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Safety Report Form

Below you will find the form used to report an unsafe environment, consistent with the corporation's Policies & Procedures. This form is designed to provide an opportunity for our stakeholders to report conduct inconsistent with the professional conduct associated with our programs. All allegations will be taken seriously with potential terminations and/or legal actions as result of a thorough investigation. This form should only be completed with factual information; knowingly submitting false information may result in expulsion from any of the Convergence programs without refund.

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