ࡱ> @B?c bjbj 4 W\W\ 88&hLHHHHU%U%U%&&&&&&&$(*HA&U%%@U%U%U%A&HHV&%%%U%"HH&%U%&%%%HP)c w%"%&l&0&%+%+%%+%DU%U%%U%U%U%U%U%A&A&%U%U%U%&U%U%U%U%+U%U%U%U%U%U%U%U%U%8> v: Appendix C Case #: ____________ (Please list case # assigned by GRP) University of Missouri Grievance Acceptance Form Instructions for the grievant: Section 370.010.C.8-10 of the Collected Rules and Regulations of the University of Missouri set forth the rights and responsibilities of the grievant concerning the final decision. Failure to file this form within 15 calendar days of notification of the final decision will cause the grievant to suffer the loss of all remedies favorable to the grievant. Please review the options below and check the appropriate box, sign the form and mail or email to the appropriate campus address shown on this form. I accept the final decision. I understand I may not accept part of the decision and reject part of it, but must accept or reject it in its entirety. I understand that by accepting the final decision I waive my rights (if any) to bring a claim, demand, or cause of action in any court of law concerning any matters that were a subject of this grievance. I further understand and agree to abide by the confidentiality requirements of Section 370.010.C.12. I do not accept the final decision. I understand I may not accept part of the decision and reject part of it, but must accept or reject it in its entirety. I fully understand that by rejecting the final decision I will suffer the loss of any and all remedies contained in the final decision that are favorable to me. I also understand that if I reject the final decision neither I nor the respondent is bound by the confidentiality requirements of Section 370.010.C.12. ________________________________________ Typed or printed name ________________________________________ Signature ________________________________________ Date of signature Contact information (address, phone, email): ___________________________________________________________ ___________________________________________________________ A HARD COPY of this form must be filed at the address below, but to expedite processing, a scanned version can be first emailed to the email address listed below: Columbia Campus: MU Senior Associate Provost 116 Jesse Hall Columbia, MO 65211 HYPERLINK "mailto:MUSrAsocProvost@missouri.edu"MUSrAsocProvost@missouri.edu Rolla Campus: Missouri S&T Grievance Resolution Panel c/o Faculty Senate Administrative Assistant 210 Parker Hall 300 W. 13th Street Rolla, MO 65409  HYPERLINK "mailto:GRP@mst.edu" GRP@mst.edu Kansas City Campus: UMKC Grievance Resolution Panel 5100 Rockhill Road, 358 AC Kansas City, MO 64110  HYPERLINK "mailto:GRP@umkc.edu" GRP@umkc.edu St. Louis Campus: Associate Provost for Planning and Assessment One University Blvd, 421 Woods Hall St. Louis, MO 63121  HYPERLINK "mailto:grievance@umsl.edu" grievance@umsl.edu  F]wp y ^ _ a b e f l 6`cyzɼxmemXmemXmemhhyiCJOJQJhyiOJQJhB hyiOJQJ&jhyiCJOJQJUmHnHuhJh,hyi>*CJOJQJ/jhe+1hyi>*CJOJQJUmHnHuhyiCJOJQJhJh,hyiCJOJQJhJh,hyi5CJOJQJhPhyi5:CJ aJ$hv{hyi5hJh,hyiCJOJQJaJhyi F]w \ 6`yz ]$d`a$gdyi$d^a$gdyi$d^a$gdyi $da$gdyi $da$gdyigdyi=>STU^`gh{|ɺwk_kOk@h9h#}CJOJQJaJh#}h#}CJH*OJQJaJhRCJOJQJaJh#}CJOJQJaJhb.0JCJOJQJaJ+jh9hb.CJOJQJUaJhb.CJOJQJaJ%jh9hRCJOJQJUaJh9hRCJOJQJaJhsG.hyiCJOJQJaJhJh,hyi5CJOJQJhJh,hyiCJOJQJhhyiCJOJQJ]=>Qm|DUh{LM_ $da$gdR $da$gdyi $da$gdyi<=IJmͲh9hCJOJQJaJhCJOJQJaJh9hRCJOJQJaJ%jh9hRCJOJQJUaJ h9hR0JCJOJQJaJ $da$gdR21h:p/ =!"#$% DyK yK `mailto:MUSrAsocProvost@missouri.eduyX;H,]ą'c s666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ OJPJQJ_HmH nH sH tH J`J yiNormal dCJ_HaJmH sH tH n@nyi Heading 1$$dx@&a$)5CJKH OJPJQJ\aJ mHnHuDA D Default Paragraph FontRiR 0 Table Normal4 l4a (k ( 0No List ^/^yiHeading 1 Char)5CJKH OJPJQJ\aJ mHnHu6U`6 yi0 Hyperlink >*B*phPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭VvnB`2ǃ,!"E3p#9GQd; H xuv 0F[,F᚜K sO'3w #vfSVbsؠyX p5veuw 1z@ l,i!b I jZ2|9L$Z15xl.(zm${d:\@'23œln$^-@^i?D&|#td!6lġB"&63yy@t!HjpU*yeXry3~{s:FXI O5Y[Y!}S˪.7bd|n]671. tn/w/+[t6}PsںsL. 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