COUNSELING MEMORANDUM SAMPLE

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James (Jay) E. Girvin, Esq. 20 Corporate Woods Boulevard Albany, NY 12211. Telephone: 518-462-0300. Facsimile: 518-462-5037. COUNSELING MEMORANDUM . SAMPLE . TO: FROM: DATE: RE: MEMORANDUM of COUNSELING 1. The following observation has been made: Set forth facts, incidents, and sufficient detail to describe the concern. 2. The following standards will be expected in the future: Set forth why the above was wrong ( violated policy, failure to performance, etc.) and what the specific expectations are for the future for the employee. 3. These standards/expectations are important because of the following impact on the school environment: Set forth why the act/failure has a negative impact on the District, co-workers, residents, morale of colleagues, etc.

7) The employee’s comments, including answers to critical questions, admissions of wrongdoing and commitments made in regard to future performance. 8) The employee has received a copy of the summary or has read its contents and, if possible, that (s)he agrees it accurately describes the interview or conference.

  Question, Interview, Answers