Superstar Health Education 'Concerning Incident or Behavior' Reporting Form 
This form is accessible by members of the public. It is intended to provide a mechanism by which parents, school staff, or other concerned parties can report concerning behavior on the part of Superstar Employees directly to the Director of Superstar Health Education. In this case, concerning behavior means any inappropriate comments, relationships, or activities, including suspected sexual abuse or molestation. 

There has never been any suspicion or accusation of any such behavior on the part of any Superstar employee at any time; nevertheless, the existence of this form is part of Superstar's commitment to student safety, full transparency, and accountability. It may be filled out anonymously or with contact information. If email is preferred, the Director of Superstar may be reached at director@superstarhealtheducation.com


Sign in to Google to save your progress. Learn more
Your Contact Information: Name, phone number, email address, etc.
This response is optional.
Where and when did the concerning behavior occur?
Please describe the incident in as much detail as possible, including names of those involved.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Superstar Health Education.

Does this form look suspicious? Report