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* 1. What school do you go to?

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* 2. Your name

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* 3. Current Date and Time

Date
Time

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* 4. Computer Number

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* 5. What Grade are you in?

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* 6. Who is your first period teacher?

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* 7. Date and time of incident. If you don't know exactly, estimate as close as you can.

Date
Time

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* 8. What type of incident?

T