TEACH A MAN TO FISH CHILD PROTECTION & SAFEGUARDING RISK REPORT FORM

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Are you concerned that participants are being put at significant risk because of the way a situation, issue or event is being handled by Teach A Man To Fish or a partner?
Please fill out this form to the best of your knowledge as promptly as possible.
This form will be held in a secure location and will be treated in confidence.
You will be informed how Teach A Man To Fish is responding to this report, if you wish.
Please ensure to give your email address and/or phone number so that we can contact you.

Country *

Location *

Please add the city and any other details you think are relevant

Your name *

Please share your name. If you want to stay anonymous, please write "Anonymous" instead of your name

Your email address / phone number *

If you prefer to remain anonymous, please write the word "Anonymous"

Your job title / role *

Type of concern *

Please describe the type of your concern (e.g. health & safety, sexual abuse risk, physical punishment)

Name of participant(s)/victim(s) against whom the incident occurred *

Gender of participant(s) *

Female

Male

Required

Age of participant(s) the concern relates to *

Date of concern *

YYYY

Time of concern *

Time

Location of concern *

Please provide details on the location (e.g. in the classroom of xxx school in Kampala, Uganda)

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