DGB(EXHIBIT) - EMPLOYEE RIGHTS AND PRIVILEGES: PERSONNEL-MANAGEMENT RELATIONS

exhibit A

HOUSTON INDEPENDENT SCHOOL DISTRICT CONSULTATION REQUEST FORM

Date:

To:

Name of the direct report facilitating the consultation meeting

Select the consultation group:

Administrative

Instructional

Noninstructional

Date(s) of the consultation group meeting(s) where the information was presented or discussed:

Requestor's Name:

State your request, suggestion, or recommendation and desired outcome:

Note: The appropriate administrator will respond in writing by the next regularly scheduled consultation meeting. The consultation group will be informed if additional time is needed to respond. [See DGB1(REGULATION), REQUEST PROCESS RESPONSE]

All issues, resolved or unresolved, should be reported to the chief of staff on a monthly basis by the facilitator of the consultation group. This section requires signatures of consultation members, employee organization members, and superintendent's cabinet member or designee, as appropriate. [See DGB1(REGULATION), RESOLUTION OUTCOMES] The signatures of affected parties indicate the request has been closed if resolved, or assigned for follow up, if unresolved.

RESOLVED ISSUE

SignatureDate

UNRESOLVED ISSUE (ASSIGNED FOR FOLLOW UP – SEE PAGE ONE)

SignatureDate

exhibit b

HOUSTON INDEPENDENT SCHOOL DISTRICT CONSULTATION RESPONSE FORM

If additional time is required by the staff member to complete research, the request for additional time will be forwarded, in writing, to the employee consultation group with a new timeline for providing the response. The request for additional time shall be forwarded to the Superintendent's cabinet member in charge of consultation no later than two days prior to the next scheduled consultation meeting.

Date:

To:

Senior staff member

Subject: RESPONSE TO

Requestor's name

Select the consultation group:

Administrative

Instructional

Noninstructional

Type of action needed:

A resolution process is provided to consultation members to appeal decisions

[See DGB1(REGULATION), RESOLUTION OUTCOMES]

Response:

SignatureDate

Upon resolution, a copy of this form should be attached to the Consultation Request Form for filing.

Houston ISD

DGB(EXHIBIT)-X

LDU 2010.01

DATE ISSUED: 3/15/2010