Employee Counseling Form
Employee Information
Employee Name:
Date:
Employee ID:
Job Title:
Manager:
Department:
Type of Notice
Verbal Warning
Written Warning
Suspension w/out pay
Discharge Recommendation
Type of Offense
Tardiness/Leaving Early
Absenteeism
Violation of University Policies
Substandard Work
Violation of Safety Rules
Rudeness to Students/Coworkers
Falsification of records Improper care/use of property Insubordination
Other:
Details
Description of Infraction:
Plan for Improvement:
Consequences of Further Infractions:
Acknowledgement of Receipt of Warning
By signing this form, you confirm that you understand the information in this warning. You also confirm that you and your
manager have discussed the warning and a plan for improvement. Signing this form does not necessarily indicate that you
agree with this warning.
Employee Signature Date
Manager Signature Date
Witness Signature (if employee understands warning but refuses to sign) Date
OKLAHOMA BAPTIST UNIVERSITY