Beaumont ISD Employee Level Three Appeal Notice
To appeal a Level Two decision, or the lack of a timely response after a Level Two confer-ence, please fill out this form completely and submit it by hand delivery, electronic communi-cation, or U.S. mail to the Superintendent's Office within the time established in DGBA(LO-CAL). Appeals will be heard in accordance with DGBA(LEGAL) and (LOCAL) or any exceptions outlined therein.
Name:
*
Address:
*
Telephone number:
*
Email address:
*
example@example.com
Campus/Department:
*
If you will be represented in presenting your appeal, please identify the person representing you. If the person representing you will participate by telephone conference call, please check the box below. The District will inform you if the equipment necessary for telephone representation is unavailable.
Representation will be by telephone conference call.
Please note:
You must designate a representative who will be participating in person or by telephone with an advance notice of at least three days, or the District may reschedule the conference or hearing to a later date.
Name:
Address:
Telephone number:
Email address:
example@example.com
Who held the Level Two conference?
*
Date of conference:
*
-
Month
-
Day
Year
Date
Date you received a response to the Level Two conference:
*
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Month
-
Day
Year
Date
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Please explain specifically how you disagree with the outcome at Level Two.
*
Do you want the Board to hear this appeal in open session?
*
No
Yes
If yes, the Board will consider your request; however, you may not have a legal right un-der the Texas Open Meetings Act to require a meeting in open session.
Attach a copy of the Level Two response being appealed, if applicable.
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Employee signature:
*
Signature of employee's representative:
Date of filing:
*
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Month
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Day
Year
Date
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