CHILDSAFETY CONCERN REPORTING FORM

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We appreciate you taking the time to express your concerns about the safety and wellbeing of our students at Lighthouse Christian College. Please be assured that we recognize the importance of confidentiality, and your report will be managed with the highest level of discretion.
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Name(If you wish to remain anonymous, leave blank)
First Name
Last Name
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Date and Time of Incident* This field is required.(Please provide the date and time when the incident occurred or when you became aware of it.)
Date
Day
Month
Year
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Hour
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Minutes
AM
AM
PM
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Location of Incident* This field is required.Where did the incident take place (e.g., classroom, playground, school bus)?
Classroom
Playground
School bus
Car Park
Other
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Sub-School
Primary
Secondary
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Description of Concern* This field is required.Please provide a brief description of the incident or behaviour that has raised concerns regarding the safety or wellbeing of a child at Lighthouse Christian College.
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Ok
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Details of Individuals Involved* This field is required.Please provide any details you know about the individuals involved, such as names, grades, or staff positions (if applicable).
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Ok
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Additional InformationIs there any additional information you would like to provide that may be helpful in addressing this concern?
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9
Take PhotoIf you have any photographic evidence of this incidents, please upload it here
Should be Empty: