CONSULTATIVE FEEDBACK FORM

 

 

Date Consultation Requested:

 

Date that Employee Consultation is to be completed by:

 

Topic of Consultation:

(Topics should be related to college policies, procedures, and planning or budget development.  If consultation involves a policy or procedure, a copy of it with proposed changes is attached.)

 

History or Background on Topic:

 

 

 

 

Date that Dean/Director met with Employees to Seek Consultation:

 

Employees Included in Discussion:

 

 

Employee Comments and Suggested Changes:

 

 

 

 

Dean/Director Verifies Consulting Employees:                               Date: ____________________

 

(Type Name)                                                                                              

 

Vice President Verifies Consulting Employees:                               Date: ____________________

 

(Type Name)                                                                                              

 

Final Decision:

 

 

 

Rationale:

 

 

 

 

President Verifies Final Decision:                                                     Date: ____________________

 

(Type Name)