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Church of All Worlds (CAW) Misconduct Committee (MCC) Reporting Form
This form is to report on the substantial misconduct of members of the CAW/Annwfn community or Clergy.
All information will be held in strictest confidence and only shared with your permission except in cases where mandatory reporting is required by law.
*The MCC will report to the authorities any incident it determines to be of a criminal nature*
NOTE: FALSE OR MALICIOUS REPORTS WILL RESULT IN SERIOUS CONSEQUENCES WHICH MAY INCLUDE TEMPORARY OR EVEN PERMANENT SUSPENSION FROM THE CAW/ANNWFN CHURCH AND COMMUNITY

Your Name
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Email
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Phone number
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Name of the person/s you are reporting
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Are you reporting an incident that happened to you?
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No
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add "Other"
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If you are reporting an incident that happened to someone else, please list name(s)
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If you are reporting as a witness to an incident, are you able/willing to contact the injured party and ask them to speak with the Committee?
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add "Other"
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Please describe the incident(s) in detail.
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Has this incident affected your standing in the community in any way?
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Can you tell us how you know this person and for how long?
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Before this incident(s), how did you feel about them?
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How do you feel about them now?
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Have you tried to resolve this issue on your own? If so, what was tried? (It's fine if the answer is no)
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Can we use your name and the circumstances of the incident as part of our investigation (this would be to reveal your identity to the CAW Board of Directors only. We would never reveal your identity to anyone else)?
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No
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add "Other"
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What resolution are you looking for? How can we help?
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The Misconduct Committee will need to interview you about this incident and your wishes regarding how to proceed. The interview would take place by conference call at your convenience. What will you need to be as comfortable as possible with this?
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Your Name
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Email
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Phone number
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Name of the person/s you are reporting
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No responses yet for this question.
Are you reporting an incident that happened to you?
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No responses yet for this question.
If you are reporting an incident that happened to someone else, please list name(s)
No responses yet for this question.
If you are reporting as a witness to an incident, are you able/willing to contact the injured party and ask them to speak with the Committee?
Copy
No responses yet for this question.
Please describe the incident(s) in detail.
No responses yet for this question.
Has this incident affected your standing in the community in any way?
No responses yet for this question.
Can you tell us how you know this person and for how long?
No responses yet for this question.
Before this incident(s), how did you feel about them?
No responses yet for this question.
How do you feel about them now?
No responses yet for this question.
Have you tried to resolve this issue on your own? If so, what was tried? (It's fine if the answer is no)
No responses yet for this question.
Can we use your name and the circumstances of the incident as part of our investigation (this would be to reveal your identity to the CAW Board of Directors only. We would never reveal your identity to anyone else)?
Copy
No responses yet for this question.
What resolution are you looking for? How can we help?
No responses yet for this question.
The Misconduct Committee will need to interview you about this incident and your wishes regarding how to proceed. The interview would take place by conference call at your convenience. What will you need to be as comfortable as possible with this?
No responses yet for this question.
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