HR HOME

BENEFITS

EMPLOYMENT OPPORTUNITIES

FORMS/

PROCEDURES

PAYROLL SERVICES

SALARY SCHEDULES/

UNION AGREEMENTS

EMERGENCY PREPAREDNESS

********************

OTHER KEY LINKS

Mission Statement

CLPCCD Calendars

Board Deadlines

Notice Regarding Retirement Saving Plans for all Employees except Student Workers

Sabbatical Committee Leave website

Committee Member User Login for PEOPLEADMIN

Class-Web

View This Site in Spanish

 

 

2014 Forms & Procedures

The following documents require Acrobat Reader.

  

A - B

Absence:  Leave of Absence Form

Absence: Faculty Report Form
Academic Freedom: Statement
Accommodations Form

Address/Name Change form (updated 7-21-14)

Alternate Duty Form

Applications

Assignment Preference Form: Part Time Faculty
Benefit Universal Enrollment Form
Business Services Internal Forms & Procedures

C - D

CALSTRS Retirement System Election

Classified Evaluation: Performance Evaluation Report - (SEIU)
Classified Evaluation: Performance Evaluation Report - (Supervisory and Confidential Employees)
Classified Grievance Process and Procedure Tracking Form

Classified Hourly Employee Time Sheet

Classified:  Request for Reclassification Form

Classified Service Report

Colloquium: Request to Offer
Community Partnerships: Partnership Agreement-Valley Care Nursing
Conference Leave: Expense Claim Form
Conference Leave: Request Form

Direct Deposit Form

Domestic Partnership CLPCCD Affidavit

E - F

Enrollment Form - Universal Benefits
Envoy 457 Form:  Salary Reduction Agreement Plan

Evaluation: Administrator Performance Evaluation System (PDF created 7-23-14)

Administrator Performance Evaluation Timeline/Checklist

(Please use this updated timeline/checklist for the above Administrator Performance Evaluation System)

Evaluation: Classified Performance Evaluation Report - (SEIU)
Evaluation: Classified Supervisory and Confidential Employees
Evaluation: Counselor Evaluation Form: Student Survey
Evaluation: Counselor Performance Observation Form
Evaluation: Institutional Researcher (Special Assignment Faculty): Client Survey Form
Evaluation: Librarian Performance Observation Form
Evaluation: Library Orientation: Student Survey Form
Evaluation: Observation of Instruction Form Online Class
Evaluation: Observation of Instruction Form: Math X (updated 4-1-14)
Evaluation: Observation of Instruction Form: Face to Face Class
Evaluation: Student Response to Instruction Form Face to Face Class
Evaluation:  Student Response to Instruction Form:  Math X (new form 4-1-14)

Evaluation: Student Response to Instruction Form: Online Class

Flex Day: Compensation Form
Faculty Service Area (FSA): Approval/Denial Form
Faculty Service Area (FSA): Record Form

Flexible Spending Accounts

Federal Tax Withholding Form (W-4)

G - H

Grievance: Tracking Form - Faculty
Grievance: Level II Form - Faculty
Grievance: Level III Form - Faculty
Grievance: Level IV Form - Faculty

Hiring Packets

     - Administrator Hiring Packet   [updated 7/7/14]

     - Classified, Confidential, Supervisory Hiring Packet  [updated 7/7/14]

     - Faculty Hiring Packet   [updated 7/7/14]

     - Part-time Faculty Hiring Packet   [updated 7/7/14]

     - Professional Expert Hiring Packet   [updated 7/714]

     - Short-Term Employee Hiring Packet  [updated 7/7/14]

     - Volunteer Hiring Packet   [updated 2/27/14]

[NOTE: New Minimum Wage effective 7-1-14]

     - Student Assistant - New Hire Packet   (updated 5-28-14)

     - Student Assistant - Rehire Packet (updated 5-28-14)

     - Student Assistant Salary Change Request (updated 7-21-14)

Reference Check Form [added 2/27/14]

Personnel Action Form (PAF) - For Hiring Manager to complete (updated 2/24/14)

Oath of Allegiance Form

Tuberculosis Certificate Information Form

Hiring Procedures (all):

                 Request to Announce - Administrator Position

                 Request to Announce - Classified Position

                   Request to Announce - Faculty Position

                   Request to Announce - Classified Position

I - J

I-9 / Form and Instruction Booklet

Independent Contractor Questionnaire
Independent Contractors I-9 Form

K-L

Large Lecture: Application Form
Life Insurance Form (Basic)
Links to other Federal Internal Revenue Services
Links to other California Employment Development Departments

M-N

Medical Benefits: Enrollment Form for Part Time Faculty
Minimum Qualifications for Faculty and Administrators in California Community Colleges, Chancellor’s Office, California Community Colleges)

Name / Address Change Form (updated 7-21-14)

O-P

Part-Time Faculty Universal Enrollment Form

Personnel Action Form (PAF)  (revised 2/24/14)

Personnel Action Form Instructions
Pre-Retirement Load Reduction Form
Productivity: Application Form (updated 4 3 13)
Purchasing Card Activity Form

Q-R

Reference Check Form [added 2/27/14]

Request to Announce Forms

Request for Sick Leave Transfer (New Employees)
Retiree Medical Benefits: Letter From Charlotte Lofft dated 2/5/07
Retiree Medical Benefits: Letter From Susan Cota dated 1/19/07
Retirement Information
Retraining Leave: Contract Form
Retraining Leave: Report Form
Retraining Leave: Request Form

S-T

Salary Schedules
Salary Distribution Warrant (updated 7-7-14)
Service Report: Academic Non-Instruction

Service Report: Part-Time Faculty

Sick Leave Donation: Application (Serious Health Condition)
Sick Leave Donation: Application (Terminal Illness)
Sick Leave Donation: Donor's Leave Transfer Form
Sick Leave Transfer Form for New Employees (added 6-10-14)
Student Assistant Salary Change Form (updated 7-21-14)
Summer Assignment: Form for Load Credit 
Summer Assignment: Verification of Completion Director of Nursing
Tax Sheltered Annuity: TSA Instead of Medical Benefits Form

Tax Sheltered Annuity: Envoy Plan Services

Tax Sheltered Annunity: Envoy 403b Enrollment Form

Time Sheets & Payroll Deadline

Transfer: Notice of Involuntary Transfer   
Travel Expense Form

U-V

Universal Benefit Enrollment Form (Updated 6-5-14)
Unlawful Discrimination Complaint Form ("New" 4-15-14)
VSP Claim Form
Verification of Work Experience

W - X

W-4 (Federal Tax Withholding Form)

Workers' Compensation

Workload Banking: Augment Sabbatical Salary
Workload Banking: Request Form

Y-Z

No Forms