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Cascade STEAM Code of Conduct Report Form
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
.
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REPORTER CONTACT INFORMATION
First Name of Reporter
Your answer
Last Name of Reporter
Your answer
Email Address of Reporter
Your answer
Phone Number of Reporter
Your answer
CODE OF CONDUCT REPORT
First Name of Reported Individual
*
Your answer
Last Name
First Name of Reported Individual
*
Your answer
Date of Reported Activity
*
Your answer
Time of Reported Activity
*
Your answer
Location of Reported Activity
*
Your answer
Context of Reported Activity
*
Example: This could be in relation to a scheduled event, activity, or program, etc.
Your answer
Brief Description of Reported Activity
*
Your answer
Extended Description of Reported Activity
*
Your answer
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