Attendance
Attendance must be taken within the first ten minutes of each block. Report student
absences to Dottie VanHouten in the attendance office located in Building One lobby.
This is done in one of two ways;
 Record student absences on the class roster provided for each class and have a
student turn it in at the attendance office.
 Call Dottie VanHouten in the attendance office at ext. 211 and report all student
absences.
Attendance sheets will be available from the Main office in Building One. All class sessions have
separate attendance sheets. A late pass is required for all students reporting late to class. NO
STUDENT IS TO BE ADMITTED LATE TO CLASS WITHOUT A PASS. Send student to Director of
Athletics and Student Affairs (Neil Torino) in Building One if student fails to produce pass or any
document was not made regarding transportation problems from sending district.
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DISCIPLINE – Neil Torino, ext. 207
Administrators, instructors and parents may have many different approaches to student
discipline. Nevertheless, there are some general observations that may help you deal effectively
with our students.
1.
Students respond to consistent discipline patterns. If there is a clear policy
of classroom rules, students will generally follow them. Set up reasonable
expectations and enforce them. Praise their cooperation.
2.
As a substitute, some students may try to “test” you. BE READY FOR IT.
If you are uncertain about anything, check with the Main Office. Disciplinary Referral
Forms are supplied in the daily Substitute Folder which is given to you each day you sub.
Additional forms are available in the Main Office, Building One. This form should be used
when a student must be referred to the Administration for disciplinary action.
Instructors/substitutes are encouraged to handle disciplinary situations within their assigned
area; however, should a situation develop that is beyond the scope of the classroom/shop or is
beyond the norm, a member of the Administration should be contacted immediately:
Director of Athletics, Student Affairs & Discipline, X 207; or dial “0” and request that Neil Torino
be paged to your room.
Supervisor of Mathematics and Science, X 202;
Supervisor of Humanities, X 224;
Supervisor of Vocational/Technical Careers, X 124;
Disciplinary infractions of a less severe nature should be recorded on the Disciplinary Point
Notification Form and submitted to Neil Torino, located in Building One, for action.
MEDICAL PROCEDURES
Any student who becomes ill or injured during school hours should be seen by the School Nurse.
All students visiting the nurse must be issued a Hall Pass. If deemed necessary, another student
may accompany the ill/injured student to the Nurse’s Office. The Nurse maintains a log of each
student treated.
In the event of an accident, the Nurse requires a description of the incident by the teacher so
that an accident report can be filed. Should an injury/illness be SERIOUS, do not hesitate to
call an Administrator for assistance and do not move the student without the Nurse’s
consent.
Prescription medications may only be administered by the Nurse.
medication, please refer that student to the Nurse, Ext. 241.
If a student has any
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Finally, please use wise judgment in sending students to the Nurse’s office.
CRISIS RESPONSE REFERENCE GUIDE FOR TEACHERS
The members of the Morris County School of Technology’s Crisis Response Team (CRT) are:
 Scott Moffitt, Superintendant
 Susan Young, Business Administrator
 Lynne Jackson, Principal
 Athena Borzeka, Director of Student Personnel Services and Special Education
 Neil Torino, Director of Athletics and Student Affairs
 Tina Alberto, School Social Worker/Student Assistance Coordinator
 Robin Ravotto, School Psychologist
 Amanda Montani, School Psychologist
 Julia Ioannou, School Nurse
If you become aware of a crisis, please immediately contact one of the members of the CRT.
Examples of crises/ traumatic events that could impact schools are suicides, homicides, terrorist
acts, and natural disasters.
The purpose of the CRT is to help with the following:

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
Shield and protect the survivors from additional stress and trauma
Assist the survivors by connecting them with available support and resources
Return the survivors to a functioning level
Maintain the normal structure of the school day
Guidelines for Teachers:
Demonstrate calm leadership. We may not feel like we are in control, but we should model
control. This does not mean we resist showing our emotions and expressing our sadness.
Rather, we are modeling the ability to be sad, yet resilient, and if necessary, we seek help from
others (i.e., requesting a substitute teacher or CRT member to alleviate you).
