Mission Statement

Strategic Plan


CLPCCD Calendars


Board Deadlines


Employee Relations


Notice Regarding Retirement Saving Plans for all Employees except Student Workers

Committee Member User Login for PEOPLEADMIN


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A - B

Absence: Leave of Absence (LOA) Request or Report

Academic Freedom Statement
Academic Productivity Application Form
Accommodation Request Form updated 5-19-16

Address/Name Change Form

Affidavit for Part-Time Faculty Medical
Alternate Duty Evaluation Form


Assignment Preference and Availability Form: Part Time Faculty 2016-2017 
Benefit Universal Enrollment Form
Business Services Internal Forms & Procedures

C - D

CALSTRS Retirement Information

Canvas Course Conversion/Course Development Application

(for payment) NEW 10-12-16

Classified Grievance Process and Procedure Tracking Form
Classified: Request for Reclassification Form
College Fee Reimbursement [For Classified Employees]
Colloquium: Request to Offer

Complaint Procedures: Discrimination and Harassment

Conference Leave: Expense Claim Form
Conference Leave: Request Form

Contract for Services Forms and Procedures

  - Please contact Business Services for correct and updated forms

Deferred Pay Option Form

  • Classified  [Optional for full-time Classified employees less than 12 months]
  • Faculty
Direct Deposit
Domestic Partnership: Affidavit

E - F

Enrollment Form - Universal Benefits

Envoy Forms:

Equivalency Forms (for Faculty) NEW 2-22-16

  1. Application for Equivalency updated 4-12-16
  2. Equivalency Approval Form updated 7-1-16

Evaluation: Administrator Performance Evaluation System


Evaluation: Classified Professional Performance Evaluation Report - (SEIU)
Evaluation: Confidential and Supervisory Employees
For Part-time Faculty evaluations, also use the forms listed below.

Evaluation: Counseling Faculty Evaluation Form - Student Survey 

Evaluation: Counseling Faculty Performance Observation Form

Evaluation: Library Faculty Observation Form

Evaluation: Library Faculty Orientation - Student Survey Form

Evaluation: Observation of Instruction Form - Online Class 

Evaluation: Observation of Instruction Form - Math X Class 

Evaluation: Observation of Instruction Form - Face to Face Class 

Evaluation: Special Assignment Faculty - Client Survey Form

Evaluation: Student Response to Instruction Form - Face to Face Class

Evaluation: Student Response to Instruction Form - Math X Class

Evaluation: Student Response to Instruction Form - Online Class

For Part-time Faculty evaluations, also use the forms listed above.

Faculty Service Area (FSA): Approval/Denial Form

Faculty Service Area (FSA): Record Form

Flex Day (Faculty)

Flexible Spending Accounts

Federal Tax Withholding Form (W-4) (2016)

G - H

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


Administrator Hiring Packet updated 6-21-16

Classified, Confidential, Supervisory Hiring Packet updated 6-21-16

Faculty Hiring Packet updated 6-21-16

Part-time Faculty Hiring Packet updated 8-23-16

Professional Expert Hiring Packet updated 8-23-16

Short-Term Employee Hiring Packet updated 8-23-16

Volunteer Hiring Packet updated 6-14-16

Student Assistant - New Hire Packet updated 6-21-16

Student Assistant - Rehire Packet updated 6-21-16

Reference Check Form

Personnel Action Form (PAF) - For Hiring Manager to complete

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 - Confidential/Supervisory Position

I - J

I-9 / Form and Instruction Booklet

Independent Contractors W-9 & Questionnaire Forms

    - Please follow up with Business Services on correct and updated forms.


Establishing Lab Load Eligibility
Large Lecture Application Form
Life Insurance Form (Basic)
Links to Federal Internal Revenue Services (IRS)
Links to California Employment Development Departments (EDD)
Load Sheet Memo & Sample


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

Name / Address Change Form

Notification Procedure for Faculty Investigations


Part-time Faculty Medical Benefits - Affadavit for Enrollment and Authorization for Payroll Deductions

Personnel Action Form (PAF)

Personnel Action Form Instructions
Pre-Retirement Load Reduction Form


Reference Check Form

Request to Announce Forms

  - Administrator

  - Faculty

  - Classified

  - Confidential

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 of Absence: Contract Form
Retraining Leave of Absence: Report Form
Retraining Leave of Absence: Request Form


Sabbatical Leave Committee Handbook [updated 7-1-16]


Fillable pdf forms [updated 7-1-16]:

SEIU Welcome Packet

Service Report: Part-Time Faculty

Sick Leave Donation Application
Sick Leave Donation Transfer Form
Sick Leave Transfer Form for New Employees
Student Assistant Salary Change Form
Summer Assignment: Form for Load Credit
Summer Assignment: Verification of Completion Director of Nursing

Tax Sheltered Annuity (TSA)

Transfer: Notice of Involuntary Transfer
Travel Expense Form


Universal Benefit Enrollment Form
Unlawful Discrimination Complaint Form
Vacation Pay Out Plan
VSP Claim Form

Variable Flex Activity

Flex Day Compensation Form

Verification of Work Experience updated 6-20-16

W - X

W-4 (Federal Tax Withholding Form)

Workers' Compensation

Workload Banking: Augment Sabbatical Salary
Workload Banking: Request Form (Regular Unit Members Only)


No Forms