Statement of Appeal. Within twenty (20) working days of sending the notice of intention or within twenty (20) working days of meeting with the President or his/her designate or immediately on selection of the chairperson of the Arbitration Board, whichever is later, the faculty member shall send to the arbitration board, through its chairperson, and simultaneously to the Staff Relations Officer, Human Resources, a written statement of appeal for rehearing which shall state both the particular ground for the appeal and the evidence supporting it.
Statement of Appeal. I accept the Administrative decision above; I refer the above decision to the next level Level 2 Level 3 Level 4 DATE OF RESPONSE Signature of Grievant Distribution of Form: Immediate Supervisor Superintendent Association Grievant Address City State Zip To: College Place School District #250 I, the undersigned, hereby authorize you as my employer to deduct from my salary and pay to the charitable organization representation fees equivalent in amount to the membership dues and assessments as certified by the Association. I agree that this authorization and assignment shall be irrevocable for the current school year and shall be automatically renewed each year thereafter unless written notice of revocation is given by me to the District and the College Place Education Association between August 1 and August 31 of any calendar year, and further agree that my revocation shall be effective on August 31 of the year in which notice of revocation is given. Date Signature
Statement of Appeal. Please state specific reason for appeal and all information pertaining to the grievance.
Statement of Appeal. I accept the Administrative decision above; I refer the above decision to the next level Xxxxx 0 Xxxxx 0 Xxxxx 0 DATE OF RESPONSE Signature of Grievant Distribution of Form: Immediate Supervisor Superintendent Association Grievant Teacher: Subject: Date:_ INSTRUCTIONAL SKILL (The teacher demonstrates, in their performance, a competent level of knowledge and skill in designing and conducting an instructional experience.) COMMENTS: CLASSROOM MANAGEMENT (The teacher demonstrates, in their performance, a competent level of knowledge and skill in organizing the physical and human elements in the educational setting.) COMMENTS: PROFFESSIONAL PREPARATION AND SCHOLARSHIP (The teacher exhibits, in their performance, evidence of having a theoretical background and knowledge of the principles and methods of teaching, and commitment to education as a profession.) COMMENTS: EFFORT TOWARDS IMPROVEMENT WHEN NEEDED (The teacher demonstrates an awareness of their limitations and strengths, and demonstrates continued professional growth.) COMMENTS: STUDENT DISCIPLINE (The teacher demonstrates the ability to manage the non- instructional, human dynamics in the educational setting.) COMMENTS: INTEREST IN TEACHING STUDENTS (The teacher demonstrates an understanding of the commitment to each pupil, taking into account each individual‟s unique background and characteristics. The teacher demonstrates enthusiasm for or enjoyment in working with pupils.) COMMENTS: KNOWLEDGE OF SUBJECT MATTER (The teacher demonstrates a depth and breadth of knowledge of theory and content in general education and subject matter specialization(s) appropriate to the elementary and/or secondary level(s). COMMENTS: COMMUNICATION WITH PARENTS (The teacher communicates effectively with parents by regular reporting and addressing parental concerns in a positive and professional manner.) COMMENTS: Staff Member‟s Comments: Staff Member‟s Signature: Date: (Employee‟s signature does not necessarily mean agreement) *If a “Requires Improvement” is given, the evaluator must include specific deficiency(s) and recommendation(s) for improvement. Employee: Evaluator Date: Time: Demonstrates appropriate selection, administration and interpretation of assessment measures. Develops appropriate individual goals based upon the recommendations of the assessment summary. Designs and implements appropriate programs of prevention, evaluation and instruction. Assigns appropriate tasks and trains parapro...
Statement of Appeal. Please state specific reason for appeal. (Add any additional information that may be helpful in resolving the grievance.) Name of Employee Representative: Appellant’s Signature STA Docket #CT FORM BB Office Use Only To: Date Name of Xxxxxxxx School/Department Position Assistant Superintendent of Human Resources’ response to alleged contract violation as specified in xxxxxxxx’s statement dated Decision Rendered: Assistant Superintendent’s Signature STA Docket #CT FORM C Office Use Only Grievant Date Last Name First Middle School/Department Position Please state specific reason for appeal and all information pertaining to the grievance.
Statement of Appeal. Please state specific reason for appeal. (Add any additional information that may be helpful in resolving the grievance.) Name of Employee Representative: FORM BB Office Use Only To: Date Name of Grievant School/Department Position Assistant Superintendent of Human Resources’ response to alleged contract violation as specified in grievant’s statement dated Decision Rendered: FORM C Office Use Only Grievant Date Last Name First Middle School/Department Position Please state specific reason for appeal and all information pertaining to the grievance.
Statement of Appeal. Please state specific reason for appeal. (Add any additional information that may be helpful in resolving the grievance.) Name of Employee Representative: ___________________________________________________________________ ____________________________________ Appellant’s Signature Cc: Employee Assistant Superintendent, Human Resources Superintendent Supervisor Association Human Resources 10/99 STA Docket #CT__________ FORM BB Office Use Only To: Date Name of Grievant School/Department Position Assistant Superintendent of Human Resources’ response to alleged contract violation as specified in xxxxxxxx’s statement dated Decision Rendered: Assistant Superintendent’s Signature Cc: Employee Assistant Superintendent, Human Resources Superintendent Supervisor Association Human Resources 10/99 STA Docket #CT__________ FORM C Office Use Only Grievant Date Last Name First Middle School/Department Position
Statement of Appeal. Provide a clear, concise statement of the reasons for the appeal.
