Warren County Schools EMPLOYEE REPRIMAND

Warren County Schools EMPLOYEE REPRIMAND
Employee Last Name
Employee First Name
Email
example@example.com
Reprimand Date
Location of Employment
Violation Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Violation Time

:HourMinutesAM/PM Option
Place of Violation Occurrence
Has employee been previously warned?
If yes, how many times?
Type of Violation

Other
Warning Statement
This employee is also advised that any further confirmed instances of inappropriate or unprofessional behavior, violations or infractions may result in further disciplinary action, up to and including termination.
You are also advised that any retaliation against students, staff or anyone participating in this investigation is strictly prohibited and will result in further disciplinary action, up to and including termination.
Employee's Statement
Reason I disagree statement
I have read the information outline in this written reprimand. Although I may not agree with the assessment of my supervisor, I understand that if I commit further acts or omissions that are deemed to constitute inappropriate and/or unprofessional behavior and/or infractions or violations that I may be recommended for suspension or dismissal.
Employee's Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature of Person Issuing Reprimand
Title
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Email of Person Issuing Reprimand
example@example.com
1 copy to Director of Schools

1 copy to the Employee

1 copy to the Principal and/or Supervisor file
Should be Empty: