Forms

Pay Schedules

• FY24 Pay Periods and Pay Dates Schedule (PDF, )
• FY24 Holiday Schedule (PDF, )

Request for Stop Payment on Payroll Check  (PDF, )

Part-time Faculty Change of ESH Request (PDF, )  

Earned Income Tax Credit Eligibility Noticenew window

Employee Charitable Donation Form (PDF, )

FULL TIME FACULTY

• Instructional Evaluation Form (PDF, )
• Counseling Evaluation Form (PDF, )
• Rank Advancement Form (PDF, )  

PART-TIME FACULTY

• Good Faith Consideration Assignment
• Instructional Observation Form (PDF, )
• Counseling Observation Form (PDF, )
• Evaluation Form (PDF, )
• Part-Time Faculty Rank Advancement (PDF, )

STAFF

• FY21 Performance Evaluation (PDF, )
• Six-Month Probationary Staff Performance Evaluation Form (PDF, )
• Separation/Termination Check Out Form (PDF, )

SHORT TERM LEAVE REQUEST FORMS

• Full Time Faculty Counseling  (PDF, )
• Full Time Faculty Instructional (PDF, )
• Part-Time Faculty Counseling Leave Request (PDF, )
• Part-Time Faculty Instructional  (PDF, )
• Staff Short Term Leave Request Form (PDF, )
• Short Term Disability Leave Request Form (PDF, )

FMLA

• FMLA Leave Request (PDF, )
• Certification of Health Care Provider for Employee’s Serious Health Conditions (FMLA)new window
• Certification of Health Care Provider for Family Member’s Serious Health Condition (FMLA)new window
• Certification of Qualifying Exigency for Military Family Leave (FMLA)new window
• Certification for Serious Injury or Illness of a Current Servicemember for Military Family Leave (FMLA)new window

SABBATICAL LEAVE

• Application for Sabbatical Leave (PDF, )

PROFESSIONAL DEVELOPMENT LEAVE

• Application for Professional Development Leave (PDF, )

OTHER LEAVE

• Advance Sick Time Off Request  (PDF, )
• Long Term Disability Claim Form (PDF, )

Compensation:

• Degree Attainment Requestnew window
• Position/Transfer/Unit Name Change Form (PDF, )
• Position Description (blank) (PDF, )
• Pay Equity Review Request Form (PDF, )
• Special Project Pay for Exempt Staff (PDF, )

Workers Compensation Form (PDF, )

Request for Driving Record Consent Formnew window

ADA Accommodation/Modification Request (PDF, )

Ergonomic Assessment Request Form (PDF, )

Full-time Faculty Overload Acknowledgement Form (PDF, )

Alternate ESH Assignment Request (PDF, )

Flexible Work Arrangements

• Alternate Work Schedules Application (PDF, )
• Telework/Telecommute Application and Terms and Conditions Agreement (PDF, )

Recognition Awards

• Outstanding Service Award for Staff (one time contribution)  (PDF, )
• Outstanding Service Award for Staff (exceeded expectations over the last 3 years) (PDF, )  

To hire a Part-time faculty member you need the following:

Initial Rank Form (PDF, )  

Assignment Letter (PDF, )  

Paperwork Checklist (PDF, )  

Additional New Hire Paperwork

To hire a staff member or administrator, you need the following:

Recruitment Selection Report (PDF, )

Employment Reference Check Form (PDF, )  

Supervisor Hiring Checklist (PDF, )  

Vacancy Recruitment Form (PDF, )

Hiring Manager Checklist (PDF, )

New Employee Checklist (PDF, )

College ID Request Formnew window

New Hire Cover Sheet (PDF, )  

Personal Data Form (PDF, )  

Student Personnel Action Form (Stipend)  (PDF, )

Student Personnel Action Form (Student Assistant)  (PDF, )

W4 (PDF, )  

I-9 new window

Maryland Withholding Form 507 (PDF, ) (see payroll for additional state withholdings) 

Background Check Authorization  (PDF, )

Employee Charitable Donation Form (PDF, )

Volunteers:

• Working With Volunteers new window
• Volunteer Checklist (PDF, )
• Volunteer Registration Form (PDF, )

Temporary Staffing:

• Request for Temporary Staffing (PDF, )
• Vendor Request for Temporary Staffing (PDF, )
• Personal Data Form - Contractor (PDF, )

Student Employment:

• Student Confidentiality Agreement (PDF, )
• Student Evaluation (PDF, )
• Student Termination (PDF, )