Times of crisis in the schools create a potential teaching opportunity. How we respond will teach
students about death, whether our school is a safe place, how much we care about kids, and
how we cope with death, grief, and loss.
Maintain predictability and normalcy as much as possible. Predictability and normalcy promote
security.
Not all students will have difficulty coping. Maintaining the normal structure of the school day
will reassure all students, and help us identify those who are having particular difficulty.
Some students will want to talk about the event incessantly and others will not want to talk
about it at all. It is not easy to find the balance with so many disparate reactions. As a general
rule, spend a few minutes at the beginning of most classes to allow students to discuss the
event, and then gently redirect them back to class topics.
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Manage contagion and rumors by providing clear information, relying on prepared statements
and on-going communication with CRT members.
Utilize safe rooms (Library Media Center) for specific students who need it. Follow all attendance
procedures for students requiring a pass to the counseling rooms. If multiple students are
having difficulty in your class, we can send a CRT member to assist you.
Following suicide or other sudden death, keep the focus off of how it happened.
Never talk to a troubled student alone. Always approach with one other professional
Do not try to “fix” students or do therapy. Always refer students having difficulty to a counselor.
Common Reactions for Students
The following reactions to traumatic events can be considered “normal,” but should be brought
to the attention of a counselor:
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Anxiety, fears, worries or the perceived lack of safety/security
Fears of re-occurrence
Incessant focus
Somatic complaints
Irritability
Guilt – “I could have prevented it, I should have seen it coming”
Hyperactivity, hyper-arousal
Decreased activity, attention, and concentration
Withdrawal
Anger and aggression
Sleep/ eating problems
Always contact an Administrator, School Social Worker/Student Assistance
Coordinator, School Psychologist, or School Counselor if a student is a danger to
himself/herself or others.
EMERGENCY PROCEDURES
FIRE DRILLS
Our school is required by law to conduct two fire drills per month. In each room the direction
and location for students is posted. You should familiarize yourself with this plan. Should the
alarm sound, please note the following:





Leave the building according to the floor plan of the room.
Windows should be closed, lights turned off and doors shut.
Teachers must accompany the class out of the building.
Students line up in two columns, substitutes should be the last to leave the
room.
There must be absolute silence during a fire drill.
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





Classes or groups must remain together at all times during a drill.
All staff must leave the building during a drill.
Carry the Class Record Book/Attendance with you.
Once outside the building and in the proper gathering area, retake and record any missing
students. Any missing student should be reported to an Administrator immediately using the
red card provided. Remain together as a class until all clear.
Do not return to the building unless instructed to do so by the administration using one blast
of the fire bell system.
Once back in the classroom, retake attendance reporting any missing students to Neil Torino
ext. 227 immediately.
LOCKDOWNS



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
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Remove students from the immediate hallway.
Lock your door. Turn off the lights. Close all windows and pull shades.
Move students into a corner of the room away from doors and out of the line of sight. Sit on
the floor.
Take attendance with special note of your students who are out of class at the time and
those who were brought in from the hallway.
Ignore all bells and alarms until notified by emergency personnel and or school
administrator.
DO NOT respond to anyone who may knock on the door during a lockdown unless it is
clearly emergency personnel.
Remain in room. Allow no one to leave until you are advised it is all clear over the PA system
by an identified administrator.
EMERGENCY EVACUATION

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


Classrooms in Building One - go to Fox Hill Road sidewalk area
Classrooms in Buildings Two, Three, Four and Six - go to outer parking lot across from
Building Four.
Assemble class and take attendance.
Remain together as a class until all clear.
Emergency evacuations must be conducted as quickly as possible.
JANET’S LAW
The Administrative Emergency Action Plan for Sudden Cardiac Events is developed and
implemented as our District Emergency Action Plan that establishes guidelines for the use of the
AED. This plan contains detailed procedures on responding to a sudden cardiac event including,
but not limited to the identification of the persons in the school who will be responsible for
responding to the person experiencing the sudden cardiac event, calling 911, staring cardiopulmonary resuscitation, retrieving and using the defibrillator, and assisting emergency
responders in getting to the individual experiencing the sudden cardiac event. The plan is board
approved under Policy 5141 Health.
