SUPERINTENDENT OF PUBLIC INSTRUCTION



Similar documents
RESIDENCY TEACHER RENEWAL AND PROFESSIONAL CERTIFICATION REQUIREMENTS

APPLICATION INSTRUCTIONS

EMERGENCY SUBSTITUTE CERTIFICATION REQUIREMENTS EMERGENCY SUBSTITUTE CERTIFICATION CHECKLIST

WASHINGTON STATE CAREER AND TECHNICAL EDUCATION COUNSELOR REQUIREMENTS

RESIDENCY RENEWAL OR PROFESSIONAL EDUCATIONAL STAFF ASSOCIATE CERTIFICATION REQUIREMENTS School Counselor and School Psychologist

EMERGENCY CERTIFICATE REQUIREMENTS

SUPERINTENDENT OF PUBLIC INSTRUCTION

CODE OF PROFESSIONAL CONDUCT EDUCATION PRACTITIONERS

SUPERINTENDENT OF PUBLIC INSTRUCTION ) ) ) ) ) COMES NOW the Office of Superintendent of Public Instruction (OSPI), under the

WASHINGTON STATE PROFESSIONAL ADMINISTRATOR (PRINCIPAL, PROGRAM ADMINISTRATOR) CERTIFICATE RENEWAL REQUIREMENTS

RESIDENCY TEACHER RENEWAL AND PROFESSIONAL CERTIFICATION REQUIREMENTS

WASHINGTON STATE CONTINUING EDUCATIONAL STAFF ASSOCIATE CERTIFICATION REQUIREMENTS School Counselor and/or School Psychologist ONLY

SUPERINTENDENT OF PUBLIC INSTRUCTION

MASTER OF ARTS IN COUNSELING

ADMINISTRATIVE CERTIFICATION WAC A-150 and WAC A-211

CONDITIONAL CERTIFICATE REQUIREMENTS

SUPERINTENDENT OF PUBLIC INSTRUCTION

WASHINGTON STATE CONTINUING EDUCATIONAL STAFF ASSOCIATE CERTIFICATION REQUIREMENTS

WASHINGTON STATE RESIDENCY EDUCATIONAL STAFF ASSOCIATE CERTIFICATION REQUIREMENTS School Counselor and/or School Psychologist

WASHINGTON STATE TEACHER CERTIFICATION REQUIREMENTS

Checklist for Elementary Master in Teaching Application

FLORIDA DEPARTMENT OF HEALTH BOARD OF DENTISTRY

SUPERINTENDENT OF PUBLIC INSTRUCTION

FLORIDA DEPARTMENT OF HEALTH BOARD OF DENTISTRY

SUPERINTENDENT OF PUBLIC INSTRUCTION

Notice of Special Education Procedural Safeguards for Students and Their Families

ADMINISTRATIVE APPLICATION. Colorado River Union High School District #2 Post Office Box Bullhead City, AZ (928) (928)

CHAPTER MARRIAGE AND FAMILY THERAPY PRACTICE

POLICY AND PROCEDURE DISTRICT OF COLUMBIA DEPARTMENT OF CORRECTIONS. SUBJECT: NUMBER: B Attachments: Attachments 1-4 SUMMARY OF CHANGES:

APPLICATION FOR ACCREDITATION AS A CLAIMS AGENT OR ATTORNEY

4169 PRUDEN BLVD. SUFFOLK VA (757) FAX (757) WEBSITE: APPLICATION FOR PROFESSIONAL EMPLOYMENT

Admission Checklist Complete this form and enclose it with your application form. Thanks

GENERAL APPLICATION FOR PENNSYLVANIA CERTIFICATE FORM PDE 338 G (Refer to instructions included with this 2 page form)

THE APPLICANT IS RESPONSIBLE FOR KNOWING WHETHER THEY ARE ELIGIBLE FOR LICENSURE BASED ON NEW MEXICO RULES.

