Inclusion Feedback Slip
Employee Information
Employee Name: | [Employee's Name] |
Employee ID: | [Employee ID] |
Department: | [Department] |
Date: | [Date of Submission] |
Feedback Type:
Inclusion Topic
Feedback Details
Please provide specific details of your feedback in the space below:
Desired Outcome (Optional)
Please describe any desired outcomes or changes you would like to see as a result of your feedback:
Confidentiality Preferences
Contact Information for Follow-Up (Optional)
Field | Details |
Phone Number: | [Your Phone Number] |
Email Address: | [Your Email Address] |
Thank you for your feedback. The Human Resources Department is committed to fostering an inclusive work environment. Your input is valuable to us, and we will review it promptly.
Please return this form to the Human Resources Department via [submission method: email/hand-delivery/internal system].
For HR Use Only:
Field | Details |
Received By: | [HR Staff Name] |
Date Received: | [Date] |
Action Taken: | [Action Taken] |
Follow-Up Date: | [Follow-Up Date] |
HR Templates @ Template.net.
