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Concern & Grievance Report Form
This form is to be used for all Concerns, Grievances and Complaints within PlayGround-LA. Concerns will be processed in accordance with the Concern and Grievance Policy (
https://playground-la.org/policies
).
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* Indicates required question
Indicate level of concern to you
*
MINOR
MODERATE
MAJOR
Name of person filling in this form:
Your answer
Contact phone number:
Your answer
Contact email:
Your answer
Person filling in this form is a (please select all that apply):
Staff Member
Board Member
Company Member
Actor
Writer
Director
Designer
Stage Manager
Technical Personnel
Front-of-House Staff
Volunteer
Other:
Brief description of concern:
*
Your answer
What would you like to see happen:
*
Your answer
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