Procedure for Initiation of a Request for Legal Assistance

DCCFA CONFIDENTIAL LEGAL ASSISTANCE QUESTIONNAIRE

(Revised 4/4/17)

1. / Your Name: / Today’s Date:
2. / Campus: / Position: / Years:
3. / Briefly summarize why you want to talk with the attorney.
4. / What is your goal? What do you want the attorney to accomplish for you?
5. / Do you want to remain a faculty member in the DCCCD? / Yes / No
6. / Attach a copy of your last contract.
7. / Attach (in chronological order with table of contents page) copies of any other documents you have signed related to this issue (IAP’s, faculty evaluation forms).
8. / Attach any letter(s), E-mail message(s), hand written note(s), you have related to this issue (in chronological order with table of contents page)
9. / List/describe any oral conversations (including telephone conversations) about this issue you have had with any supervisor. Try to list such conversations in chronological order.
10. / If your request is related to faculty evaluation, contractual wind-down, or non-renewal of contract, list any reason which would be “good cause” for this action. In other words, is there anything the attorney should know which could be viewed as a justified reason for such actions?
11. / If your request relates to evaluation or other procedure which has an appeal process contained within the DCCCD policies/procedures, have you carried out all steps of the appeal process?
Please document (in chronological order) any steps related to the appeal.Attach additionaldocuments if needed.

The following legal assistance questionnaire should be filled out by the faculty member requesting an attorney visit and be given to the campus DCCFA president prior to such a visit. The Faculty Association will not be liable for faculty members who make their own legal appointments without the use of this process.

CONFIDENTIAL LEGAL ASSISTANCE

Information contained in this document is CONFIDENTIAL. It will be sent to the DCCFA attorney prior to consultation.

List the events leading up to the present point (in chronological order) to the best of your ability. Use names of people in describing events. Try to keep this account factual. Attach all documents which substantiate any of the events described.

Applicant’s SIGNATURE______Date______

The following legal assistance questionnaire should be filled out by the faculty member requesting an attorney visit and be given to the campus DCCFA president prior to such a visit. The Faculty Association will not be liable for faculty members who make their own legal appointments without the use of this process.