Raise a Concern Form

Students, parents, alumni, community members or visitors are welcome to use this reporting form. This form can be used to disclose any current or historical Child Safety or maltreatment concerns.

Please fill out this form to the best of your ability. If you do not know the answer to a question just leave that section blank.

(Staff members please use the reporting form on Canvas/Sharepoint and remember to report to your CSS within 24hours of a concern being identified.)

Name *

Email *

Phone *

Name of the child harmed or at risk *

Age/Grade of the child

Parents of the child harmed or at risk

Siblings of the child

Your relationship to the child concerned (e.g friend, collegue, neighbour…)

Brief description of what prompted your concern? *

If there is a specific person who may have caused harm, what is their name?

What is six plus four? *