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Report organizational misconduct
First Name
Last Name
Age
Gender
Select gender
Male
Female
Other
What is your connection with our organization?
What type of misconduct or violence are you reporting?
Physical violence (e.g., hitting, scratching, pulling hair, pushing, etc.)
Emotional abuse (e.g., shouting, mocking, intimidation, threats, etc.)
Sexual abuse (e.g., unwanted touching, touching intimate areas, requests for sexual contact, showing pornography, taking inappropriate photos, etc.)
Neglect (e.g., not receiving proper care such as being denied medical treatment, not given food, not provided warm clothing, etc.)
Other
Please describe the details of what you would like to share
If your report involves one of our staff members, please include that as well
When did this incident happen?
Where did this incident happen?
Have you told anyone about this before?
Yes
No
Contact Information
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