Counseling Memo Template printable pdf download

Counseling Memo Template

COUNSELING MEMO TEMPLATE - Should be printed on department letterhead.

To:

From:

Date:

Subject:

Counseling Memorandum

The purpose of this memo is to document the issue(s) discussed at our meeting today. In

our meeting we discussed

(example: your unsatisfactory performance of assigned

duties).

PROVIDE SPECIFIC INFORMATION HERE ABOUT DEFICIENCIES. If the issue is

attendance – give the dates when the employee arrived late or called off without notice.

If the issue is unsatisfactory performance, describe the incident and what the employee

did or failed to do. If the issue is disruptive behavior, describe the setting and what the

employee said or did.

PROVIDE INFORMATION ABOUT PRIOR DISICPLINE ABOUT THIS ISSUE.

Indicate meetings you have had and/or training and coaching provided on these tasks,

reminders provided, etc. You may want to cut and paste a specific section(s) from the

position description into the memo that describe the job expectation that is not being met.

The Standards of Conduct Policy #1.60 states the following expectation: Example: Meet

or exceed established job performance expectations.

Immediate, consistent, and

sustained improvement is required in order to support the efficient operation of our

department. Continued unsatisfactory work performance will be grounds for formal

disciplinary action.

Below are recommended action steps to improve your performance in each area listed

above:

If there is anything that I can do to assist you in making the necessary improvements,

please let me know.

_______________________________

Employee’s Signature

Supervisor’s Signature

______________________________

_______________________________

Date

Counseling Memo Template