EMPLOYEE RATING SUPERVISOR. I have reviewed this report and have had the opportunity to discuss it with my rating supervisor. My signature does not necessarily mean that I agree with the report. I understand that I may respond in writing to this evaluation within 20 working days. The response will be attached to the evaluation and placed in my personnel file. Signature Print Name Signature Date Date Principal/Director’s Signature of Review Appendix C Plumas Lake Elementary School District Leave of Absence CLASSIFIED EMPLOYEES Name (Last, First) Type of Leave: Sick Leave Personal Necessity: Under all circumstances, an employee shall verify in writing that sick leave for personal necessity was not used for vacation, recreation, seeking or engaging in other employment, to extend a holiday or weekend, or for concerted activities against the District. (Initial) Bereavement Relationship: Personal Deduction (full daily deduction) Union Business (specify): School Business (specify): Vacation Workers Comp Comp Time Other (specify): Site: Physician’s Certification: Normally required for absences of more than 5 days. May be required for any absence if requested by Administrator. FROM DATE TO DATE / / / / I CERTIFY THAT THE INFORMATION STATED ON THIS FORM IS TRUE. EMPLOYEE SIGNATURE DATE PRINCIPAL APPROVAL DATE DEPARTMENT APPROVAL DATE # of Days Hrs/Day Total Hours Office Use Only Substitute Name: Personal Illness and Personal Necessity absences reported on this form are charged against the employee’s sick leave bank.
EMPLOYEE RATING SUPERVISOR. I have reviewed this report and have had the opportunity to discuss it with my rating supervisor. My signature does not necessarily mean that I agree with the report. Signature Print Name Signature Date Date Principal/Director’s Signature of Review Original (White): District Office Yellow: Employee Pink: Evaluator Rocklin Unified School District 0000 Xxxxxx Xxxxxxx Xxxxx Rocklin, CA 95677 (000) 000-0000 Office of Human Resources New CSEA Employee Contract Agreement Acknowledgement Form Date: Site/Department: Print Name: Signature: Current Memorandums of Understanding
EMPLOYEE RATING SUPERVISOR. I have reviewed this report and have had the opportunity to discuss it with my rating supervisor. My signature does not necessarily mean that I agree with the report. Signature Print Name Signature Date Date Principal/Director’s Signature of Review Original (White): District Office Yellow: Employee Pink: Evaluator Rocklin Unified School District 0000 Xxxxxx Xxxxxxx Xxxxx Rocklin, CA 95677 (000) 000-0000 Office of Human Resources …………………………………………………………………………………….………….Appendix F New CSEA Employee Contract Agreement Acknowledgement Form Date: Site/Position: _ Print Name: _ Signature: _ Phone Number: _ Email: The CSEA Contract is available online xxx.xxxxxxxxxx.xxx 🡺 Departments 🡺 Human Resources 🡺 Salary Schedules & Contracts 🡺 CSEA (California School Employees Association) ROCKLIN UNIFIED SCHOOL DISTRICT GRIEVANCE FORM – LEVEL II
EMPLOYEE RATING SUPERVISOR. I have reviewed this report and have had the opportunity to discuss this evaluation with my supervisor. I understand my signature does not necessarily indicate agreement and that I may prepare a written response within ten working days that will be attached to this evaluation in my personnel file. My signature does not necessarily mean that I agree with the report. X X Supervisor X Date Superintendent or Designee Date Signature Date Board Approved 60 – Edited as of 05.18.2020 RESCUE UNION SCHOOL DISTRICT 9/91 0000 XXXX XXXX XXXX XXXXXX, XXXXXXXXXX 00000 FORMAL CONTRACT GRIEVANCE STATEMENT NAME OF XXXXXXXX DATE POSITION SUPERVISOR -- DEPARTMENT GRIEVANCE LEVEL------------------------ SPECIFIC PROVISION(S) OF CONTRACT ALLEGED TO HAVE BEEN VIOLATED. GIVE NAME OF ARTICLE(S), SIGHT SECTION AND QUOTE EXACT WORDING. STATEMENT OF GRIEVANCE (INCLUDE DATES WHERE APPLICABLE AND NATURE OF COMPLAINT). REMEDY SOUGHT: GRIEVANT'S SIGNATURE Copies to: 1. (White) - Grievant 2. (Yellow)- Immediate Supervisor or Principal 3. (Green) - Superintendent 4. (Blue) -California School Employees Association or Rescue Union Federation of Teachers CLASSIFIED Application for Professional Growth RESCUE UNION SCHOOL DISTRICT For Payroll Use: Year Credited: Total Semester Units: By: PLEASE SUBMIT THIS FORM TO THE DISTRICT OFFICE BY JUNE 30TH WITH ATTACHED VERIFICATION* OF COMPLETION TO RECEIVE CREDIT FOR THE CURRENT YEAR. SEE NOTE BELOW FOR NEW EMPLOYEES. NAME EFFECTIVE SCHOOL YEAR ENDING: JOB POSITION SITE EMPLOYEE ID # I am requesting approval of the following course(s) and/or workshop(s) to be submitted for Professional Growth credit as outlined in Article XXXI of the Classified Employee Contract.
