Common use of Statement of Grievance Clause in Contracts

Statement of Grievance. This statement shall be a clear, concise statement of the grievance, the contract provisions allegedly violated, the circumstances involved, the decision rendered at the informal conference, and the specific remedy sought. (Use back if needed) _ __ _ Signature of Grievant Date of Signature _ __ _ Signature of Supervisor Date of Signature _ __ _ Signature of Superintendent or Designee Date of Signature _ __ _ Signature of Superintendent or Designee Date of Signature ARBITRATOR AGREED UPON: _ _ _ CERTIFICATED COURSE APPROVAL FORM - (MUST BE COMPLETED PRIOR TO TAKING COURSES) EMPLOYEE NAME: SCHOOL SITE: Course Title Begin Date End Date Course # Semester Units Quarter Credit Offered by: (Accredited College or University) Reason for taking course: • Coursework must be in a subject directly & specifically related to education. A maximum of one column advancement per school year will be recognized for this type of coursework completed. • Coursework taken specifically related to an Advanced Degree or an approved certificate program will be applied without the one column per year restriction. • Courses taken for salary advancement must be completed outside of the regular duty day calendar and without the use of District funds, (*Exceptions). • Courses must be graduate or upper division level, (except for courses required to clear a credential or second language courses), and receive a grade of “C” or better. • Duplication of prior courses taken will not be accepted. • Courses must be completed by September 15th. Transcripts must be received in Human Resources for posting by November 1st. Employee Signature Date APPROVED DISAPPROVED Signature Human Resources Designee Date ~ BTSA/SP Training ~ BTSA/SP Service ~ BTSA/PT Participation

Statement of Grievance. This statement shall be a clear, concise statement of the grievance, the contract provisions allegedly violated, the circumstances involved, the decision rendered at the informal conference, and the specific remedy sought. (Use back if needed) _ __ _ Date Employee's Signature of Grievant Date of Signature _ __ _ Signature of Supervisor Date of Signature _ __ _ Signature of Superintendent or Designee Designee's Signature Date Employee's Signature MURRIETA VALLEY UNIFIED SCHOOL DISTRICT 2019-20 STUDENT CALENDAR‌ = Holiday - No School = Saturday or Sunday = Preparation Day = Professional Development Day = Early Out - Elem & Middle Schools = Early Out - Middle Schools = Minimum Day - Alt Ed = Late Start - High Schools = Minimum Day - Elementary Conferences = Minimum Day - Middle School Conferences = Minimum Day - High Schools KEY * Please list below your comments on areas marked Exceeds Job Requirements, Needs Improvement, or Unsatisfactory * I. QUALITY OF WORK A. The quality of Signature _ __ _ Signature work performed meets the accepted standards B. Product is accurate, complete, neat C. Completes the work required in the allotted time II. WORK HABITS and ATTITUDES A. Organizes work B. Uses good judgment in the performance of Superintendent or Designee Date work required C. Learns and applies new ideas, procedures, rules, and techniques D. Shows interest in work E. Abides by rules and regulations F. Accepts job responsibilities G. Properly uses assigned safety equipment III ATTENDANCE and DEPENDABILITY A. Adheres to arrival, rest periods, & departure times B. Continues to work in the absence of Signature ARBITRATOR AGREED UPON: _ _ _ CERTIFICATED COURSE APPROVAL FORM - (MUST BE COMPLETED PRIOR TO TAKING COURSES) EMPLOYEE NAME: SCHOOL SITE: Course Title Begin Date End Date Course # Semester Units Quarter Credit Offered by: (Accredited College or University) Reason for taking course: • Coursework must be close supervision C. Complies with written and/or oral instructions in the performance of job duties D. Daily attendance IV RELATIONSHIP WITH PEOPLE A. Works harmoniously with others B. Effective in dealing with the public C. Works in a subject directly & specifically professional manner with the students * If Unsatisfactory is checked, please indicate specific area(s) for improvement or area(s) where no appreciable improvement has been demonstrated since the last evaluation. Attach related to educationdocumentation. A maximum of one column advancement per school year An employee that is rated overall “Unsatisfactory”: will be recognized placed on an Assistance Plan. Training during this evaluation period: Goals and Objectives for this type of coursework completed. • Coursework taken specifically related to an Advanced Degree or an approved certificate program will be applied without the one column per year restriction. • Courses taken for salary advancement must be completed outside of the regular duty day calendar and without the use of District funds, (*Exceptions). • Courses must be graduate or upper division level, (except for courses required to clear a credential or second language courses), and receive a grade of “C” or better. • Duplication of prior courses taken will not be accepted. • Courses must be completed by September 15th. Transcripts must be received in Human Resources for posting by November 1st. Employee Signature Date APPROVED DISAPPROVED Signature Human Resources Designee Date ~ BTSA/SP Training ~ BTSA/SP Service ~ BTSA/PT Participationnext evaluation period: Recommendations & Commendations:

