The version of the browser you are using is no longer supported. Please upgrade to a
Confidential Reporting Form
This is a form for reporting any volunteer, staff, or client conduct, including: discrimination, harassment, suspicion of or known inappropriate conduct of staff, volunteers, or clients. This report will go directly to the Executive Director and will be investigated further. If you wish it to be anonymous, do not include your contact information.
Person this report is about (or describe if you don't know their name)
Your name (You may leave blank)
Latest date of the occurence
Describe what happened.
You may include a phone, email, or both, where we may contact you about this report.
Never submit passwords through Google Forms.
This form was created inside of Clackamas Service Center.
Terms of Service