Incident Report Form for International School of Temple Arts (ISTA)
This form is to report an incident, violation, or challenging experience that occurred at an ISTA event, or in respect to an ISTA faculty or team member.  You may fill this form out for yourself or on behalf of another.  The form may be anonymous, if you choose.

If you need assistance or support filling out this form, or are more comfortable reporting verbally, please contact Safe Mediation, a neutral third party, at https://Safe-Mediation.com/ISTA.

INFORMATION & CONFIDENTIALITY
ISTA's first step after receiving the report will be to contact the person who brought the issue forward and see if they want a conversation. This should happen within 7 days.  Further action depends on the results of that conversation.  If the report comes through Safe Mediation (SM), then SM will contact the person who brought the issue forward.  If the report is anonymous, ISTA will investigate the information provided and take appropriate action.  

Your incident report will be received by the ISTA Feedback Triad. All reports sent directly to ISTA will  potentially be shared with all Lead Faculty. If your report concerns a member of Lead Faculty, this person will not be involved in the receiving or processing of your report. In that case, it will be overseen by another member of the Feedback Triad.

ISTA's approach to receiving incident reports will involve hearing you, hearing the person/s that are named in your report and intending to find a way to repair.  If required, ISTA will launch an internal accountability process. If you do not feel comfortable with this or would like 3rd Party mediation, we would suggest that you contact Safe Mediation.  

Thank you for being willing to share.  We are grateful for your time and effort.
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