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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.
Your name *
Your answer
Your grade *
Who is bothering you? *
Your answer
What is he/she doing to you? (be specific) *
Your answer
When did this situation occur? *
MM
/
DD
/
YYYY
How often has this occurred? *
Where did the incident(s) take place? *
Why do you think this is happening? *
Your answer
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