Forms Clearinghouse

Academic Affairs

Name/Use Person Date Comments
Adjunct Faculty Evaluation Form B. Turner 10/30/2017

ADA Compliant Document Currently Being Worked On.

Catalog Correction Form T. Loria 9/15/2014 Google Forms Document.
Curriculum Committee Proposal B. Turner 5/21/2018 Google Forms Document
Developmental Course Equivalency B. Maillet 8/12/2014  
Faculty Qualifications Form B. Turner 5/21/2018 Google Forms Document
Instructors' Absence Form B. Turner 5/21/2018 Google Forms Document
Leap Credit Form B. Maillet 8/16/2016  
Part-Time Agreement (Non-Teaching) C. Manning 7/29/2006  
Part-Time Agreement (Teaching) C. McLeod 4/30/2009  
Syllabus Generator B. Turner 5/21/2018 Google Forms Document
Textbook Adoption Form T. Loria 4/14/2015

ADA Compliant Document Currently Being Worked On.

Bursar

Name/Use Person Date Comments
Employee and Dependent Tuition Fee Waiver T. Porch 5/30/17 Print & fill out by hand.
Tuition Fee Waiver T. Phillips 11/29/2017 Print & fill out by hand.

Business Affairs

Name/Use Person Date Comments
Application for Overtime Pay and Comp Time G. Seymour 8/10/2006  
Comp Time Verification Form G. Seymour 8/18/2008  
Expense Reimbursement Form - Handwritten K. Le 1/9/2018  
Expense Reimbursement Form - With Working Formulas K. Le 1/9/2018  
Hotel Program Portal Instructions K. Dragon 5/29/2015  
Missing Receipt Form K. Dragon 3/8/2016  
Payroll-Time Reporting Form G. Seymour 1/22/2015 New for 2015.
Travel Reimbursement Form M. Watson 12/3/2012  

Facilities \ Risk Management

Name/Use Person Date Comments
Accident Report for Employees D. Hart 11/3/2010  
Accident Report for Students D. Hart 11/3/2010
 
Campus Police Narrative Report D. Hart 6/28/2016  
Facilities Work Request Form D. Hart 5/4/2010
 
Function Application Form D. Hart 5/4/2010  
Indemnification Agreement for Use of Facilities Form C. McLeod 8/8/2014  
Key Acceptance Form D. Hart 5/4/2010 Must be filled out after Key Request Form.
Key Request Form D. Hart 5/4/2010 Must be filled out before Key Acceptance Form.
State Employee Incident/Accident Investigation Form (DA-2000) T. Smith 11/6/2007 Risk Management

Human Resources

Name/Use Person Date Comments
ADA for Employees Application Form C. McLeod 8/10/2011  
ADA for Employees Consent Form C. McLeod 8/10/2011
 

Application for Educational Leave

C. McLeod 1/31/2007
 

Application for Leave

W. Christopher 5/2/2018
 
Application for Refund of Service -- LASERS C. McLeod 8/24/2010  
Authorization to Conduct Criminal Background Check C. McLeod 2/27/2014  
Certification for Care of Family Member(s) Y. Feast 5/2/2017 Family Medical Leave.
Crisis Leave Donor Application Y. Feast 6/12/2017  
Crisis Leave Request Form Y. Feast 6/12/2017  
Direct Deposit Enrollment Form Y. Feast 5/4/2015  
Direct Deposit Secondary Account Form P. Charles 7/22/2015  
Direct Deposit Waiver Form C. McLeod 8/9/2006 .
Disclosure of Outside Employment Form C. McLeod 5/10/2010
 
Employee Certification for Own Health Care C. McLeod 8/24/2010 Family Medical Leave.
Employee Change of Demographic Info. C. McLeod 7/21/2008  
Employee Handbook C. McLeod 2/10/2009

ADA Compliant Document Currently Being Worked On.

