Raise a Concern Form
Back2Back Ministries is committed to safeguarding the children and families served in our programs. Please use this form to share a safeguarding concern regarding a child or family served by Back2Back (safety, risk of harm, neglect, abuse or exploitation), or a safeguarding concern about the conduct of a Back2Back staff member, intern or volunteer.

The Back2Back Global Safeguarding Team Leader will receive this report directly and will promptly respond.

Please fill out this form to the best of your ability.  If you do not know the answer to a question, please leave that section blank. 
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Your name *
Your contact information (email/Whatsapp/phone number)
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Name of child harmed/at risk or Name of staff member
 *
Gender and age of child or adult your concern is about
Back2Back site location (country and city) where concern occurred 
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Brief description of the situation prompting concern
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How did you receive the information (by observation, suspected, disclosed to you)?
Details of what was observed, suspected, or disclosed
Have you spoken to anyone else about this?
Is there anything else you would like us to know?
Submit
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