Progressive Discipline/termination Form
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1Progressive Discipline/Termination Form
Volunteer Information:
Name:
Location:
Position:
Manager:
Program:
Type of Performance Concern: (check the appropriate item(s)):
Quality of Work
Quantity of Work
Absenteeism
Tardiness
Safety
Insubordination
Failure to Follow Instructions
Breach of Confidentiality
Dishonesty
Impaired at work
Misuse of Company Equipment/Property
Theft
Other (specify below)
You are receiving this disciplinary notice due to the following actions (specify dates):
Level of Discipline being taken and confirmed: (check the appropriate term)
Verbal Warning
Written Warning
Dismissal/Termination
Expected and sustained Improvement required by:
Immediately
3-months
Upon completion of agreed upon training
Actions Required to Demonstrate Improvement:
(Volunteer signs only to confirm that they have received this notice, not that they necessarily agree with it)
Next steps for failure to improve or repeat of occurrence(s):
Written Warning
Termination
Signatures:
Supervisor:_________________________________________________
Date:_________________________
Volunteer:_________________________________________________
Date:_________________________
Date Developed: October 2015
Date Approved: November 2015
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Parent category: Legal