Federal W-4 C. McLeod 2/27/2014  
Final Request for Tuition Assistance C. McLeod 1/26/2015 Tuition Assistance for Employees.
FML for Injured Military Leave C. McLeod 8/24/2010 Family Medical Leave.
FML for Military Leave C. McLeod 8/24/2010 Family Medical Leave.
Initial Request for Tuition Assistance C. McLeod 1/26/2015 Tuition Assistance for Employees.
Interview Evaluation C. McLeod 7/29/2006  
Form I-9 Y. Feast 6/12/2017  
LCTCS Evaluation & Planning Form for Unclassified Personnel C. McLeod 7/29/2006  
Nunez Employment Application C. McLeod 8/24/2010  
Paycheck Earnings Statement Mail Address C. McLeod 8/24/2010  
Personal Payment Log to Send with Payment to LCTCS C. McLeod 8/24/2010  
PES Form to use with Classified Employees Y. Feast 5/23/2018  
Request for Transcripts C. McLeod 8/24/2010  
Request for Duplicate W2 C. McLeod 8/24/2010
 
Sheriff's Department Background Check Authorization Form Y. Feast 5/23/2018  
Tobacco and Smoke Free Violation Form B. Maillet 8/5/2014  
TRSL Refund of Contributions C. McLeod 8/24/2010

ADA Compliant Document Currently Being Worked On.

Institutional  Effectiveness

Name/Use Person Date Comments
Annual Goals Worksheet L. Unbehagen 2/5/2018  

Information Technology

Name/Use Person Date Comments
Information Security Policy Form J. Hosch 9/7/2010 Must be filled out for network and email access.
IT Support and Request Form B. Turner 7/5/2018 Google Form to be filled out online.

Student Affairs

Name/Use Person Date Comments
Academic Renewal Form B. Maillet 7/25/2016  
ADA ADHD Documentation Form M. Minor 7/23/2012  
ADA General Application Form M. Minor 7/23/2012  
ADA Learning Disability Form M. Minor 7/23/2012  
ADA Physical Documentation Forms M. Minor 7/23/2012  
ADA Psychological Documentation Form M. Minor 7/23/2012  
ADA Semester Accommodations Request Form M. Minor 7/23/2012  
ADA Testing Request Form M. Minor 7/23/2012  
Advanced Placement Form T. Martin 7/25/2016  
Application for Graduation B. Maillet 7/14/2014  
Application for Leap Credit B. Maillet 8/16/2016  
Authorization for College Transactions B. Maillet 2/29/2016  
Cancellation of Enrollment Form D. Hanson 2/18/2013  
Change of Demographic Information Form M. Minor 6/13/2018  
Change of Major Form T. Martin 9/22/2016  
Change of Student Registration Form T. Martin 7/25/2016  
Credit by Examination Form I. Beltram 5/6/2014  
Cross Enrollment Form B. Maillet 5/1/2007  
Developmental Course Equivalency B. Maillet 8/8/2014  
Dual Enrollment Course Selection Worksheet for Administrators B. Barras 7/8/2014  
Dual Enrollment General Application B. Barras 7/8/2014  
Dual Enrollment LOFSA Application for TOPS Tech Early Start Classes B. Barras 4/4/2017  
Enrollment Verification Form D. Hanson 2/18/2013  
FERPA Permission to Release Information B. Maillet 2/29/2016  
FERPA/Waiver Block T. Martin 11/20/2015  
Financial Aid Appeal Form M. Sanchez 8/7/2017  
Grade Change Form B. Turner 5/21/2018 Google Forms Document
I Contract T.Loria 5/4/2017  
Instructor Action Form for Student Absences T. Martin 7/25/2016  
Master Schedule Course Request Form M. Greenfield 2/16/2011 Use this form to add a course to the Master Schedule.
Programs of Instruction B. Maillet 10/28/2015  
Proof of Immunization Compliance Form T. Martin 8/11/2016  
Replacement Diploma Order Form B. Maillet 10/12/2010  
Scholarship Service Hours Form B. Barras 10/17/2016  
Student Complaint Form B. Maillet 10/13/2016  
Tobacco and Smoke Free Violation Form B. Maillet 8/6/2014  
Transcript Guide B. Maillet 10/28/2015  
Tuition Appeal Form B. Maillet 1/17/2014  
VA Benefit Certification Request Form T. Burtchaell 11/10/2017