Forms

The following offices have provided forms for this page -- Human Resources, Social Equity Office, Provost Office, Accounts Payable and the Registrar's Office. This list is targeted specifically to faculty and staff. If you would like to see a form that isn't included here, contact: Mira Mattern. Please identify the form and the office that maintains it.

Employment	Candidate Search/ Hiring Process	Grading
Employee Appraisal Instruments	Flexible Spending Account	Funding / Grant Proposals
Health Coverage	Payroll	Test Accommodations
Travel	Other Forms

Candidate Search / Hiring Process Forms
Expenditure Request and Authorization for Placement of Advertisement [PDF]
Request for Overnight Lodging for Candidates
Request for Reimbursement for Candidates
Request to Fill, Create, or Transfer Position - [PDF]
Request to Advertise Position -
Position Announcement Stationary - [PDF]
Position Vacancy Form - [PDF]
Pre-Employment Information Form - [PDF]
Check Sheet for Search Review and Reference Verification - [PDF]
English Fluency Evaluation - Full Time [PDF]
English Fluency Evaluation - Part Time [PDF]
Faculty Employment Recommendation - [PDF]
Checklist for Faculty Employment Recommendation - [PDF]
Request for Overnight Accommodations for Candidates - [PDF]
Request for Reimbursement of Candidate's Expenses - [PDF]
Post Interview Questionnaire - [PDF]
Search Committee Compliance Report - [PDF]
Sample Letter for Receipt of Application and Resume
Pre-Campus Interview Checklist
Faculty Application Screening Instrument
Faculty Interviewing Instrument
Information Guidelines for Reimbursement of Candidate Expenses
Travel Reimbursement Request
Sample Rejection Letter
Information Release Authorization

Employment Forms
Job Application Form
Please remember to sign and date your application form before returning it to Human Resources.
Job Application Form -Administrative/Management and Support Staff

Employee Appraisal Instruments
Performance Evaluation Forms
SUA Employee Performance Evaluation Form
SUA Probationary Employee Performance Evaluation Form
Management Performance & Reward Program Management Performance and Reward Program Instructions and Competency Dictionary [PDF 116KB] Evaluation Form [PDF] [Text]
State System of Higher Education Performance Evaluation Report Staff

Payroll
Direct Deposit
Authorization for Direct Deposit

Health Coverage
Healthcare Enrollment or Change Form
Healthcare Enrollment or Change Form (Faculty, Mgnt, SCUPA , Coaches and Nurses)
Healthcare Enrollment or Change Form (AFSCME and SPFPA) most current health form can be found on The PASSHE Forms Website

Flexible Spending Account
Enrollment Forms
Dependent Care
Medical
Premium Conversion
Reimbursement Forms
Dependent Care
Medical

Grading
Undergraduate Grade Appeals Procedure
Undergraduate Grade Appeals Form only
Graduate Grade Appeals Procedure
Graduate Grade Appeals Procedure Form only
Incomplete Grade Form -

Faculty Test Accommodations Forms
Within the department /outside classroom - [PDF]
For Office of Social Equity - [PDF]
Funding / Grant Proposals
RFP on Human Understanding - [PDF]
RFP on Human Relations - [PDF]

Travel
Travel Expense Voucher
Travel Request

Other Forms

Absence for Professional Service
Approval for Field Trip
Request for Approval of Absence for Professional Service or Observance of Religious Holiday
First Day Attendance
Academic Dishonesty
Employee Recognition
Management Special Performance Award Nomination
Job Description
Dual Employment
Add Compensation
Add Compensation Instructions
Clearance Information for Faculty and Staff Assigned to Grace B. Luhrs Elementary School
Information Release
Request to Donate Leave
PASSHE Forms Website Contains forms, dictionaries, instructions, and more.