Immediate Disciplinary Action Form
BASIC INFORMATION
Your First Name
Your Last Name
Your Email
Name of School
CRM Name
Date of Incident
INCIDENT REPORT
Please select all infractions committed by the College Readiness Mentor.
Excessive tardies or attendance issues
Inappropriate language with a student, teacher, fellow College Readiness Mentor, or school administration/staff
Unprofessional, unethical, or insubordinate behavior/demeanor
Inappropriate cell phone use
Being out of uniform or inappropriately dressed
Non-compliance with iEducate or campus-specific procedures
Other
Please elaborate.
Please describe the incident below.
Which of the following disciplinary actions do you believe should be taken?
Conversation between CRM & iEducate admin
Meeting with CRM, iEducate admin, & school staff
Suspension of CRM from iEducate program until claim is further investigated
Dismissal of CRM from iEducate program
CRM acquires an Improvement Plan; is dismissed from program if no progress is made
Other
Please elaborate.
Thank you for submitting this incident report to iEducate Admin. We guarantee a response within 24 hours.
Please do not take action to dismiss a College Readiness Mentor from the program before speaking with iEducate or without iEducate being present for the dismissal. If you deem it necessary, feel free to send the College Readiness Mentor home for the day.
If you have not already, please inform your assigned Campus Coordinator of the circumstances & involve them in this process moving forward.
Contact Information