Employment Application

An Equal Opportunity Employer

STATE OF FLORIDA BOARD OF MASSAGE THERAPY MASSAGE ESTABLISHMENT CHANGE OF LOCATION/ NAME APPLICATION WITH INSTRUCTIONS

GENERAL APPLICATION FOR PENNSYLVANIA CERTIFICATE FORM PDE 338 G (Refer to instructions included with this two page form)

GENERAL APPLICATION FOR PENNSYLVANIA CERTIFICATE FORM PDE 338 G (Refer to instructions included with this two page form)

FLORIDA DEPARTMENT OF HEALTH BOARD OF DENTISTRY NON-PROFIT CORPORATION PERMIT APPLICATION

MANDATORY REPORTING LAWS & RULES

WASHINGTON STATE INITIAL EDUCATIONAL STAFF ASSOCIATE CERTIFICATION REQUIREMENTS

STANDARDS FOR ATTORNEY CERTIFICATION OF THE TEXAS BOARD OF LEGAL SPECIALIZATION. The Standards for Attorney Certification are divided into two parts.

APPLICATION FOR NATIONAL EXAMINATION IN MARITAL & FAMILY THERAPY

Name: Last First Middle. Mailing Address: Street City/State Zip Street Address: Street City/State Zip Telephone: ( ) Social Security Number:

Department of Commerce, Community, and Economic Development Division of Corporations, Business and Professional Licensing

Florence Darlington Technical College Respiratory Care Program Application and Selection Criteria Rev. 2/2015

CHAPTER 112. REGISTRATION OF CERTAIN PROFESSIONS AND OCCUPATIONS. SUPERVISION OF BOARDS BY DIRECTOR.

WASHINGTON STATE TEACHER CERTIFICATION REQUIREMENTS

Board of Speech-Language Pathology and Audiology

TeamChild Education Advocacy Manual (Revised January 2008) Forms and Samples

Montana Application for Class 6 Specialist License School Psychologist Endorsement

INITIAL CAREER AND TECHNICAL EDUCATION TEACHER CERTIFICATION REQUIREMENTS

Applicants will be notified within 15 working days of receipt of a completed application as to the status of the application.

FULL NAME: Last First Middle. OTHER NAME (S): Please provide other names used in school or employment

Iowa Administrator certificate? Yes No. Doctorate

TEACHING APPLICATION

PERSONNEL SERVICES Form 4120 Employment Employment Application - Certificated Staff LAQUEY R-V APPLICATION FOR A CERTIFICATED POSITION

FINGERPRINT BACKGROUND CHECK

TECHNICIAN-IN-TRAING IS NOT PERMITTED TO PRACTICE IN MONTANA IN ANY MANNER WITHOUT AN ACTIVE MONTANA REGISTRATION

APPLICATION FOR EMPLOYMENT

10 CSR Scope. -- This legislative rule establishes the Policies Regulating Licensure of the Licensed Practical Nurse.

New Jersey Physician Recredentialing Application (Please type or print)

LA PLATA R-II SCHOOL DISTRICT 201 W. Moore Street La Plata, MO Phone: Application For A Certificated Position

OREGON MEDICAL BOARD PROCESSES AND UPDATES. Kathleen Haley, Executive Director Oregon Medical Board

Vermont Board of Nursing INSTRUCTION TO APPLICANTS

STATE OF NEBRASKA DEPARTMENT OF INSURANCE 941 O STREET, SUITE 400 LINCOLN, NE Switchboard (402) Licensing Division (402)

CHAPTER 277 CERTIFICATION OF ALARM SYSTEM CONTRACTORS AND INSTALLERS (100C) Establishment of program. There is established within the fire

STATE OF FLORIDA BOARD OF MASSAGE THERAPY APPLICATION FOR COLON HYDROTHERAPY UPGRADE TO MASSAGE THERAPIST LICENSE WITH INSTRUCTIONS

Renewal Application Instructions & Requirements

San Luis Coastal Unified School District 1500 Lizzie Street, San Luis Obispo, CA (805) WE ARE AN EQUAL OPPORTUNITY EMPLOYER

Garden City Public Schools CHILD ABUSE IN AN EDUCATIONAL SETTING EXHIBIT - NOTICE/REPORTING REQUIREMENTS

DEPARTMENT OF HEALTH. APPLICATION FOR LIMITED LICENSURE and Instructions

TEXAS DEPARTMENT OF STATE HEALTH SERVICES RESPIRATORY CARE PRACTITIONERS CERTIFICATION PROGRAM (512) APPLICATION INFORMATION

(b) Child endangerment occurs when an educator disregards a substantial and/or unjustifiable risk of bodily harm to the student.

