Forms

ADA Accommodation Request Form

Accommodation Request for Employees at Higher Risk of COVID-19 Form

Candidate Reimbursement Form

Performance Evaluation Template (Be sure to download and save the form first, and open in Adobe Acrobat DC. Do not use the Adobe Viewer by clicking on the download because you will not be able to save any edits.)

Performance Evaluation Guide

Administrators, Hourly Employees, and Full-Time Faculty should use Self-Service to request leave.

Adjunct Faculty should use this Leave Request Form. 

Off-Site Volunteer Request Form

Authorization to Treat Form

Employee Report of Injury (Incident Report)

Supervisor Report of Injury

Workers' Compensation Employee Incident Reporting Procedure

Department of Labor Employee Guide to FMLA

FMLA Q&A

Definitions of Serious Health Conditions

Notice of Eligibility and Rights & Responsibilities

FMLA Employee Rights & Responsibilities (2024 Update)

FMLA Leave Request Form

Tuition Reimbursement:

Request for Tuition Reimbursement

Grow Our Own Nurses - MSN Plan

Tuition Grant:

MID and Edustaff Tuition Grant for Part-time Staff (updated May 2024)

Mid and Edustaff Tuition Grant Form

Full-Time Employee Family Tuition Grant Request Form

Full-Time Employee Tuition Grant Request Form

Retiree Tuition Grant Request Form

Concurrent Enrollment Tuition Scholarship

Concurrent Instructor/ Family Tuition Form

New Hire/ Re-Hire Form

Separation Form (updated May 2024)

Employee Offboarding Checklist

Transfer/Change of Status/Additional Position Form

Name Change Form

Exit Survey

Pay Schedules 2025

Pay Schedules 2024

Pay Schedules 2023

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Volunteer/Intern Application