Fillable COMPLAINT/GRIEVANCE FORM MOTLOW STATE COMMUNITY COLLEGE (Motlow State Community College)

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COMPLAINT/GRIEVANCE FORM MOTLOW STATE COMMUNITY COLLEGE (Motlow State Community College)

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COMPLAINT/GRIEVANCE FORM
MOTLOW STATE COMMUNITY COLLEGE
(Type or Print)
1. Name________________________________________________________________
2. Position:______________________________________________________________
3. Classification: Administrative Faculty
Professional Non-Faculty Clerical and Support
4. Department/Division:____________________________________________________
5. Name of immediate supervisor:____________________________________________
6. Date complaint/grievance initially discussed with immediate supervisor: ____________
7. Name of next-higher level supervisor:_______________________________________
8. Date complaint/grievance initially discussed with next-higher-level supervisor: ________
9. Explanation of complaint/grievance (include identification of any institution policy violated):
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
10. Corrective action desired: ________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
_______________________________________________ __________________
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COMPLAINTGRIEVANCE FORM MOTLOW STATE COMMUNITY COLLEGE (Motlow State Community College)

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Completed 27 July 2020

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