Athletic Trainer License Application Methods

BOARD OF MEDICINE APPLICATION MATERIALS FOR INITIAL REGISTRATION & RENEWAL OF INTERN/RESIDENT/FELLOW & HOUSE PHYSICIAN PURSUANT TO , F.S.

Assembly Bill No. 85 Committee on Commerce and Labor

MIDLAND COMMUNITY SCHOOL DISTRICT 109 Green Street PO Box 109 Wyoming, IA Certified Personnel Application

Medical Assistant-Phlebotomist Certification Application Packet

AN ACT. 441, 442, 443, and 444(B)(1), to enact R.S. 17:418 and 532(C), and to repeal R.S.

APPLICATION FOR A TEACHER S LICENSE - DENTISTRY OR DENTAL HYGIENE

Incomplete applications or attorneys who do not meet the criteria will not be considered.

WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES

APPLICATION FOR A VIRGINIA PROVISIONAL (SPECIAL EDUCATION) LICENSE

Wisconsin Department of Safety and Professional Services

LEGAL REQUIREMENTS FOR ADDRESSING PERFORMANCE DEFICIENCIES OF SPECIAL EDUCATION TEACHERS. Goals To Be Achieved. Due Process

American Board of Professional Liability Attorneys *ABA Accredited Organization

NC General Statutes - Chapter 90B 1


State of Utah Department of Commerce Division of Occupational and Professional Licensing

INSTRUCTION TO APPLICANTS FOR LICENSURE AS A OCCUPATIONAL THERAPIST OR OCCUPATIONAL THERAPY ASSISTANT

Private Protective Services - Contract Security Company Application, Page 1

DENVER COMMUNITY SCHOOL DISTRICT Non-Certified Application for Employment

Chapter WAC All Payer Claims Database

Application for Licensing as an Occupational Therapist or Occupational Therapy Assistant

X-Ray Technician Limited Scope Registration Application Packet

INITIAL DISPENSER LICENSE APPLICATION CHECKLIST

Vermont Board of Nursing INSTRUCTION TO APPLICANTS FOR LICENSURE AS A REGISTERED NURSE. LICENSE BY ENDORSEMENT Applicant must submit the following:

APPLICATION FOR A VIRGINIA LICENSE

Transcription:

SUPERINTENDENT OF PUBLIC INSTRUCTION RANDY I. DORN OLD CAPITOL BUILDING' PO BOX 47200' OLYMPIA WA 98504 7200' hup:llwww.k12.wa.us IN THE MATTER OF THE EDUCATION APPLICATION OF Thomas Hollcraft Certificate No. 397722J OPP No. AIO-08-266 DENIAL ORDER FOR CERTIFICATION COMES NOW the Office of Superintendent of Public Instruction (OSPI, under the authority granted by the laws of the state of Washington, having reviewed the file of the abovereferenced case, and having considered the entire evidence contained therein, does hereby deny the education application of Thomas Hollcraft based on the Findings of Fact ffi1d Conclusions of Law set forth below: FINDINGS OF FACT I. On November 26, 2001, Thomas Hollcraft applied for a Washington educational certificate; OPP No. A02-01-0013. 2. On the Character and Fitness Supplement, a pali of the application process, Thomas Hollcraft answered 'yes' to question 1], section II, Professional Fitness, regarding having been the subject of any investigation or inquiry by ffi1 employer because of allegations of misconduct; OPP No. A02-01-0013.! DENIAL ORDER FOR CERTIFICATION -1-

