EMPLOYEE CONFERENCE

Department: Date:

Employee: Job Title:

Reason for Conference:

Commendation	Counseling* Employee Complaint

Disciplinary	Termination Other

Conference Initiated By:

ISSUE:

RELEVANT FACTORS:

ACTION OR CONCLUSIONS:

* If counseling, state (a) problem (b) why it is a problem (c) what action might result if uncorrected, and (d) when a subsequent action might take place.

______________________________ __________________

Employee's Signature Date

______________________________ ___________________

Supervisor's Signature Date

Personnel/Confer -21 Revision -

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2004-06-21

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Blinn College