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Jefferson Bullying Hotline  
If you believe that you have been harassed or bullied, please do not allow it to continue. Use this hotline to report the person or persons who have been bothering you. Fully describe the incident and answer all of the questions on the form below. Send it to your school, and your issue will be addressed.
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Your name *
Your grade *
Who is bothering you? *
What is he/she doing to you? (be specific) *
When did this situation occur? *
MM
/
DD
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How often has this occurred? *
Where did the incident(s) take place? *
Why do you think this is happening? *
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