20142015 CBA
N-1
APPENDIX N
RECORD OF DISCIPLINARY ACTION
Faculty Member
Level of Disciplinary Action
Date of Disciplinary Action
Date of Activity or Event Prompting Disciplinary Action
Description of Activity or Event Prompting the Disciplinary Action
(Note: For an oral warning, use form only to document the warning; do not attach additional
information or documentation. For disciplinary actions above the level of oral warning, describe
situation and attach additional pages or documentation as needed.)
Administrator Date
Faculty Member Date
Note: The above signatures verify only that the faculty member and the administrator have
discussed the disciplinary action and do not indicate the faculty member is in agreement
with the action.
Copies: Faculty Member
Faculty Member Personnel File Privacy Folder
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