3. As part of the Character and Fitness Supplement, Thomas Hollcraft provided a written explanation to his 'yes' answer for question 11, section II, Professional Fitness, stating he was the subject of an investigation by his supervisor concerning the way he handled a violent student who was threatening another student in 1995; OPP No. A02-01-0013. 4. On September 6, 1995, Portland Public Schools issued Thomas Hollcraft a letter of reprimand for losing control and striking a student in the face in an attempt to control a situation. Thomas Hollcraft was issued a verbal warning, by Portland Public Schools, on April 12, 1994 for a similar behavior; OPP No. A02-01-00l3. 5. On September 18, 1995, Thomas Hollcraft filed a Teacher Contract Grievance FOTIll with Portland Public Schools stating the written reprimand issued on September 6, 1995 was issued without just cause. The letter of reprimand was upheld; OPP No. A02-01-0013. 6. On April 12, 2002, OPP issued Thomas Hollcraft a Notification of Clearance and a twenty-four (24 month Agreed Order of Stayed Suspension. One condition of the Agreed Order of Stayed Suspension was that "Should Thomas Hollcraft decide to pursue an education certificate in a state other than the state of Washington, Thomas Hollcraft agrees to provide a copy of this Agreed Order of Stayed Suspension to the Dep,rrtment of Education in that state."; OPP No. A02-01-0013. 7. Thomas Hollcraft did not submit an application to lift the 24 month stayed suspension as required in the Agreed Order of Stayed Suspension. DENIAL ORDER FOR CERTIFICATION -2-

8. From September 20, 2002 through June 13, 2005, Thomas Hollcraft was employed as a substitute teacher for the Evergreen School District. During this time period, multiple district staff requested that Thomas Hollcraft not return as a substitute teacher at their respective schools due to, among other issues, allegations and concerns of inappropriate comments to students. 9. On June 13, 2005, Evergreen School District issued an internal memorandum, Termination Notification, terminating Thomas Hollcraft as a substitute teacher. The memo states that Thomas Hollcraft is restricted in SF (Sub finder - terminated per Jerry Piland, Evergreen School District Executive Director of Human Resources. Thomas Hollcraft failed to disclose the tennination during his August 23, 2010 application for a Washington educational certificate. 10. On Janumy 14, 2004, May 15, 2009 and August 2, 2010, Thomas Hollcraft requested materials from OPP to lift his Stayed Suspension. OPP sent Thomas Hollcraft the requested materials. Thomas Hollcraft did not return the requested material from his 2004 and 2009 requests. 11. The Washington Education Certificate, No. 397722J, of Thomas Hollcraft expired on June 30, 2007.. DENIAL ORDER FOR CERTIFICATION -3-

12. On January 27,2009, Thomas Hollcraft submitted an application for an Oregon teaching certificate to Oregon Teacher Standards and Practices Commission (TSCP. On the application, Thomas Hollcraft answered 'no' to the question of "Have you ever been disciplined by any public agency responsible for licensure of any kind, including but not limited to educational licensure". Thomas Hollcraft failed to provide Oregon TSPC with a copy of his Washington Agreed Order of Stayed suspension, OPP No. A02-01-00l3; Oregon TSPC Case No. 901201. 13. Thomas Hollcraft failed to abide by the OSPI Agreed Order of Stayed Suspension by not informing Oregon TSPC of the OSPI Agreed Order of Suspension and by not providing a copy of the OSPI Agreed Order of Stayed Suspension. 14. During Oregon TSPC's investigation of Thomas Hollcraft's application for an Oregon education certificate, Marie Marckx, Thomas Hollcraft's wife, and two (2 of Thomas Hollcraft's physicians contacted illl Oregon TSPC investigator to advise that Thomas Hollcraft suffers from a mental impairment and opined that this impairment affects his ability to serve as ill1 educator. 15. On June 17, 2009, after investigation, Oregon TSPC issued a Notice of Denial of Teaching License and Opportlmity for Hearing to Thomas Holleraft. On July 16, 2009, Thomas Hollcraft requested a hearing to contest the denial of his application for a Substitute Teaching License; Oregon TSPC Case No. 901201. DENIAL ORDER FOR CERTIFICATION -4-

16. On January 13, 2010, Thomas Hollcraft participated in an administrative law hearing with Oregon TSPC contesting the denial of his application for a Substitute Teaching License; Oregon TSPC Case No. 901201. 17. On February 22, 2010, Senior Administrative Law Judge, Dove L. Gutman issued a Proposed Order denying Thomas Hollcraft application for a Substitute Teaching License for failure to demonstrate sufficient mental or physical health to hold a license and engaging in gross neglect of duty for falsifying his application; Oregon TSPC Case No. 901201. 18. On May 14, 2010, Oregon TSPC issued a Final Order denying Thomas Hollcraft's application for a Substitute Teaching License; Oregon TSPC Case No. 901201. 19. On August 23, 2010, OSPI received Thomas Hollcraft's application for a Washington educational certificate. Thomas Hollcraft signed the application on August 20,2010. DENIAL ORDER FOR CERTIFICATION -5-

