This Whistleblower Form allows you to anonymously disclose information pertaining to concerns of misconduct. If you choose to disclose personal identifying information, such as your name, during the disclosure, you may request that your identity remain anonymous in following procedures and investigations. Should you not wish to provide your name, reported incidents will still be accepted and investigated if sufficient documentation and evidence is provided to substantiate the claim. 

Instructions: Please provide as much detail as possible. Answer the following questions and submit to Alpine Canada Alpin’s ITP: alpinecanada@itpsport.ca

Describe the nature of your concern. Include sufficient information for an independent person to understand the concern and to enable further investigation. Required

Provide details with respect to the location and/or date of the incident (e.g., region, event, specific location, department, etc.) and how you became aware of it. Required

State the full name, title and role of each individual whom you suspect of wrongdoing. Required

How many times has this incident taken place (if applicable)?

How long has this incident been taking place (if applicable)?

Describe steps if any, you took prior to completing this report (e.g., discussing it with individual, informing supervisor). Required

Would you be willing to provide your name and contact information? (Please note that this is optional) If no, we may not be able to follow up with you. Yes. If yes, please provide your name, email, and telephone number for follow up purposes. Required

Verification Code

Required