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
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 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): / / / / I CERTIFY THAT THE INFORMATION STATED ON THIS FORM IS TRUE. EMPLOYEE SIGNATURE DATE PRINCIPAL APPROVAL DATE DEPARTMENT APPROVAL DATE
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 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, 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): Substitute Name: EMPLOYEE SIGNATURE DATE PRINCIPAL APPROVAL DATE DEPARTMENT APPROVAL DATE
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 (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:
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 Rocklin Unified School District 0000 Xxxxxx Xxxxxxx Xxxxx Rocklin, CA 95677 (000) 000-0000 Office of Human Resources
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 RESCUE UNION SCHOOL DISTRICT 9/91 0000 XXXX XXXX XXXX XXXXXX, XXXXXXXXXX 00000 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.
