Faculty Grievance Report
(This form, along with all administrative responses and documentation, is to accompany the grievance.)
Faculty Name Grievance Attached
Date
Signature
[submit to chair]
Chair Review
Name Response Attached
Signature Date
[return to faculty grievant]
Dean Review
Name Response Attached
Signature Date
[return to faculty grievant]
Provost Review
Name Response Attached
Signature Date
[return to faculty grievant]
Faculty Grievance Committee Review
Committee Chair
(Signature)
Response Attached
[submit to President]
Date
President’s Review
Name
Letter sent to Committee
Chair
Copy to Faculty Grievant
Signature Date
[Grievance with all documentation is forwarded by the Office of the President to HR for inclusion in faculty grievant’s
personnel file]
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