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
Date
Violation Time

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

AttendanceTardinessSafety RulesNeglect of DutyInsubordinationWork QualityUnprofessional ConductInefficiencyIncompetenceDishonestyUnreliabilityOther
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*

I concur with the warning statement.I disagree with the warning statement for the following reasons:
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
Date
Signature of Person Issuing Reprimand*
Title*
Date*

MonthDayYear
Date
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: