Formal Input, Concerns, and Critique Form

When you fill out this form, your input goes directly to a proton email account, which is the secure system that all board members and ambassadors of Autistic Pride Chattanooga use to receive concerns, feedback, and reports. You may submit anonymously or with your name. Your submission is reviewed by all board members and ambassadors so patterns can be seen and used to guide safety and accountability decisions. If you provide contact information, an ambassador or board member determined to be the most distant from the situation being reported will reach out to you. Only provide the contact information you want APC to use. If you prefer not to be contacted, do not include any contact information. Only the information you provide is documented. All submissions are handled with care, kept within the accountability system, and treated as part of APC’s commitment to maintaining safe and respectful community spaces. Thank you for reaching out in good faith to help keep our community safe and growing healthy.

Name & Pronouns

NamePronouns

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Who are you reporting for

If reporting for someone else, please describe your relationship to this person

Please tell us the type of concern you are reporting

Briefly describe what happened or what you are concerned about. Include only the information you want APC to document.

Please remember that all residents of Tennessee are mandatory reporters