Statement of Grievance. This statement shall be a clear, concise statement of the grievance, the contract provisions allegedly violated, the circumstances involved, the decision rendered at the informal conferenceconference (Level I), and the specific remedy sought. (Use back if needed) _ __ _ ): Signature of Grievant Date of Signature _ __ _ Grievant: Date: Signature of Supervisor Date BTA President/Designee: Date: Signature of Signature _ __ _ Administrator: Date: Signature of Superintendent or Designee Designee: Date: Mediator Agreed Upon: Date of Signature _ __ _ Signature of Superintendent or Designee Mediation: Outcome: Arbitrator Agreed Upon: Date of Signature ARBITRATOR AGREED UPONArbitration: _ _ _ CERTIFICATED COURSE APPROVAL FORM - Outcome: Appendix D-1: Teacher Evaluation Components/Documents/Timelines Teacher Evaluation Components/Documents/Timeline/Purpose Teacher: Evaluator: School: Evaluation Year: Grade Level/Subject(s): Evaluation Date: Component Document Timeline Purpose ❑ Notification of evaluation process Sept. ❑ Teacher completes self- assessment C/BSTP Self- Assessment Oct. Teacher reflects upon her/his teaching through a self-assessment based on the California/Buckeye Standards for the Teaching Profession (MUST BE COMPLETED PRIOR TO TAKING COURSES) EMPLOYEE NAME: SCHOOL SITE: Course Title Begin Date End Date Course # Semester Units Quarter Credit Offered by: (Accredited College or University) Reason for taking course: • Coursework must be in a subject directly & specifically related to education. A maximum of one column advancement per school year will be recognized for this type of coursework completed. • Coursework taken specifically related to an Advanced Degree or an approved certificate program will be applied without the one column per year restriction. • Courses taken for salary advancement must be completed outside of the regular duty day calendar and without the use of District funds, (*ExceptionsC/BSTP). • Courses must be graduate or upper division level❑ Teacher/Administrator identify Classroom Visitation Classroom Visitation Oct Teacher and the Administrator identify dates for classroom visitations. ❑ Teacher/Administrator set goals for the year Goal Setting Conference Agreement Oct. Teacher and Administrator identify goals for the year based on student needs (student learning goal), instructional needs (except for courses required to clear a credential or second language coursesinstructional and assessment goals), and receive teacher self- assessment. ❑ Teacher/Administrator meet for pre-observation conference(s) Pre-Observation Conference Questions October- April A set of questions to guide the conversation during the pre- observation conference. The questions are meant to support the reflection/thinking process for both teacher and administrator. ❑ Teacher/Administrator meet for post-observation conference(s) Post-Observation Conference Questions October- April A set of questions to guide the conversation during the post- observation conference. The questions are meant to support the reflection/thinking process for both teacher and administrator. Any concerns and follow-up will be shared at this time, ❑ Teacher/Administrator reflect upon student assessment data Assessing for Student Learning, Standardized Test Results, Common Assessments (Student Data Reflection Process, Student Data Reflection Form) October- April Teacher and Administrator reflect upon student learning using student assessment data. •Notification of possible Unsatisfactory rating to all probationary and permanent teachers February 1st Administrator will notify teacher. •Notification of possible Developing rating April 1st Administrator will notify teacher. ❑ Teacher completes self- assessment at end of cycle C/BSTP Self- Assessment April/May Teacher reflects upon her/his teaching through a grade self- assessment based on the C/BSTP after an evaluation cycle and shares with administrator. ❑ •Notification of “C” or betterPAR support program referral Prior to last day of school Administrator will notify teacher. • Duplication ❑ Administrator completes and gives final evaluation form to the teacher Certificated Teacher Evaluation Report 30 days prior to last day of prior courses taken will not be acceptedschool Administrator summarizes the evaluation process and teacher growth. • Courses must be completed by September 15th❑ Teacher/Administrator complete final conference Prior to last day of school Teacher and administrator reflect upon the evaluation process and teacher growth. Transcripts must be received in Human Resources for posting by November 1st. Employee Signature Date APPROVED DISAPPROVED Signature Human Resources Designee Date ~ BTSA(SEE APPENDIX D-3 and California Commission on Teacher Credentialing website link @ ▇▇▇▇://▇▇▇.▇▇▇.▇▇.▇▇▇/educator-prep/SP Training ~ BTSA/SP Service ~ BTSA/PT Participationprogram-standards.html)

