Safeguarding Reporting Form
Slum2School Africa is committed to protecting children, adults, volunteers and partners from abuse, neglect, and harm. You may submit this report anonymously. All information will be treated confidentially by the safeguarding team. If a child and an adult is in immediate danger, please contact local authorities or emergency services right away.
Type of concern (select one or more):
*
Physical abuse
Emotional/psychological abuse
Neglect
Sexual abuse/exploitation
Bullying/harassment
Other
Description of the incident
*
Date and time of incident
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Location of the incident
*
Provide the name, role, or description of the person(s) involved:
Can we contact you for follow-up?
*
I prefer to remain anonymous
Yes, you may contact me
If “Yes”, enter your name, phone number and any other contact details.
Submit
Should be Empty: