Evaluation Grievance Process - Step III |
RUTHERFORD COUNT YSCHOOLS
Evaluation Grievance Form - Step III
This form must be completed by the grievant and submitted to the Board of Education no later than fifteen (15) days following the decision at Step II.
Name of Grievant: __________________________________________________
School: ___________________________________________________________
Name of Evaluator: _________________________________________________
Date Director's Decision Received: __________ Evaluation Period: __________
Basis for grievance: Identify the inaccurate data that was used or describe the procedural error that occurred as pat of your evaluation. Explain how this inaccurate data or procedural error materially affected or compromised your evaluation. ________________________________________________________________________
________________________________________________________________________ (Attach additional sheets or documentation as needed)
Corrective Action Desired: _________________________________________________
________________________________________________________________________
________________________________________________________________________
Signature of Grievant: _____________________________________________________
TO BE COMPLETED BY THE EVALUATOR
Date received: ____________ Director's Decision: Confirmed _______ Denied_______
Full Board Hearing Granted: No ______ Yes ______ and set for ___________________ (Date and Time)
Other Corrective Action Taken: ______________________________________________
________________________________________________________________________
Signature of Board Chair: __________________________________________________
Date grievant notified: __________________________
|
