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FORMS & PROCEDURES

 

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A - B

Absence: Leave of Absence (LOA) Request or Report

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

Applications

Assignment Preference and Availability Form: Part Time Faculty 2017-2018  updated 11-22-16
Benefit Universal Enrollment Form

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
Colloquium: Request to Offer

Complaint Procedures: Discrimination and Harassment

Deferred Pay Option Form

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

E - F

E P A F   Request for System Access NEW 10-24-16
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

HIRING PACKETS

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

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

K-L

Establishing Lab Load Eligibility
Large Lecture Application Form
Life Insurance Form (Basic)

M-N

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

P-O

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

Q-R

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

S-T

Sabbatical Leave Committee Handbook [updated 11-21-16]

 

Fillable pdf forms:

Sick Leave Donation Application
Sick Leave Donation Transfer Form [updated 11-14-16]
Sick Leave Transfer Form for New Employees
Summer Assignment: Form for Load Credit
Summer Assignment: Verification of Completion Director of Nursing

Tax Sheltered Annuity (TSA)

Transfer: Notice of Involuntary Transfer

U-V

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)

Y-Z

No Forms