Fillable Employee Conference Form printable pdf download

Employee Conference Form

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EMPLOYEE CONFERENCE FORM

This form documents the following:

Coaching Session

Oral Reminder

Written Reminder

Employee Name:

Title:

Department:

Supervisor Name/phone #:

DOCUMENTATION OF CONCERN(S), ISSUE(S) OR INCIDENT(S) INVOLVING:

⎯ Conduct or Behavior (Interpersonal Skills)

⎯ Department or University Rules

⎯ Safety or Work Environment

⎯ Attendance – Dependability

⎯ Customer Service

⎯ Other ________________________

Describe performance concern or issue (be specific, and include dates and examples):

Describe agreed upon solution(s) or course of action:

Failure to resolve the issues could result in further disciplinary action up to and including a decision-making leave,

demotion, and/or dismissal.

Note follow-up review plan date(s), etc.

Employee’s Signature:

Date:

Supervisor’s Signature

Date:

NOTE: Employee’s signature indicates that this information has been discussed with the employee. It also acknowledges receipt of a

copy of the coaching record. The employee may respond using the reverse side of this form.

Distribution: (check all that apply):

_____ Employee ____Supervisor

____Dept

Employee Conference Form

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