DELGADO COMMUNITY COLLEGE
Review of Request for Grievance Hearing
Date: _________________________________
Grievant's Name: _______________________________ Title: ___________________________
Department/Division: ____________________________
Respondent's Name: _____________________________ Title: ___________________________
Respondent's Name: _____________________________ Title: ___________________________
The Grievance Committee has met to review the request by the above grievant for a hearing on the alleged grievance. The Committee has determined the following: (Attach additional pages if necessary.)
_______ The Committee agrees that a grievance exists (as defined in the “Definitions” Section of the College’s
Faculty Grievance Procedures policy
) and makes the following recommendation(s) to solve the grievance:
_______ The Committee approves the request for a hearing. (The Committee determines that a specific provision(s) of official College policy and procedures may have been violated or applied in an inequitable fashion or that a work-related problem may exist.) A hearing is necessary to discuss the issues listed below. (No other issues will be discussed at the hearing.)
Please note the following:
1. All parties involved will receive notification of the date, time and place of the hearing.
2. The grievant and respondent(s) are required to be present at the hearing.
3. You have a right to have witnesses/parties called to be present at the hearing. Witnesses/parties called to be present must be limited to members of the College community (faculty, staff and/or students). To have witnesses/parties called, you must submit Form 2534/011 to the Committee Chair within three (3) working days of the date on this form.
_______ The Committee denies the request for a hearing. (The Committee determines that the following provision(s) of official College policy and procedure clearly was not violated or applied in an inequitable or discriminatory fashion or a work-related problem clearly does not exist, as explained below.)
Signature of Committee Chair: __________________________ Date: _____________________
Signature of Committee Members: __________________________ __________________________
__________________________ __________________________
(Copy of completed form 2534/005 must be attached.) Form 2534/009 (front) (5/17)
* * * * * * * * * * * * * * * * * * * To Be Completed by Grievant* * * * * * * * * * * * * * * *
________ I accept the Committee's recommendation(s).
________ I do not accept the Committee's recommendation(s) and I understand that this rejection of the recommendation(s) will result in a full hearing.
________ I am appealing the denial of a hearing to the Chancellor. (Attach Grievance Outcome Appeal
to the Chancellor Form, Form 2534/013.)
___________________________________ ____________________________
Signature of Grievant Date
Form 2534/009 (back) (5/17)
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