Dr. Gwendolyn W. Stephenson District Administration Center
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HR Forms

Address Change Notification

Administrator-Staff Teaching Request Template 2-1-109
Advancement in Professional (Fac) Rank Template 2-1-030
Application for Fac Mbr Sabbatical Leave Template 2-1-005 
Application for Sick Leave Pool (Non-fac) 2-1-073
Deferred Pay Advisement Template  2-1-015
Designation of Beneficiary 2-1-107
Direct Deposit Authorization 5-1-001 
Disclosure Exemption Questionnaire 2-1-063
Domestic Partner Declaration Certification Doc
Employee Disciplinary Form 2-1-034
Employee History Reference Check Log 2-1-044
End-of-Year Counselor 2-1-029C
End-of-Year Faculty 2-1-029F
End-of-Year Librarian 2-1-029L
Evaluation Form: Adjunct Faculty 2-1-094
Evaluation Form: Administrators No nbr
Evaluation Form: Faculty Student Evaluation 2-1-059
Evaluation Form: Appendix O Tenure Portfolio Progress Evaluation 2-1-117
Evaluation Form: Prof/Mgr - Classified 2-1-087
Evaluation Form: PT Non-faculty 2-1-085
Evaluation Form: Program Manager 2-1-042
Evaluation Form: Counselor Performance Review 2-1-058
Evaluation Form: Instructional Performance Review 2-1-028
Evaluation Form: Librarian Performance Review 2-1-033
Experience for Education Substitution 2-1-057
Faculty Alternative Credentials 2-1-082
Faculty Pay Option PDF 2-1-081
Faculty Sabbatical Leave Activity Report PDF 2-1-112
Faculty Sabbatical Leave Activity Report Template 2-1-112
Faculty Salary Calculation 2-1-053
FRS Certification FRS-Cert
FT New Emp Processing Checklist FT-EMPM CHK
Grievance (FUSA) PDF 2-1-006
Grievance (FUSA) Template 2-1-006
HRAR-1    Employment/Personal Data 2-1-088
HRAR-2    Assignment Data 2-1-075
HRAR-3    Position Data 2-1-051
HRAR-3S  Supervision Data - Fill in 2-1-051-S
HRAR-4    Status Data 2-1-104
I-9 Employment Eligibility Form I-9
Request for Advancement in Professional Rank 2-1-30
Loyalty Oath - Citizen 2-1-031
Loyalty Oath - Noncitizen 2-1-032
Name Change Request Form 2-1-105
Outside Employment Notification PDF 0-0-011
Outside Employment Notification Template 0-0-011
PT New Employee Processing Checklist PT-TBL-DPT
Report of Committee/Council Information PDF 2-1-116
Report of Committee/Council Information Template 2-1-116
Request for Degree Level Change 2-1-102
Request for Leave Pay-Off 2-1-077
Request for Reasonable Accommodation (ADA) 2-1-097
Request for Tuition Reimbursement 2-1-024
Request for Tuition Stipend - Faculty 2-1-026
Request to Extend Temporary Position 2-1-098
Request to Extend Multiple Temporary Positions 2-1-098M
Request to Start/Stop Wireless Device Stipend 2-1-105
Request to Use Sick Leave Pool (Non-fac) 2-1-078
Sabbatical Leave Activity Report 2-1-112
Sex, Ethnicity, Race Data Collection 2-1-108
SSN Collection & Usage Notification 2-1-110
Supplemental Activity Assignment 2-1-072
Temporary Employment Agreement 2-1-111
Tenured Faculty Evaluation Waiver 2-1-025
Time Report 2-1-091
Transcript Evaluation 2-1-080
Tuition Waiver Request 0-0-24
Wage - Salary Recommendation PDF 2-1-002
W4 - 2017 W4-2017