9/3/2015

Corrective Action Form

Employee Name:

Building: Bunger Middle School

Date of Corrective Action: January 29, 2009

Please Highlight the Corrective Action Step and Complete the Other Information
Corrective Action Steps
Step 1: Oral Reprimand

Reason

Absenteeism
Insubordination

Step 2: Written Reprimand

Misconduct
Tardiness
Other

Job Performance

Inappropriate Actions:
During the school day XXXXXX was working with her skills class of approximately six students. While this class was
going on a couple of students were talking and off task. I was visiting a classroom across the hall and heard XXXXX begin
yelling at the students in her room to "shut up". XXXXXX was very loud and abusive with her language.

Goals and Objectives to Correct Inappropriate Behavior:

It is imperative that this type of interaction between teachers and students never happen. XXXXX will work to increase her
management strategies and control her temper with students.

Supervisor Comments:
XXXXXX is a competent and capable classroom teacher who works hard on a daily basis to improve student achievement.
This incident is alarming because this type of behavior goes against all that we do in the building to foster relationships and
promote character. I am confident that XXXXXXX will evaluate her behavior and reflect on her actions and I am equally
confident that this type of behavior will not occur in her classroom again.

Employee Comments:

Signed:

Signed:
Supervisor

Employee
Signature does not indicate agreement.

Employee refused to sign.

Human Resources

HUMAN RESOURCES USE ONLY

Sent to Human Resources on
Action
Suspension 1 day
Suspension 3 days
Termination

11/2007

for placement in personnel file or further action.

Date

Misc.

9/3/2015
HR Signature
Date

11/2007