Jackson Community College

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Human Resources Forms

General Forms
Adjunct Forms
Administrator Forms
Faculty Forms
New Employee Forms
Retiree Forms
Staff Forms
Student Employee Forms

General Forms

• Change of Address or Name Form
• Community Service Application
• President's Leadership Academy Application
• Family and Medical Leave Act Certification of Health Care Provider
• Family and Medical Leave Act Employee Response to Employee Form
• Direct Deposit Form (Payroll)
• Medical Expense Reimbursement - FlexCard
• MPSERS Beneficiary Nomination Form
• MPSERS Refund Application

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Adjunct Forms

• College Oath Card 
• Drug Free Campus Policy Acknowledgement  
• Tuition Waiver - Adjunct - paper forms available in HR

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Administrator Forms

• Absence Reporting Form for Departments
• Exit Interview Form
• Leave Request
• New Employee - Preparation of the New Employee's Work Area Checklist
• New Employee - Activities and Communication for the New Employee's First Day
• New Employee - Suggested First Day Work-Related Assignments
• New Employee - Activities for the New Employee's First Week

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Faculty Forms

• College Oath Card 
• Equivalent Grad Credit - Professional/Institute Courses -  Advance Approval
• Equivalent Grad Credit - Professional/Institute Courses - Final Approval
• Equivalent Graduate Credit - Work Experience - Advance Approval
• Equivalent Graduate Credit - Work Experience - Final Approval
• Exit Interview Form
• Initial Salary Placement
• Sabbatical Leave Request
• Salary Class Change
• Verification of Work Experience Hours

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New Employee Forms

• Employment Eligibility Verification (I-9)
• New Employee Questionnaire
• Tax Form - Federal (W-4)
• Tax Form - State (MI-W4)
• Tax Form - City (JW-4)

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Retiree Forms

• Tuition Waiver - Retiree

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Staff Forms

• Compensatory Time Off Agreement
• Educational Stipend Request
• Exit Interview Form
• Leave Request - Unpaid
• Part-Time Extra Hours Request Form
• Sick Leave to Vacation Conversion Form - Full-Time Staff
• Tuition Waiver - Full-Time Staff & Administration
• Tuition Waiver - Part-Time Staff & Administration - paper forms available in HR

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Student Employee Forms

• Confidentiality Policy (Colleague Access)
• Drug Free Campus Policy Acknowledgement  

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Updated 08.18.08

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