Employee Forms
Use this link to connect to all KCCD Employee Forms on the district website. This is the best location to find the most current forms.
Note: Eventually, only forms unique to Cerro Coso will be provided below.
Cerro Coso Forms
- Academic Exceptions Petition
- Academic Renewal Process with Academic Renewal Form and Decision Grid
- Faculty 411
- Incomplete Grade Contract
- Independent Study Request
- Instructor Accidental Drop
- Instructor Withdraw Exception
- Petition to Audit Course
- Scheduling Conflict Make-Up Agreement
- Student Appeal for Late Add of Class
- Submit Syllabus and Office Hours
- Supplementary Report of Student's Grade
- Syllabus Template
- Agreement for Use of Automobile on School Business
- Auto Agreements 2020-21 (This is an Excel file, when clicked it will copy to your Downloads folder.)
- Auto Agreements 2021-22 (This is an Excel file, when clicked it will copy to your Downloads folder.)
- Auto Agreements 2022-23 (This is an Excel file, when clicked it will copy to your Downloads folder.)
- Banner 9 Purchase Order Entry for Travel Purchase Orders.docx
- District Vehicle Check Out Form
- Employee Travel Checklist Draft 02.19.19.docx
- Enterprise Rent-A-Car Employee Personal Use
- Enterprise Rent-A-Car Reservation Procedures and Online Booking Tool
- Gas Card Check Out Form
- Hotel-Motel Transient Occupancy Tax Waiver
- Mileage Chart
- Supplemental Travel Guidelines (Feb 2019).docx
- Travel Form Instructions for Campus Business Office
- Travel Reimbursement Claim Form 04-01-2023
- Vehicle Request Form
Business Services
- Expenditure Transfer Request
- FOAPAL Change Form (This is an Excel file, when clicked it will copy to your Downloads folder.)
- Journal Voucher
- 2017-18 Expenditure Cutoff Dates (This is an Excel file, when clicked it will copy to your Downloads folder.)
- 2019-20 Budget Development Calendar
- Axiom User Guide GU001
- Benefits Template FY25 (This is an Excel file, when clicked it will copy to your Downloads folder.)
- Benefits Template FY24 (This is an Excel file, when clicked it will copy to your Downloads folder.)
- Budget Transfer Request
- Project Budget Request (This is an Excel file, when clicked it will copy to your Downloads folder.)
- 2023 CUPCCAA Bidding Matrix
- 2023 Non-Construction Contract Bid Threshold- $109,300
- Allied Health Education Program Agreement Form
- Contract and PO Processing
- FEMA Provisions_Amendment To Agreement_Fillable Template
- FEMA Provisions_Attachment A_ICA Amendment
- General Release and Waiver of Liability Form
- Independent Contractor Agreement - CHECKLIST
- Independent Contractor Agreement-FORM (Non-Public Works Only)
- Independent Contractor Agreement-FORM-(Public Works Only)
- Independent Contractor Agreement-Frequently Asked Questions - Memo Revised January 18, 2023
- Short Form Presenter Agreement- Use for a one-day, one-time event
- Banner 9 Change Order.docx
- Banner 9 Purchase Order Entry for Regular Purchase Order-Final.docx
- Banner 9 Purchase Order Entry for Standing Purchase Orders Final.docx
- Cal Card Procedures and Forms
- PO Summary Guidelines
- Purchase Request
- Record of Telephone Purchasing Card
- Supply vs Equipment - Building vs Maintenance FAQ
- Vendor - Address Update
Educational Services
- Board Community Education Form
- Community Education Worksheet (This is an Excel file, when clicked it will copy to your Downloads folder.)
- Contract Education Worksheet (This is an Excel file, when clicked it will copy to your Downloads folder.)
