Addressing workplace challenges and ensuring a constructive work environment necessitates the appropriate use of corrective tools, among which the Employee Corrective Counseling Form plays a pivotal role. Designed to guide supervisors through the documentation process, this form is integral to the University's Progressive Disciplinary Procedures. It facilitates a structured approach to addressing violations of university rules by an employee, thereby acting as a critical record of the corrective counseling undertaken. The form covers various aspects of the disciplinary process, including the type of counseling provided—be it verbal, written, suspension, or even dismissal—with detailed sections on the incident in question, the policies discussed, actions expected for improvement, and follow-up protocols. Furthermore, it delineates the consequences of failing to improve, emphasizing the potential for further disciplinary actions. By meticulously documenting these procedures, the form not only aids in the fair treatment of employees but also serves to protect the institution's interests by ensuring a clear, transparent process is followed. The ultimate goal is to facilitate an open dialogue between the employee and the supervisor, aimed at improving performance and adherence to university policies, with the form itself acting as a formal record to be placed in the employee's personnel file. This process underscores the university's commitment to a supportive work environment while maintaining strict standards of professional conduct.
| Question | Answer |
|---|---|
| Form Name | Employee Counselling Form Template |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | concling, employee counseling template, counselling form format, counseling form |
EMPLOYEE CORRECTIVE COUNSELING FORM
This form is used as a guide for the supervisor when documenting issues that need attention under the provisions of the University Progressive Disciplinary Procedures. When completed, it serves as a written record of corrective counseling conducted with an employee pertaining to violation of one or more University rules.
EMPLOYEE NAME |
CAMPUS WIDE ID NUMBER |
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JOB TITLE |
DEPARTMENT |
Which form of counseling applies?:
Verbal Counseling
Suspension for |
Working Days |
Written Counseling |
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Beginning / |
and ending / |
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Without Pay |
With Pay |
Final Written Counseling |
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Dismissal Effective Date: / |
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Date and Time of Incident: |
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Issues and Policies Discussed: |
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Facts and Events Leading to the Discussion: |
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Why a Concern: |
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Action Steps for Improvement: |
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30 Days |
60 Days |
Days |
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Updated 07/02/2009
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This date will occur on: / / |
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Previous Counseling Summary: |
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Same Policies? |
No |
Yes |
Description and Dates: |
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Other Policies? |
No |
Yes |
Description and Dates: |
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Consequences of Failure to Improve: |
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Further Disciplinary Action |
Dismissal Will Be Recommended |
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Further Disciplinary Action up to and including Termination
_____________________________________________________________________________________________
Supervisor’s SignatureDate
______________________________________________________________________________
Dean/Director’s Signature |
Date |
To the employee:
This written record of corrective counseling is being issued based on your violation of one or more University rules or for poor performance. This report will remain in your employee personnel file. You are being provided a copy of this Corrective Counseling Form.
The employee’s signature indicates he or she has seen this report and that the contents have been reviewed with him or her. The signature does not necessarily indicate agreement.
_____________________________________________________________________________________________
Employee’s Signature |
Date |
Updated 07/02/2009