Statement of Grievance. This statement shall be a clear, concise statement of the grievance, the contract provisions allegedly violated, the circumstances involved, the decision rendered at the informal conference, and the specific remedy sought. (Use back if needed) _ __ _ Signature of Grievant Date of Signature _ __ _ Signature of Supervisor Date of Signature _ __ _ Signature of Superintendent or Designee Date of Signature _ __ _ Signature of Superintendent or Designee Date of Signature ARBITRATOR AGREED UPON: _ _ _ DATE OF HEARING: CERTIFICATED COURSE APPROVAL FORM - (MUST BE COMPLETED PRIOR TO TAKING COURSES) EMPLOYEE NAME: SCHOOL SITE: Course Title Begin Date End Date Course # Semester Units Quarter Credit Offered by: (Accredited College or University) Reason for taking course: •  Coursework must be in a subject directly & specifically related to education. A maximum of one column advancement per school year will be recognized for this type of coursework completed. •  Coursework taken specifically related to an Advanced Degree or an approved certificate program will be applied without the one column per year restriction. •  Courses taken for salary advancement must be completed outside of the regular duty day calendar and without the use of District funds, (*Exceptions). •  Courses must be graduate or upper division level, (except for courses required to clear a credential or second language courses), and receive a grade of “C” or better. •  Duplication of prior courses taken will not be accepted. •  Courses must be completed by September 15th. Transcripts must be received in Human Resources for posting by November 1st. Employee Signature Date APPROVED DISAPPROVED Signature Human Resources Designee Date ~ BTSA/SP Training ~ BTSA/SP Service ~ BTSA/PT ParticipationParticipation Page 1 of 3 An institution listed as accredited in an issue of the Accredited Institutions of Post-secondary Education.

Statement of Grievance. This statement shall be a clear, concise statement of the grievance, the contract provisions allegedly violated, the circumstances involved, the decision rendered at the informal conference, and the specific remedy sought. (Use back if needed) _ __ _ Signature of Grievant Date of Signature _ __ _ Signature of Supervisor Date of Signature _ __ _ Signature of Superintendent or Designee Date of Signature _ __ _ Signature of Superintendent or Designee Date of Signature ARBITRATOR AGREED UPON: _ _ _ DATE OF HEARING: CERTIFICATED COURSE APPROVAL FORM - (MUST BE COMPLETED PRIOR TO TAKING COURSES) EMPLOYEE NAME: SCHOOL SITE: Course Title Begin Date End Date Course # Semester Units Quarter Credit Offered by: (Accredited College or University) Reason for taking course: •  Coursework must be in a subject directly & specifically related to education. A maximum of one column advancement per school year will be recognized for this type of coursework completed. •  Coursework taken specifically related to an Advanced Degree or an approved certificate program will be applied without the one column per year restriction. •  Courses taken for salary advancement must be completed outside of the regular duty day calendar and without the use of District funds, (*Exceptions). •  Courses must be graduate or upper division level, (except for courses required to clear a credential or second language courses), and receive a grade of “C” or better. •  Duplication of prior courses taken will not be accepted. •  Courses must be completed by September 15th. Transcripts must be received in Human Resources for posting by November 1st. Employee Signature Date APPROVED DISAPPROVED Signature Human Resources Designee Date ~ BTSA/SP Training ~ BTSA/SP Service ~ BTSA/PT Participation