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- 2022 SYNOD Sydney
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Uphold Initial Interview

Full Name

Phone

Current Church

Is this your first time contacting Uphold? If no, please give approximate date/year of previous contact. Please briefly describe previous complaint and who you spoke to. Please also indicate if this previous complaint is related to your current complaint (eg. same church, same person etc)

What is your current employment situation (give relevant work details, location/job title etc). Also please give details of your personal situation (eg.independent, married, with dependents etc).

Briefly describe the nature of the complaint. Please include important details eg. Location of complaint, timeframe and name/title of persons involved.

Has a formal complaint been made to a higher authority? (Eg. Bishop, Elder, Board, Professional Standards, Work Safe etc). If no, please give reason. If yes, please briefly describe the outcome of this report. (eg. Was your complaint investigated, were there any repercussions etc).

Are you aware of any formal complaints made against you? If yes, please describe the nature of the complaint and to whom (Eg. Bishop, Elder, Board, Professional Standards, Work Safe etc). If yes, please briefly describe the outcome of this report. (eg. Was a complaint against you investigated, were there any repercussions etc).

What is a good outcome for you? Select any that apply.

Public repentence from perpetrator

Private apology

Financial compensation

Regaining financial entitlements

Legal action

Perpetrator removed from their job/position

Funded counselling

Protection for other staff members

Housing assistance

Employment assistance

Personal job recommendation (being cleared of wrongdoing)