GRIEVANCE PROCEDURE FORM. Date Teacher(s)or Organization School Principal Date of Incident State Article of contract on which grievance is based List specific events What relief is sought? Step I Date Principal Decision Resolved? Yes No Step II Date Initials / Principal Teacher Principal Decision Resolved? Yes No Initials / Superintendent Teacher Step III Date Superintendent Decision Resolved? Yes No Board Representative Signature Signature Signature Date 98-99
GRIEVANCE PROCEDURE FORM. Code No. Youngstown Diocesan Confederation of Teachers FORM A: COMPLAINT BY THE AGGRIEVED (Please type or print) Aggrieved Person Date of Issuance for Formal Procedure Home Address of Aggrieved Person Phone Number School Building Principal or Superior Against Whom Grievance Is Being Filed Name of Confederation Representative STATEMENT OF GRIEVANCE Reference: Contract Board Policy or Rule School Policy or Rule Article Section Paragraph Brief Statement of Grievance: Signature of Aggrieved APPENDIX G FAMILY AND MEDICAL LEAVE ACT OF 1993 FMLA Summary U.S. Department of Labor Employment Standards Administration Wage and Hour Division February 1993 The Family and Medical Leave Act of 1993 (FMLA) becomes effective on August 5, 1993, though special rules apply where a collective bargaining agreement is in effect. The Secretary of Labor must prescribe regulations implementing the Act in early June. The FMLA requires private sector employers of 50 or more employees, and public agencies to provide up to 12 weeks of unpaid, job-protected leave to "eligible" employees for certain family and medical reasons. Employees are "eligible" if they have worked for a covered employer for at least one year, and for 1,250 hours over the previous 12 months, and if there are at least 50 employees within 75 miles. Similar provisions also apply to federal and congressional employees.
GRIEVANCE PROCEDURE FORM. 1. See Appendix H.
GRIEVANCE PROCEDURE FORM. Form A Step 1 or 2 (please circle) Distribution of Forms Association Representative Date of Formal Presentation Immediate Supervisor Association Grievant Complaint by the Aggrieved Aggrieved Person (Type or print) Grievant's Home Address Phone Number School Immediate Supervisor Years in School System Position Association Representative Statement of Grievance: Provision(s) Alleged To Violated: Relief Sought: (Signature of Aggrieved) Form B Step 1 Distribution of Forms by Originator Association Representative Date of Formal Presentation Immediate Supervisor Association Grievant Decision of School Principal or Immediate Supervisor (To be completed by school principal or immediate supervisor within ten (10) days after receipt of grievance.)
GRIEVANCE PROCEDURE FORM. Aggrieved Person, Persons, and/or Association Address Phone School Principal Date Grievance Occurred Date of Formal Filing Person or Persons to Whom Grievance is Directed Initiated on Level
GRIEVANCE PROCEDURE FORM. ATHENS CITY SCHOOL DISTRICT GRIEVANCE PROCEDURE Name of Aggrieved Position Building Date Filed I. Article and section of Agreement claimed to have been violated: II. Statement of Grievance:
GRIEVANCE PROCEDURE FORM. CHAMPION LOCAL SCHOOLS Aggrieved Person, Persons, and/or CEA Address Phone School Principal Years in School System Subject or Grade Taught Date Grievance Occurred Date of Formal Filing Person or Persons to whom Grievance is Directed Initiated on Level STATEMENT OF GRIEVANCE What section(s) of the Master Contract has/have been violated? Set forth the Specific language and source of alleged violation. ACTION REQUESTED: Have you discussed this matter with your immediate supervisor? Yes No If yes, what action has been taken so far? Grievant CHAMPION LOCAL SCHOOLS Level II (formal) DECISION DATE Representative SIGNATURE Administrative Representative SIGNATURE Grievant and/or Assn. Level III (formal) DECISION DATE _ SIGNATURE Administrative Representative SIGNATURE Grievant and/or Assn. Representative Level IV (formal) DECISION DATE SIGNATURE Administrative Representative SIGNATURE Grievant and/or Assn. Representative Level V (formal) DECISION DATE SIGNATURE Administrative Representative SIGNATURE Grievant and/or Assn. Representative Where decision requires additional space, attach pages as necessary. APPENDIX B SUPPLEMENTAL SALARY SCHEDULE SEPTEMBER 1, 2021 TO AUGUST 31, 2024 Base $37,648.00 2021/2022 $38,457.00 2022/2023 $39,284.00 2023/2024 % YEAR AMOUNT CATEGORY AND PAY* .015 2021/2022 $565 Fall Football Physical Fitness Assistant (N) 2022/2023 $577 Spring Football Physical Fitness Assistant (MY) 2023/2024 $589 0.02 2021/2022 $753 Football Announcer (N) 2022/2023 $769 F.T.A. (3) 2023/2024 $786 Freshman Class Advisor (3) Sophomore Class Advisor (3) Power of the Pen (3) MS Ski Club (M) Pep Club (3) ES Music Production (MY) English Festival Coord./Judge Grades 5-9 (MY) English Festival Coord./Judge Grades 10-12 (MY) Boys Basketball Announcer (M) Girls Basketball Announcer (M) Football Statistician Varsity (N) Track Statistician Varsity (MY) MS Science Fair/Club (3) MS Daily Video Production (3) MS Graduation Video Coordinator (MY) MS Channel 2 (3) MS Football Timer (N) MS Stomp (MY) MS Art Club (3) Elementary Challenge 24 (N) MS Challenge 24 (N) Elementary PE Club (3) Elementary Steel Band (3) MS After School STEM Asst.Advisor (3) 0.025 2021/2022 $941 MS Audio Visual (3) 2022/2023 $961 MS Girls Intramurals (M) 2023/2024 $982 Stage Director (3) Football Videographer (N) Girls Basketball Photographer (M) Boys Basketball Photographer (M) Football Athletic Trainer (N) Video Production (3) Elementary Audio Visual (3) Fall Football Physical Fitness (N) Spring Footbal...
GRIEVANCE PROCEDURE FORM. COMPLAINT BY THE GRIEVANT LaBrae Teachers’ Association (Please type or print) Date of Informal Grievant Meeting Home Address of Grievant Phone School Subject area Building or grade Principal or Superior Name of Association Representative STATEMENT OF GRIEVANCE: (Cite section of Contract allegedly violated): ACTION REQUESTED: Signature of Grievant Copies to: Effective 9/1/91 APPENDIX B LaBrae Local Schools Teacher Salary Index Step Bachelors Bachelors +150 Masters 0 1.0000 1.0700 1.1376 1 1.0518 1.1280 1.2011
GRIEVANCE PROCEDURE FORM. Grievance Resolution Agreement Grievance # Grievant Date of Level I Subject of Filing Grievance It is agreed by the parties that Grievance # shall be resolved in the following manner: For the Corporation For PEPC Date Date APPENDIX C: CONSENT TO DEDUCT COSTS ASSOCIATED WITH SICK BANK DAYS FROM FINAL PAYCHECK I , hereby consent and acknowledge as follows: ● I am an employee of the Metropolitan School District of Xxxxx Township (the “District”). ● I am eligible to voluntarily participate in the employee Sick Leave Loan Bank. I understand, agree, and acknowledge that if I elect to use borrowed days from the Sick Leave Loan Bank pursuant to its terms, procedures, and policies, I am responsible, obligated, and liable for repayment of those borrowed days. I may elect to repay borrowed days by contributing accrued days back to the Bank at a rate of no less than
GRIEVANCE PROCEDURE FORM. Marietta City Teamsters Local Union 637 Grievance No. Distribution of Form:
