Cascade STEAM Code of Conduct Report Form

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Please refer to the Cascade STEAM Code of Conduct.

We request that you share your contact information to aid in investigating a code of conduct report, however this is NOT required. If contact information is included, then the Cascade STEAM Board of Directors will be in contact with, include in investigation, and provide report of findings to reporter.

Please contact Michael Gan, Cascade STEAM President, for any inquiries at michael.gan@cascadesteam.org, 360-499-2099, or @Michael Gan via the Cascade STEAM Community Hub.

REPORTER CONTACT INFORMATION

First Name of Reporter

Last Name of Reporter

Email Address of Reporter

Phone Number of Reporter

CODE OF CONDUCT REPORT

First Name of Reported Individual *

Last Name First Name of Reported Individual *

Date of Reported Activity *

Time of Reported Activity *

Location of Reported Activity *

Context of Reported Activity *

Example: This could be in relation to a scheduled event, activity, or program, etc.

Brief Description of Reported Activity *

Extended Description of Reported Activity *

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