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  Human Resources Forms

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Employment Forms

  • Job Application Form - Administrative / Management and Support Staff - [ PDF] [ DOC]
    (Please remember to sign and date your application form before returning it to Human Resources)

Appraisal Instruments

  • Staff Performance Appraisal forms for AFSCME, OPEIU, PDA, PSSU, SPFPA  [PDF] 
  • Coaches Performance Appraisal form  [PDF] 
  • Management Performance & Reward Program form - [ PDF] [ DOC]
  • SCUPA Annual Performance Appraisal form  [PDF] 
  • SCUPA Probationary Evaluation Form  [PDF] 

Payroll 

  • Direct Deposit Authorization Form [ PDF]
  • Tax-Sheltered Annuity Program Salary Reduction Agreement - [ PDF]
  • Employee Information - [PDF] 
  • W-4 [ PDF]

Health Coverage

  • Healthcare Enrollment or Change Form (Fac., Mgmt., SPFPA, Coaches, Nurses) - [ PDF]
  • Healthcare Enrollment or Change Form (AFSCME, SCUPA and PSSU) can be found here  

Flexible Spending Accounts

Statement of Financial Interest

  • Management Directive 205.10 AB  Policies and Procedures for Filing Financial Interests Statement [ PDF]
  • Statement of Financial Interests Form and Instructions can be found at the  PA State Ethics Commission website 
  • Statement of Financial Interests Form Tips [ PDF]

Other HR Forms

  • ADA Accommodations Request Form - [ PDF]
  • ADA Accommodations Summary - [ PDF]
  • Add Compensation - [ PDF]
  • Add Compensation Instructions - [ PDF]
  • Change of Address - [ PDF]
  • Change of Name and Address - [ PDF]
  • Clearance Info for Faculty/Staff Assigned to Grace B. Luhrs Elementary School - [ PDF]
  • Dual Employment - [ PDF]
  • Employee Recognition Form - [ PDF]
  • Information Release - [ PDF]
  • Job Description Form - [ PDF]
  • Request to Donate Leave Form - [ PDF]
  • Request to Fill, Create, or Transfer Position - [ PDF]
  • Update your Campus Directory Information - [ PDF]
  • Wireless Communication Device Justification and Acknowledgement Request Form  ( PDF)