AED Locations:
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There is a working Automated External Defibrillator (AED) in multiple locations throughout the
school district. Each AED is identified and kept in an unlocked, wall mounted, container. Signage
is available in every building identifying the locations of an AED.
1. The High School has an unlocked AED available outside our school nurse’s office in
building 4. This is also near the entrance to Building 4 near the parking areas and access
to other buildings.
2. There is an AED device in Building 6 near the vending machines making it available for
activities in the Gymnasium, Dance and Multimedia areas as well as building 2 and 3.
3. There is an unlocked AED available in the corridor outside Supermarkets Classroom in the
corridor in building 1. This corridor is open to building 1/6, 3, and 2.
4. We also have an AED in Building 3 in the corridor near the Building Construction class and
Electrical Class. This provides access to student departure areas, the staff and student
parking lots.
5. All AED’s are marked by indicating arrows and signs
6. All Athletic Fields and Facilities we utilize either have an AED or we will provide
transportable AED’s for the trained coaches to use. A detailed emergency response plan
identifying the emergency response team members at each athletic field and facility is
included in our coaches’ manual. This will be reviewed regularly.
Every athletic team coach, our school nurse, and our SRO is trained and certified in both cardiopulmonary resuscitation (CPR) and the use of the AED. This is in accordance with the provisions
of section 3 of P.L.1999, c.34 (C.2A:62A-25).
The Denville Rescue Squad, Fire Department and Police Department have all been notified of the
types of defibrillators we have, as well as where they are located in each of our school buildings.
Administrative Emergency Action Plan for Sudden Cardiac Events
Upon sudden cardiac event, the district’s MERT (Medical Emergency Response Experienced
Team) will be contacted and the following procedures will be enacted. The responsibilities and
procedures of the Sudden Cardiac Experience Team members are as follows.
In the absence of anyone of our Medical Emergency Response Team members we have identified
an alternate (substitute) in cases requiring an immediate 2nd responder.
RESPONDER 1
ROLE
RESPONDER 2
Rick Duda
Activates code AED brings
defibrillator
Substitute officer
Julia Ioannou
CPR
Substitute school nurse
Neil Torino
CPR
Gayle Adler
AJ Prentice
CPR
Shari Castelli
Kevin Elias
Recorder/timekeeper
Jen Katz
Tina Alberto
Directs students/staff to area.
Provides counseling/support to
students/staff witnessing event
Robin Ravotto
Amanda Montani
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Lynne Jackson
Main office communications.
Advises secretary to call modified
lock down and all clear.
Communicates with Scott Moffitt.
Mark Menadier
Scott Moffitt
Communicates with police /EMT
Liaison
Susan Young
Athena Borzeka
Contacts student’s parents,
emergency contacts as needed
and/or siblings in MCVTS and other
schools.
Rori Benson
CARE OF SCHOOL PROPERTY
Please notify students that school buildings and equipment are public property.
students proper respect for the property of others.
Teach your
CLASSROOM CARE
Students should feel that the classroom is their home while at school and share in the
responsibility for keeping it neat and clean. A teacher is often judged by the appearance and
cleanliness of the room. Teaching children to be neat, orderly and clean is one of our duties.
Setting a good example is helpful. Custodians have a difficult task keeping schools neat and clean.
They need our help.
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DAILY CHECKLIST
a. Are your book shelves in order?
b. Is your pencil sharpener emptied?
c. Is your floor free of excess materials?
d. Are your bulletin boards neat and attractive?
e. Is your room cheerful in appearance?
f. Are the chalkboards and trays attractive and clean?
g. Are the pupil’s desks free from excess material/extraneous writing?
Students are not to open windows unless directed by the teacher.
Clean, well-kept blackboards, chalk trays and erasers give an appearance
of neatness.
