"Teacher Complaint Form" - British Columbia, Canada

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Download "Teacher Complaint Form" - British Columbia, Canada

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Complaint Form
This four-page form is to be used for a complaint against one BC certified educator. If you have a complaint
about more than one educator, please complete a separate form for each.
Educator’s Name
School or District
Step 1: Clarify the Issues
1.
Does the person you are complaining about hold a BC Ministry of Education
certificate? (You can check for a certificate in the online registry at
Yes
No
https://teacherregulation.gov.bc.ca/CertificateServices/FindATeacher.aspx.)
2.
Does the complaint relate to the behaviour of an educator?
Yes
No
3.
Does the complaint relate to the competence of an educator?
Yes
No
4.
If so, does this conduct conflict with the Standards for BC Educators? (You
can check at https://www2.gov.bc.ca/gov/content/education-training/k-
Yes
No
12/teach/standards-for-educators.)
5.
Does the conduct represent a single action or a pattern of behaviour?
Single
Pattern
6.
Have you spoken with the educator about your concerns?
Yes
No
7.
Have you spoken with the educator’s supervisor or followed a complaint
Yes
No
resolution process at the district level or through another agency?
8.
Do you have specific examples and/or documents or examples to support
Yes
No
your complaint?
9.
Have you reviewed our website and other materials related to making
Yes
No
complaints?
10.
Do you have support or assistance? (If you are a parent, you may request
Yes
No
assistance through the district’s Parent Advisory Council.)
Complaint Form
This four-page form is to be used for a complaint against one BC certified educator. If you have a complaint
about more than one educator, please complete a separate form for each.
Educator’s Name
School or District
Step 1: Clarify the Issues
1.
Does the person you are complaining about hold a BC Ministry of Education
certificate? (You can check for a certificate in the online registry at
Yes
No
https://teacherregulation.gov.bc.ca/CertificateServices/FindATeacher.aspx.)
2.
Does the complaint relate to the behaviour of an educator?
Yes
No
3.
Does the complaint relate to the competence of an educator?
Yes
No
4.
If so, does this conduct conflict with the Standards for BC Educators? (You
can check at https://www2.gov.bc.ca/gov/content/education-training/k-
Yes
No
12/teach/standards-for-educators.)
5.
Does the conduct represent a single action or a pattern of behaviour?
Single
Pattern
6.
Have you spoken with the educator about your concerns?
Yes
No
7.
Have you spoken with the educator’s supervisor or followed a complaint
Yes
No
resolution process at the district level or through another agency?
8.
Do you have specific examples and/or documents or examples to support
Yes
No
your complaint?
9.
Have you reviewed our website and other materials related to making
Yes
No
complaints?
10.
Do you have support or assistance? (If you are a parent, you may request
Yes
No
assistance through the district’s Parent Advisory Council.)
Complaint Form
Page 2
Step 2: Describe the Issue(s)
What specific behaviours are of concern to you? Please explain what happened, when it happened,
and who was involved.
What steps have you taken to resolve your concerns at the school level and what was the outcome?
Complaint Form
Page 3
Step 2: Describe the Issue(s) – continued
Have you made this complaint to other agencies? If so, what was the outcome?
What outcome are you seeking in making this complaint to the Ministry of Education?
Step 3: Your Contact Information
Name
Street Address
City/Town
Postal Code
Telephone
Email
Complaint Form
Page 4
Step 4: Freedom of Information and Protection of Privacy Act Consent
Please be advised that the Commissioner and the Professional Conduct Unit of the Ministry of Education are
authorized, pursuant to the Teachers Act, S.B.C 2011, c. 19, to collect, use, and disclose personal information
contained in your complaint for the purposes of reviewing, investigating and determining the outcome of the
complaint.
By submitting your complaint, you are consenting to the collection, use, and disclosure of your personal
information for the purposes set out above. This includes disclosure of your name and particulars of the
complaint that identify you to the educator (certificate holder). If you are a parent or guardian, your consent
also applies to the collection, use and disclosure of personal information in your complaint relating to your
minor child(ren)/ward(s). This consent is effective from the date you submit this notice to the Professional
Conduct Unit.
Please sign and date this form, then mail or fax it to the attention of the Intake Officer at the Professional
Conduct Unit of the Ministry of Education. We will advise you in writing of the process to follow.
The educator (certificate holder) will receive a copy of this complaint, or a copy of your letter of
complaint, and any attachments. The educator (certificate holder) will be provided with your name.
Signature
Date
Signature
Date
July 2019
Mailing Address:
Fax:
Telephone:
Ministry of Education
Facsimile: 604 775-4858
Telephone: 604 775-4870
Email:
Professional Conduct Unit
Toll Free: 1 800 555-3684
400-2025 West Broadway
trb.intake@gov.bc.ca
Vancouver BC V6J 1Z6
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