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Sea to Sky School District (No. 48)
We are honoured to be working and learning on the traditional, unceded, ancestrial territories of the Sḵwxwú7mesh, Úxwumixw, and St’át’yemc Nations
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Public Interest Disclosure Report Form
Public Interest Disclosure Report Form
Are you a current employee of the school district?
*
Answer Required
Yes
No
Were you an employee of the school district when the alleged wrongdoing occurred or was discovered?
*
Answer Required
Yes
No
Please enter your contact information below so that we can communicate with you about your disclosure. Your identity and contact information will be kept in confidence and may be shared with investigators to allow them to communicate with you.
While anonymous disclosures may be accepted under the Public Interest Disclosure Act, we may not be able to investigate if we are unable to contact you to confirm that you are a current or former employee or to obtain further details, evidence or clarification about your disclosure.
First Name:
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Last Name:
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Email:
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Address:
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Mobile Phone:
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Additional Instructions:
e.g. How would you prefer to be contacted? May we leave messages for you?
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A report may be made under the Public Interest Disclosure Act for any of the following categories of wrongdoing. If your report does not fall within one of these categories, you may wish to consider whether your report falls under another policy or procedure of the school district. Please check any that apply:
Answer Required
serious act or omission that, if proven, would constitute an offence under an enactment of British Columbia or Canada;
an act or omission that creates a substantial and specific danger to the life, health or safety of persons, or to the environment, other than a danger that is inherent in the performance of an employee's duties or functions;
a serious misuse of public funds or public assets;
gross or systemic mismanagement
knowingly directing or counselling a person to commit a wrongdoing described above.
In the space below, please describe the alleged wrongdoing and the person(s) alleged to have committed the wrongdoing. Please provide as much detail as you are able, including a description of the wrongdoing and any relevant background, the names of those responsible, when and where the wrongdoing occurred, names of people who witnessed the wrongdoing, and if available, any law or legislation that has been breached.
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Have you previously reported the wrongdoing to the school district?
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Yes
No
If yes, please indicate who the report was made to and any actions taken:
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Please describe any other steps or action that you or others have taken to address, report or prevent the reported wrongdoing.
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Do you know of any other organizations that are investigating the reported wrongdoing or whether other complaints or claims about the wrongdoing have been filed (e.g. court filings, grievance, human rights complaint, privacy complaint, police investigation, etc.). Please explain:
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