DELGADO COMMUNITY COLLEGE
Notice of Grievance Committee Selection
Date: _______________________________
To: _______________________________
Address: _______________________________
_______________________________
From: ________________________________ ________________________________
Grievance Officer College Title
________________________________
Office Phone Number
You are hereby notified that _______________________________ (name of grievant) has officially requested a grievance hearing in regard to the attached alleged grievance and has identified
____________________________________________________________________________________ ____________________________________________________________________________________
as the respondent(s).
The first step in response to this request will be to select a Grievance Committee from the College's Grievance Pool.
Grievance Committees are selected by lot, by the Grievance Officer, with the grievant and respondent(s) present. The selection of the Grievance Committee will take place:
Date: ____________________________________
Time: ____________________________________
Place: ___________________________________
To select a Grievance Committee, it is required that the grievant and respondent(s) are present. If you request an alternative method of selection, it must be agreed upon by the Grievance Officer, grievant, and respondent(s).
If you have any questions, you may contact me at the phone number listed above.
__________________________________
Grievance Officer's Signature
(Copy of completed form 2534/005 must be attached.)
Form 2534/006 (5/17)
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