Booklets, attractively displayed, stimulate interest.
Orderliness of the teacher’s desk (inside and out) adds to the neatness of the room.
Orderliness of supplementary materials (books, maps, etc.,) is helpful.
Inspect floors around desks at the end of each class and pick up papers.
AT THE CLOSE OF THE SCHOOL DAY, CHECK CAREFULLY TO BE SURE ALL WINDOWS
ARE CLOSED AND LOCKED.
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CORPORAL PUNISHMENT
Title 18:19-1 of the Revised NJ Statutes: No person employed or engaged in a school or
educational institution, whether public or private, shall inflict, or cause to be inflicted,
corporal punishment upon a pupil attending such school or institution: but any such
person may, within the scope of his/her employment, use and apply such amount of
force as is reasonable and necessary (1) to quell a disturbance threatening physical
injury to others, (2) to obtain possession of weapons or other dangerous objects upon
the person or within the control of a pupil, (3) for the purpose of self-defense and (4) for
the protection of persons or property and such acts or any of them shall not be
construed to constitute corporal punishment within the meaning and intention of this
action. Every resolution, by-law, ordinance, or other act of authority permitting or
authorizing corporal punishment to be inflicted upon a pupil attending a school or
educational institution shall be void.
QUESTIONS YOU MAY NEED ANSWERED
Classroom Keys and Lesson Plans
Keys and plans will be made available to you from the Main Office, located in Building
One. Lesson Plans and activities are to be followed as per teacher instruction. Homework
assignments should also be listed in the plan where applicable. Classroom keys and
substitute folders must be returned at the end of the day.
Time Sheets
All substitutes are required to submit a completed substitute coverage form for each day
worked. These forms are available from the Secretary in the Main Office and should be
picked up at the beginning of the day. For longer term assignments, covering one class
for an extended period, a time sheet is required indicating each day and/or hour worked.
Emergency Situations
A situation involving the health, safety or physical well-being of a student or staff
member would necessitate contacting the School Nurse first (X 241) and an
Administrator second. In all other emergency situations, contact an Administrator
immediately. Telephone extensions are listed on page 3&4.
Audio/Visual Equipment
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Audio/visual equipment is contained in each classroom/shop area. Should you require a
piece of equipment that is not present in the classroom/shop in which you are subbing,
contact the Media Center located in Building Six.
Supplies
Daily supplies such as paper and pencils, etc., may usually be found in the assigned
classroom. If this is not the case, daily supplies may be obtained through the Main
Office.
Custodial Assistance
Should an emergency that requires the assistance of a custodian present itself, an
Administrator should be informed first. The Administrator will pursue the situation
through the proper channels.
Shop Equipment Use
Students are not permitted to use shop equipment or tools in the absence of the
certified shop teacher. All hand tools shall remain under lock and key, and all power
tools shall remain off. All students shall work on the assignments left by the shop
instructor for the substitute teacher.
Calling Out Sick
Should a substitute be taken ill or
cancel the assignment, a message
Office, (973) 627-4600, extension
be made by 6:15 a.m. if possible.
a last minute emergency arises and it is necessary to
may be left for Denise Trimmer, secretary in the Main
226 and Rori Benson, extension 124. The call should
You should also cancel the assignment in AESOP.
Faculty Lunch
The Lunch period for your teacher can be found in the daily schedule given to you. You
may purchase lunch in our cafeteria or bring a prepared lunch.
New Jersey Safe Schools Training
Substitute teachers are required to complete the following self directed New Jersey Safe Schools
Training session modules.
Harassment, Intimidation & Bullying
Section 504
Drug and Alcohol
Child Abuse
Suicide Awareness
Blood Borne Pathogens
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These modules are found at the Safe Schools web site listed below. Go to the web site and log in
with your MCST email address. The necessary modules will appear.
http://mcvts.nj.safeschools.com
HARASSMENT, INTIMIDATION AND BULLYING
The Morris County Vocational School District Board of Education prohibits acts of harassment,
intimidation or bullying. A safe and civil school environment is necessary for students to learn
and perform at the highest level to which they are capable. Harassment, intimidation and
bullying are disruptive and violent behaviors that interfere with a student’s ability to learn and
the school’s ability to educate students in a safe environment. The Morris County Vocational
School District expects that all members of the school community (students, teachers,
administrators, faculty, staff, parents and volunteers) will treat each other with civility and
respect and will refuse to tolerate harassment, intimidation or bullying.
