Summary Of Employee Conference
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2Summary of Employee Conference
MCPS Form 425-54
June 2014
Office of Human Resources and Development
Page 1 of 2
MONTGOMERY COUNTY PUBLIC SCHOOLS
Rockville, Maryland 20850
INSTRUCTIONS: Please complete this form. Person holding the conference should retain original, and a copy should be given to the employee.
CONFERENCE DETAILS
School/Office:_________________________________________ Administrator: ___________________________________________________
Employee Name: ________________________________________________________ Conference Date____/____/_____ Time: ____:____
Supervisor: _____________________________________________________________ _____________________________________________
Name (print)
Title Position
Conference Format:
Telephone
In-Person
□
□
Conference Location:
□
School_________________________________________
□
Office ____________________________________
Present at Conference: __________________________________________________________________________________________________
______________________________________________________________________________________________________________________
PURPOSE OF CONFERENCE—If more space is needed, attach another sheet.
SUMMARY OF DISCUSSION—If more space is needed, attach another sheet.
RECOMMENDATIONS AND/OR NEXT STEPS
Item
Action
Person Responsible
Due Date
IS FOLLOW-UP NECESSARY?
□
Yes
□
No If yes, explain _________________________________________________________________________________________
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
/
/
/
/
Signature, Supervisor
Date
Signature, Employee
Date
Distribution: Copy 1/Supervisor Copy 2/Employee
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