(FOR ALL TEACHERS CERTIFIED BY THE ONTARIO COLLEGE OF TEACHERS SINCE DECEMBER 31, 1998 AND ALL STAFF AND VOLUNTEERS FOR WHOM THE BOARD HAS PREVIOUSLY COLLECTED A CRIMINAL BACKGROUND CHECK)NAME: (PRINT)DATE OF BIRTH:EMPL.
LIST OF OFFENCES:
Offence:Date:Offence:Date:Offence:Date:Dated at __________________________ this ____ day of ___________________, 20____Employee/Volunteer SignatureInformation collected is under the authority of Regulation 521/01, as amended by Regulation 323/03.
TO BE RETURNED, AS SOON AS POSSIBLE,
TO THE SUPERVISOR/PRINCIPAL OF THE APPLICABLE SITE
Allowed
Microsoft Office Word (.doc, .dot) - application/msword
... 
Download
Upload a New Version
Delete Document
View in HTML
View in PDF