Harassment, intimidation or bullying means any gesture or written, verbal or physical act that
takes place on school property, at any school-sponsored function, on the Internet, or on a school
bus and that: is motivated by any actual or perceived characteristic, such as race, color, religion,
ancestry, national origin, gender, sexual orientation, or a mental, physical or sensory disability;
or, by any other distinguishing characteristic; and a reasonable person should know, under the
circumstances, that the act(s) will have the effect of harming a student or damaging the
student’s property, or placing a student in reasonable fear of harm to his person or damage to
his property; or has the effect of insulting or demeaning any student or group of students in
such a way as to cause substantial disruption in, or substantial interference with the orderly
operation of the school.
The Board of Education expects students to conduct themselves in keeping with their level of
development, maturity and demonstrated capabilities with a proper regard for the welfare of
their peers and school staff.
If a student feels that they have been the victim of or has witnessed an act of Harassment,
Intimidation or Bullying, they should take the following steps:


Immediately report it to any district employee. Reports may be made anonymously,
however, all reports should be filed using the HIB form. The form is available at MCVTS.org
under the Harassment, Intimidation and Bullying Information tab.
Submit the completed form in person or via email to Athena Borzeka, Anti-Bullying
Coordinator, Robin Ravotto, Anti-Bullying Specialist, or any other staff member at MCST.
Forms can also be dropped off in the Main Office in the HIB mailbox.
Once a report of harassment, intimidation, and or bullying has been received, the Morris County
Vocation School District will launch a full investigation into the matter. The Principal and/or
designee shall conduct a prompt, thorough and complete investigation of the alleged incident.
Consequences and appropriate remedial action may range from positive behavioral intervention
up to and including suspensions and expulsion as permitted under N.J.S.A. 18A: 37-1. Some
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acts of harassment and intimidation, or bullying may be so serious that they require response by
law enforcement officials.
Please refer to MCVSD Policy 5131.2 on the school website, www.mcvts.org under About Us >
Board of Education > Policies.
SUBSTITUTE REVIEW CONFIRMATION
Dear Substitute Teacher:
Congratulations on your appointment as a substitute teacher in our district for the 2014-2015 school year.
Welcome new substitute teachers, and welcome back returning substitute teachers.
The 2014-2015 Substitute Teacher Manual is available on our district website at http://www.mcvts.org
under Staff Resources. The Substitute Teacher Manual contains important information that is essential to
your success as a substitute teacher. Please review the 2014-2015 Substitute Teacher Manual in its
entirety. The signed acknowledgement below must be returned to Denise Trimmer in the Main
Office prior to accepting an assignment.
Also, there are self-guided SafeSchools training modules that must be completed annually. If you are
new to our district, an email address must be provided to access these trainings. If you are a
returning substitute teacher, please confirm that the email address on file is current. Please
provide or confirm your email address by returning this form to Denise Trimmer in the main office or email to: trimmerd@mcvts.org by Friday, October 3, 2014. After you have provided us with an email
address, information about how to complete the online training modules through SafeSchools will be sent
via email. Again, SafeSchools training is required for all substitute teachers on an annual basis and
must be completed by December 1, 2014. Substitute teachers who have not completed training by
December 1, 2014 will not be eligible to accept further assignments.
Sincerely,
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Lynne Jackson
Principal
I have read and understand the 2014-2015 MCVSD Substitute Teacher Manual.
_____________________________
Substitute Teacher’s Name (PRINT)
________________________________
Email Address (REQUIRED)
_____________________________
Substitute Teacher’s Signature
_________________________________
Date
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