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					                                          Corrective Action Notice
                                            Sweet Briar College

Employee Name________________________________________ Date __________________________

Job Title ______________________________________________ Department _____________________

This corrective action notice is being provided to the employee as a formal warning for the following reason(s) of
improper performance or behavior, as explained below:

        Absenteeism                              Insubordination                              Unsatisfactory Work
        Abusive Language or                      Tardiness                                     Performance
         Behavior                                 Improper Use of                              Other _______________
        Improper Dress                            Equipment
        Misconduct

Describe the incident or behavior that is improper or unsatisfactory. Include specific dates if applicable:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________

Is this a violation of a specific rule, policy, or performance standard? If so, describe:________________________
____________________________________________________________________________________________
____________________________________________________________________________________________

Have you discussed this or similar behavior/incidents with this employee before? If so, when?________________
____________________________________________________________________________________________
____________________________________________________________________________________________

Please indicate any corrective or disciplinary action to be taken as a result of this incident/behavior.
____________________________________________________________________________________________
____________________________________________________________________________________________

Describe the specific improvement which must be noted, and/or steps employee must take to correct conduct. What
will occur if improvement is not noted? Please also indicate any follow-up review dates:
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________

Employee Comments: _________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________

                        ______________________________________                               ________________________
                        Employee Signature                                                          Date
                        (signature does not imply agreement, only that this notice has been received and reviewed.)
Original: HR file
Copy: Employee
      Department file   ______________________________________                               ________________________
                        Supervisor Signature                                                        Date

				
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posted:10/19/2011
language:English
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