Fillable Board of Trustees Request for Appeal of Notice (Lone Star College System)

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Board of Trustees Request for Appeal of Notice (Lone Star College System)

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Section
IV.F.10.13
Procedures
and
Forms
–
Page
5
of
9
Board of Trustees Request for Appeal of
Notice of Recommended Termination
Contract Termination Form 1:
THIS FORM IS USED BY EMPLOYEES WHO REPORT
DIRECTLY TO THE CHANCELLOR
Employee:
Print Name
Signature
Date
Please remember to attach a summary of the basis for your appeal.
Office of the Chancellor Date Received: .
Receiving Employee in the Chancellor’s Office: .
Printed Name
.
Signature
click to sign
signature
click to edit
click to sign
signature
click to edit
Section
IV.F.10.13
Procedures
and
Forms
–
Page
6
of
9
Request for Appeal of Notice of Recommended Termination
Contract Termination Form 2:
Employee:
Print Name
Signature
Date
Please remember to attach a summary of the basis for your appeal.
Office of the Chancellor Date Received: .
Receiving Employee in the Chancellor’s Office: .
Printed Name
.
Signature
click to sign
signature
click to edit
click to sign
signature
click to edit
Section
IV.F.10.13
Procedures
and
Forms
–
Page
7
of
9
Appeal Receipt and Hearing Notification
Contract Termination Form 3:
Receipt Notice Sent To:
Print Name
Receipt Notice Sent By:
Print Name
CMRRR No.:
Certified Mail Return Receipt Request No.
Date Receipt of Notice Sent:
---------------------------------------------------------------------------------------------------------------------
Appeal Receipt and Conference Notification
I acknowledge receipt of your Appeal challenging the recommendation my office has received
under Section IV.F.10.13 of the Lone Star College System District Policy Manual for termination
of your employment contract. I have tentatively scheduled your hearing for the date, time, and
place below. If this time conflicts with your schedule or you are otherwise unable to make this
appointment, please inform my office as soon as possible so we can reschedule to a more
convenient time.
Time:
Location:
Date:
Date
Stephen C. Head, Ph.D.
Chancellor
Section
IV.F.10.13
Procedures
and
Forms
–
Page
8
of
9
Appeal Statement
Contract Termination Form 4
Print Name
Signature
Please identify your concerns regarding continued employment of . This statement
must be completed by the employee and by the employee’s supervising President, Vice Chancellor, or Chief
Area Officer. This statement must be filed with the Office of the Chancellor at least 10 working days
before the hearing.
click to sign
signature
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Section
IV.F.10.13
Procedures
and
Forms
–
Page
9
of
9
Request for Board Procedural Appeal of Contract Termination
Contract Termination Form 5:
Employee:
Print Name
Signature
Specific Board Policy Allegedly Violated:
(Please reference specific policy sections)
Please remember to attach a summary of the basis for your appeal.
click to sign
signature
click to edit
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Board of Trustees Request for Appeal of Notice (Lone Star College System)

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Completed 6 October 2020

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