Safeguarding Reporting Form

Please communicate clearly any concerns or incidents

This report will be emailed through to the Safeguarding Lead (Carol Minkoulou) and the Deputy Safeguarding Leads (Rosie Ingold and Ryan Stevenson)

Please complete this form.

Full Name of Tutor:

Email:

Date of incident/concern::

Time of incident/concern::

Location of incident:

Name of student:

DETAILS OF CONCERN (Please describe the concern with full details, including the disclosure made by the student or third party, observations of behaviour, injuries observed, suspicions or any other relevant or applicable detail)

Details of Concern