DELGADO COMMUNITY COLLEGE
List of Witnesses/Parties Called to Be Present at Grievance Hearing
Date: _______________________
To: _______________________ Grievance Officer
From: ___________________________ (Check one: _____Grievant ______ Respondent)
Re: Grievance Hearing regarding: Grievant: ______________________________
Respondent(s): ______________________________
I would like to request that the following person(s) be called to be present at the hearing scheduled to discuss the grievance between the parties listed above.
Person Requested Affiliation with the College Role of this Person at the Hearing
___________________ ____________________ ____________________________________
___________________ ____________________ ____________________________________
___________________ ____________________ ____________________________________
___________________ ____________________ ____________________________________
___________________ ____________________ ____________________________________
___________________ ____________________ ____________________________________
_________________________________
Signature
Received by:
________________________________ ___________________________________
Signature of Committee Chair Date
Form 2534/011 (5/17)
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