Appendix C
APPENDIX C
CONTRA COSTA COMMUNITY COLLEGE DISTRICT
STATEMENT OF GRIEVANCE
| EMPLOYEE NAME
|
COLLEGE | DEPARTMENT |
| DATE OF ALLEGED GRIEVANCE
|
DATE OF INFORMAL DISCUSSION WITH DEAN OR DESIGNEE | DATE OF ORAL RESPONSE |
| DATE OF FILING OF THIS STATEMENT
|
INVOLVED MANAGER(S) AND SPECIFIC ARTICLES AND SECTIONS ALLEGED TO HAVE BEEN VIOLATED
|
|
| EMPLOYEE’S STATEMENT OF ALLEGED VIOLATION AND GRIEVANCE. WHAT IS THE FACTUAL CONTENTION, WHAT HAS OCCURRED? PROVIDE FULL FACTS NECESSARY TO SUPPORT YOUR POSITION.
|
||
| STATE FULL RELIEF, REMEDY, ACTION, YOU BELIEVE IS REQUIRED TO RESOLVE THIS ALLEGED GRIEVANCE:
|
||
| I. COLLEGE PRESIDENT OR DESIGNEE, RESPONSE TO ALLEGED GRIEVANCE:
|
DATE OF RECEIPT:
DATE OF RESPONSE: |
|
| GRIEVANCE RESOLVED:
GRIEVANCED DENIED: |
||
| DATE OF GRIEVANT APPEAL:
GRIEVANT SIGNATURE: |
||
| II. CHANCELLOR/DESIGNEE, RESPONSE TO ALLEGED GRIEVANCE:
|
DATE OF RECEIPT:
DATE OF RESPONSE: |
|
| GRIEVANCE RESOLVED:
GRIEVANCE DENIED: |
||
| DATE OF GRIEVANT APPEAL:
GRIEVANT SIGNATURE: |
||
| WRITTEN NOTICE OF APPEAL TO A “FACT-FINDING PANEL” MUST BE FURNISHED WITHIN FIFTEEN (15) WORK DAYS TO THE CHANCELLOR. DATE OF UNITED FACULTY NOTICE: __________________________________________
(OPTIONAL) |
||
THE DECISION OF THE PANIS IS: (IF APPLICABLE) |
DATE OF HEARING:
DATE OF RESPONSE:
|
|
THE DECISION OF THE BOARD IS: (IF APPLICABLE) |
DATE OF RECEIPT:
DATE OF BOARD MEETING:
DATE OF DECISION: |
|
