APPENDIX D GRIEVANCE FORM. Date Supervisor: Assignment Grievant: Building REASON FOR GRIEVANCE (Statement of Facts): (ATTACH ALL SUPPORTING PAPERS) ARTICLES & SECTION VIOLATED ACTION REQUESTED (Relief Sought) Signature of Employee Signature of UTS Representative APPENDIX D - Page 2 STEPS IN RESOLUTION OF GRIEVANCE LEVEL I VIOLATION DATE ORAL DISCUSSION DATE GRIEVANT'S SIGNATURE ORAL ANSWER DATE SUPERVISOR'S SIGNATURE LEVEL II DATE RECEIVED SUPERVISOR'S SIGNATURE MEETING DATE SUPERVISOR'S SIGNATURE GRIEVANT'S SIGNATURE DATE ANSWERED SUPERVISOR'S SIGNATURE DATE RECEIVED GRIEVANT'S SIGNATURE ATTACH ALL SUPPORTING PAPERS DESCRIPTION OF SUPPORTING PAPERS 1.
APPENDIX D GRIEVANCE FORM. Concord Carlisle Teachers’ Association and the Concord Carlisle Regional School District Level (Circle One): One / Two / Three Grievant’ s Name Supervisor at Level 1: Statement of the Grievance: Contract Article(s) Violated: Remedy sought at this Level: Signature of Grievant Date APPENDIX E - Stipend Calculations for Base Year Sample communities used for calculations: Acton Boxborough Bedford Concord-Carlisle Regional School Lexington Lincoln-Sudbury Xxxxxxx Xxxxxx South Xxxxxxx Wellesley Westford Weston Sample sports used to establish stipend: Baseball Basketball Field Hockey Hockey Lacrosse Soccer Varsity Coach Calculations • Gather available maximum salary information in each community for each sport in the base year • Calculate the average maximum salary by community • Rank communities highest to lowest for the average of sports • Using the top 30% placed Concord between 3rd and 4th ranked communities. Therefore, calculations were based on data for the 3rd and 4th ranked communities. In the case of current data, Xxxxxx (3ed) average is $6,386; Acton Boxborough (4th) average is $5,983. The average of these two communities is $6,184 for approximate varsity coach position. Recommendation was made to round up to $6,200. Junior Varsity and Assistant Coach Calculations • Gather available maximum salary information in each community for each JV sport in base year. May be done for one sport only. • Measure the ratio of varsity to JV compensation and develop an average ratio for all communities. • Apply the ratio to varsity coach stipend to calculate the JV stipend • Calculation yields a percentage of 67.8%; this results in a stipend of $4,192 or $4,200 with rounding. Appendix F - Evaluation Forms The forms included in this Appendix are provided as tools to support educators and Evaluator s as they implement the new educator evaluation framework. For all of these forms, additional pages may be attached as needed. Self-Assessment Form. This form is intended to be used in support of Step 1: Self-Assessment, the educator’s initial step of the cycle. The form can be used by individuals or teams; however, each individual will need to submit a self-assessment. Evaluator s sign the form to indicate receipt. The form includes sections for the educator to complete an analysis of student learning, growth, and achievement and an assessment of practice against performance standards. Submission of this form will be noted and initialed on the ETS. Due October 1st Goal Settin...
APPENDIX D GRIEVANCE FORM. Grievance Copies To: Employee Principal Association Xxxxxx Xxxxxxxxx Report LEA/MEA/NEA Name of Grievant Building Date of Alleged Occurrence LEVEL I (Informal Discussion with Principal/Supervisor) Date LEVEL II
APPENDIX D GRIEVANCE FORM. 98 APPENDIX E Alcohol/Drug Abuse ...................................................................... 101 APPENDIX F Health Care Benefits ..................................................................... 106 MEMORANDUMS OF UNDERSTANDING APPENDIX G Probationary Employees ........................................................ 108 APPENDIX H Merit Rated B Section............................................................. 109 APPENDIX I Early Show up for Lieutenants ............................................... 110 APPENDIX J Night Drills ............................................................................. 111
APPENDIX D GRIEVANCE FORM. (1) Employee's Name: . Employee's Position: .
APPENDIX D GRIEVANCE FORM. Date: TO: FROM:
APPENDIX D GRIEVANCE FORM. Grievance No Date: Employee: Building: Subject or Grade: Date Hired: Position: Nature of Grievance:
APPENDIX D GRIEVANCE FORM. Concord Carlisle Teachers’ Association and the Concord Carlisle Regional School District
