Confidential Report Form

We want you to feel safe.

It’s important to the integrity of Center in the Heights and the safety of our participants, that there is access to transparent communication without fear of consequences, judgments, or repercussions.

If you have experienced, witnessed, or have been involved with any behavior that is not in compliance with our Code of Conduct or Our Promise, we encourage you to communicate with us. This form will be sent directly to the director, Arian Witt. You are only asked to share information that you are comfortable sharing.

Name

First Name

Last Name

Preferred Method of Contact

Please select your preferred method of contact.

Phone

(###)

###

####

Please share details regarding your experience. You only need to share what you are comfortable sharing.