Employee Warning Notice

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Form filled out Date and time

Employee's Information

Employee's Full Name*

Employee's Email*

Is this a verbal or written notice to the employee?*

If known, is this the first, second, or third warning?*

Written Warning

Description of problem requiring improvement or correction (including specific dates and examples)*

Specific changes in performance or behavior required and the time frame in which they must occur*

Date of follow-up review/evaluation of problem and correction*

Comments

Employee's comments*

If employee declines to comment, document refusal here and obtain witness signature.

Supervisor's comments

Signatures and Notice Required

Submission of this form is an acknowledgement of accuracy by the Supervisor and next-level supervisor entered below. They will receive a copy of this report.

Employee must be given notice that failure to correct problem may result in further disciplinary action up to and including termination of employment. They will also receive a copy of this form by email. Please ensure the employee acknowledges this warning through an email confirmation before the start of their next shift.

If an employee declines to acknowledge this email please contact the general manager.

Supervisor's Full Name*

Full Name

Next Level Supervisor/Witness Name*

Full Name

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Verbal Warning

The following was verbally discussed with employee:

As discussed the following actions are not permitted at Gold Medal Swim School. (Please see the comment box below for information specific to this warning.)

Please ensure you follow the employee guidelines any time you are clocked in to work.

Link to handbook: Employee Handbook

Any further violation of this policy will result in a written warning.

Please confirm receipt of this email, complete the Lessonly assignment in your cue, and let us know if you have any questions before your next shift.

Description of problem requiring improvement or correction (including specific dates and examples)*

Lessonly cue*

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Submitted by*

Email*

Date*

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