EMPLOYEE CONFERENCE FORM
To:
Human Resources Department
Check One:
First Notice
Second Notice
From:
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Third Notice
On __________________, 20_____,
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was
Counseled on
Warned of
Formally Warned of
(Serious Offence)
Other
The following specific concerns:
1.
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2.
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Additional Comments:
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If these deficiencies in performance are not rectified, other disciplinary action will result.
FOR COLLEGE RECORDS ONLY
PERMANENT EMPLOYEE FILE
. ____________________________________________
I have read and understand this Conference Form
Employee’s Signature
Please indicate the performance of this employee since the conference and list your specific recommendations as to
future action:
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Terminate
Retain
Supervisor’s Signature _________________________________ Date ________________________________