20. On the Character and Fitness Supplement, a part of the application process, Thomas Hollcraft answered 'yes' to questions 3, 4, 5, 10 and 11, section II, Professional Fitness, regarding: having been the subject of a certificate or licensing investigation by a certificate or licensing agency for allegations of misconduct; having adverse action taken on any certificate or license; having been denied, or otherwise rejected for cause, an education certificate, credential, or license; having been disciplined by a past or present employer because of allegations of misconduct; and having been the subject of any investigation or inquiry by an employer because of allegations of misconduct. Thomas Hollcraft failed to provide a written explanation of his 'yes' answers to the above listed questions. 21. Thomas Hollcraft falsely answered 'no' to question 8, section II, Professional Fitness, regarding having been dismissed, discharged, or fired from any employment position involving children or dependent adults. 22. Thomas Hollcraft failed to answer questions 3 and 4, section Ill, Criminal HistOlY, regarding being convicted of any crime or violation of any law in the last 10 years and being convicted of any felony crime. Thomas Hollcraft also failed to answer question 6, section IV, Fitness, regarding having a medical condition which in any way impairs or limits you ability to serve in a certificate role with reasonable skill and safety. As required, Thomas Hollcraft did not provide a detailed written explanation of the circumstance leading up to and snrround his 'yes' answers on the Character and Fitness Supplement. I I DENIAL ORDER FOR CERTIFICATION -6-

23. On September 9, 2010, OPP sent a letter to Thomas Hollcraft requesting detailed written explanations of the circumstances leading up to and surrounding his 'yes' answers on the Character and Fitness Supplement. OPP also returned the incomplete Character and Fitness Supplement to Thomas Hollcraft and instructed him to complete the highlighted questions and return the supplement. 24. In September of 2010, Thomas Hollcraft returned the Character and Fitness Supplement answering 'yes' to question 3, section II, Criminal History. regarding having been convicted of any crime or violation of any law in the last 10 years and ans'yering 'no' to question 4, section II, Criminal History. regarding having been convicted Of any felony crime. Thomas Hollcraft failed to answer question 6, section IV, Fitness regarding having a medical condition which in any way impairs or limits you ability to serve in a certificate role with reasonable skill and safety. Thomas Hollcraft failed to provide detailed written explanations. 25. III September of 2010, OPP received from Thomas Holtcraft literature regarding disease. 26. On September 20, 2010, OPP received from Thomas Hollcraft a written explanation regarcling a traffic citation he received in 2010 for parking in a handicapped stall without the appropriate permit. Thomas Hollcraft also provided an Oregon Department of Revenue payment agreement. DENIAL ORDER FOR CERTIFICATION -7-

27. Good moral character and personal fitness is a continuing requirement to maintain a Washington Education Certificate. CONCLUSIONS OF LAW 1. OS PI has jurisdiction over Thomas Hollcraft and over the subject matter ofthis action. 2. Thomas Hollcraft has failed to provide clear and convincing evidence of good moral character or personal fitness, per Washington Administrative Code (WAC 181-86-013, to receive a Washington education certificate, WAC 181-86-110. DENIAL ORDER FOR CERTIFICATION -8-

ORDER THEREFORE, it IS hereby ordered that the application for certification of Thomas Hollcraft is denied. This order may be appealed within thirty (30 calendar days from the date of receipt, pursuant to Chapter 181-86 WAC, copy enclosed. This order will become final thirty days after it is received, lmless it is appealed within the thirty day period. Appeals should be addressed to: Superintendent of Public Instruction Office of Professional Practices PO Box 47200 Olympia, WA 98504 DATEDthiS.-J'-.tf'-Jl- dayof h~w-,2010. RANDYLDORN Superintendent of Public Instmction State of Washington Martin T. Mueller Assistm1t Superintendent Student S L1pport DENIAL ORDER FOR CERTIFICATION -9-