Name of Grievant. Assignment: Building: Date filed: Step I A. Date Cause of Grievance Occurred: B. 1. Statement of Grievance:
Name of Grievant. Building: Assignment: School District: Date Filed: Date or Dates of Grievance: Statement of Grievance: Relief Sought:
Name of Grievant. Assignment: Building: Date filed: Step I
Examples of Name of Grievant in a sentence
Official Use Only (For clear copies, please type or use ball point pen) Grievance No. Level I filed with Level Processed (circle one) Date Grievance Occurred Informal I II III Date Grievance Filed Name of Grievant School or Office Home Address Home Phone Zip Code Nature of Grievance (Attach additional sheets, if needed.
Submit to Principal in Duplicate Building Assignment Name of Grievant Date Filed STEP l A.
Grievant(s) Building Assignment Name of Grievant Date Filed STEP I A.
DIRECTOR LEVEL ONE Name of Grievant Position and Building Date of Grievance Filed Article and Section of Negotiated Agreement Allegedly Violated Disposition of Grievance By Administrator/Director Within an Additional Five (5) Days (Attach Statement if Necessary) This decision may be appealed to the Superintendent within five (5) working days of receipt.
STEP 1 (INFORMAL LEVEL) Building Assignment Name of Grievant Date Filed STATEMENT OF GRIEVANCE A.
More Definitions of Name of Grievant
Name of Grievant. Date Filed: Home Address: Telephone No. Building: Assignment: Name of Principal: School Telephone No. Date of alleged violation or misapplication: Article of the Agreement allegedly violated: Statement of the grievance: Nature and extent of the injury or loss involved: Results of previous discussions of the grievance and dissatisfaction with decisions previously rendered: Remedy sought: Signature - Assoc. Rep. present Signature - Grievant Disposition by: Principal Superintendent Date answered: Principal/Superintendent of Schools Grievance settled on the basis of Principal’s/Superintendent’s
Name of Grievant. Date Filed: School/Work Site: Position: Immediate Supervisor: Title: Petition is Filed Against: Title: Alleged Violation of Labor Contract or District Policy (Specific): Date Grievance Was First Known to Exist: Statement of Grievance Relief Sought Acknowledgement of Receipt by Supervisor Supervisor: Date: 1/24/2010 Level 1 Disposition at Step 1, to be completed by Supervisor: Response from Supervisor will be attached to grievance form and forwarded to employee. Level 2 Acknowledgement of Receipt by Assistant Superintendent of Personnel or Designee Asst. Supt. Of Personnel: Date: Disposition at Step 2, to be completed by Assistant Superintendent of Personnel or Designee: Response from Assistant Superintendent of Personnel or Designee will be attached to grievance form and forwarded to employee. 1/24/2010 Level 3 Acknowledgement of Receipt by Superintendent Superintendent: Date: Disposition at Step 3, to be completed by Superintendent:
Name of Grievant. Date Filed: Location: Work Assignment: Date Grievance Occurred: Nature of Grievance: CONTRACT Article(s) or Practice(s) Violated: (Reference specific page and line.): Relief Sought: Signature of Grievant Date FORMAL LEVEL 1 Date Received by Supervisor Disposition by Supervisor Signature of Supervisor Date APPENDIX B LOLO SCHOOL SALARY SCHEDULE 21-22 (2.5% increase to base) YEAR BA BA+10 BA+20 BA+30 MA MA+10 MA+20 MA+30 MA+40 1 33,468 33,525 34,406 34,481 34,508 35,539 36,567 37,628 38,662 2 35,258 35,613 36,154 36,005 36,145 37,298 38,420 39,606 40,724 3 35,856 36,154 37,186 37,529 37,783 39,057 40,270 41,574 42,787 4 37,050 37,469 38,962 39,052 39,420 40,815 42,119 43,544 44,848 5 38,246 38,784 40,367 40,576 41,058 42,574 43,969 45,515 46,910 6 39,441 40,099 41,772 42,101 42,696 44,333 45,822 47,486 48,976 7 41,234 41,413 43,176 43,624 44,333 46,092 47,665 49,460 51,034 8 41,831 42,727 44,577 45,148 45,970 47,850 49,518 51,428 53,096 9 41,831 44,042 45,987 47,269 47,608 49,609 51,367 53,399 55,158 10 41,831 44,042 47,392 48,195 49,245 51,367 53,217 55,371 57,220 11 41,831 44,042 48,794 49,716 50,886 53,126 55,067 57,339 59,282 12 41,831 44,042 48,794 51,244 52,520 54,885 56,920 59,312 61,344 13 41,831 44,042 48,794 52,767 54,157 56,644 58,766 61,283 63,406 14 44,042 48,794 54,291 55,795 58,399 60,616 62,648 65,468 15 55,815 57,433 60,161 62,464 64,927 67,530 16 59,070 61,920 64,315 67,196 69,593 22-23 (2.25% increase to base) YEAR BA BA+10 BA+20 BA+30 MA MA+10 MA+20 MA+30 MA+40 1 34,221 34,280 35,180 35,257 35,285 36,339 37,390 38,474 39,532 2 36,051 36,414 36,967 36,815 36,958 38,137 39,284 40,497 41,641 3 36,663 36,967 38,023 38,373 38,633 39,935 41,176 42,509 43,749 4 37,884 38,312 39,839 39,931 40,307 41,734 43,067 44,524 45,857 5 39,106 39,656 41,275 41,489 41,981 43,532 44,958 46,539 47,966 6 40,329 41,001 42,712 43,048 43,656 45,330 46,853 48,555 50,077 7 42,162 42,344 44,147 44,605 45,330 47,129 48,737 50,573 52,183 8 42,772 43,689 45,580 46,164 47,004 48,927 50,632 52,585 54,290 9 42,772 45,033 47,022 48,333 48,679 50,725 52,523 54,601 56,399 10 42,772 45,033 48,458 49,280 50,353 52,523 54,415 56,616 58,508 11 42,772 45,033 49,892 50,835 52,030 54,322 56,306 58,629 60,616 12 42,772 45,033 49,892 52,397 53,702 56,120 58,201 60,647 62,724 13 42,772 45,033 49,892 53,954 55,376 57,918 60,089 62,662 64,832 14 45,033 49,892 55,513 57,050 59,713 61,980 64,057 66,941 15 57,071 58,725 61,515 63,869 66,388 69,050
Name of Grievant. Grievant’s email:_______________________________________________________________ Facility Representative’s email:___________________________________________________ The Alleged Violation: Corrective Action Desired: I do/do not wish to make an oral presentation (circle one) Union Representative: __________________________________________________________ Union Representative designated for receipt of papers with street address: ___________________________________ Grievant's Signature
Name of Grievant. Individual AEA Both LEVEL 1: SUPERVISOR LEVEL A. Date Cause of Grievance Occurred: B. Statement of Grievance (Facts Supporting Alleged Violation): C. Specific Contract Provisions Violated: D. Relief Sought: Signature of Grievant/AEA Date E. Disposition of Supervisor: Signature of Principal/Supervisor Date Allendale Education Association GRIEVANCE REPORT FORM (cont.) F. Position of Grievant and/or AEA: Signature of Grievant/AEA Date LEVEL 2: SUPERINTENDENT LEVEL A. Date Received by Superintendent: B. Disposition of Superintendent: Signature of Superintendent Date
Name of Grievant. Individual AEA Both LEVEL 1: SUPERVISOR LEVEL
Name of Grievant. Assignment: Building: Date Filed: Step I A. Date Cause of Grievance Occurred: B. 1. Statement of Grievance: 2. Relief Sought: Signature Date C. Disposition by Principal/Supervisor: Signature Date D. Position of Grievant Signature Date Step II