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 answer
Your name (You may leave blank)
Your answer
Latest date of the occurence
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DD
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YYYY
Describe what happened.
Your answer
You may include a phone, email, or both, where we may contact you about this report.
Your answer
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