- Job Skills Certificate Application
Human Resources
- Adjunct Intent to Return Form 2020-2021
- Checklist for Evaluation Guidelines and Forms
- Form A - Evaluation Cover Sheet
- Form B - Materials Review and Classroom Instruction Observation
- Form B2 - Observation for Clinical Instruction
- Form C - Materials Review and Online Instruction Observation (Adjunct)
- Form E - Student Evaluation for Instructional Faculty
- Form E2 - Student Evaluation for Clinical Instructional Faculty
- Form F - Student Evaluation for On-Line Instructional Faculty
- Form G - Materials Review and Open Lab Activity Observation
- Form H - Student Evaluation for Open Lab Faculty
- Form I - Student Consent Form
- Form J - Observation for Counseling - Non Instructional Activity
- Form K - Student Evaluation for Counseling Faculty
- Form L - Student Evaluation for Non-Instructional-html Faculty
- Form M - Observation for Library Faculty
- Form N - Student Evaluation for Library Faculty-html
- Form O - Director Evaluation
- Form P - Faculty Service Survey
- Form Q - Administrative Assessment Review
- Form R-1 - Special Evaluation Plan
- Form R-2 - Special Evaluation Plan Report
- Catastrophic Illness Consent
- Catastrophic Illness Request
- FERPA
- Job Analysis Questionnaire
- Level I Grievance form - Informal
- Level II Grievance form
- Level III Grievance form
- Level IV Grievance form
- Overtime Comp Time Report
- Performance Evaluation Report
- Professional Growth
- Request for Personnel Action
- Request for Voluntary Transfer Reassignment
- Retraining Program Application
- Agreement for Adjunct Employment
- Assigned Curriculum Development
- Bank Load Leave of Absence Request
- Board Action Contract
- Catastrophic Leave Donation
- Catastrophic Leave Request
- Certification of Equivalency
- Contract Adjustment
- Faculty Request for Compensation Minority Student Mentoring Program
- Faculty Request to participate Minority Student Mentoring Program
- Grievance - Level 1 (fillable)
- Grievance - Level 2 (fillable)
- Grievance - Level 3 (fillable)
- Informal Grievance Summary
- Intellectual Property Rights Agreement
- Load Banking/Load Withdrawal Request Form
- Optional Reduced Workload Agreement
- Request for Approval of Credit for Salary Advancement
- Request for Pre-approval of Credit for Salary Advancement
- Request for Transfer
- Sabbatical Retraining
- Special Assignment Compensation Agreement
- Statement of Formal Grievance
- Checklist for Full-time Faculty Evaluation Forms
- Faculty Chair Evaluation
- Form A - FT Faculty Evaluation Cover Sheet
- Form B - FT Faculty Materials Review and Classroom Instruction Observation
- Form C - Materials Review and Online Instruction Observation
- Form E - Student Evaluation for Instructional Faculty-html
- Form G - FT Faculty Materials Review and Open Lab Activity Observation
- Form H - Student Evaluation for Open Lab Faculty-html
- Form I - FT Student Consent Form for Observation of Faculty- Student Interaction
- Form J - Observation for Counseling_Non_Instructional Activity
- Form L - Student Evaluation for Non-Instructional Faculty
- Form M - FT Faculty Observation for Library Faculty
- Form Mode R FT/ADJ - Faculty Self-Evaluation
- Form N - Student Evaluation for Library Faculty
- Form O - FT Faculty Director Evaluation
- Form P - Faculty Service Survey
- Form PGA/FT - Faculty Professional Goals and Accomplishments
- Form Q - FT Administrative Assessment Review
- Form R-1 - Mode A Remediation Plan
- Form R-2 - Mode A Remediation Plan Report
- Form S-1 - Mode C Remediation Plan
- Form S-2 - Mode C Remediation Plan Report
- Absence Report (Classified)
- Absence Report (Adjunct Faculty)
- Absence Report (Confidential Management)
- Absence Report (Faculty)
- CA State Withholding Allowance Certificate DE4 (2020)
- Direct Deposit
- Federal Employee Withholding Allowance Certificate W4 (2023)
- Leave of Absence Application
- Sick Leave Transfer Form
- Temporary Hourly, Student and Professional Expert Employee Absence Report 2017
- W9 Instructions
- Applicant Reference Check Form 2017 (Fillable)
- Benefits Template FY25 (This is an Excel file, when clicked it will copy to your Downloads folder.)
- Benefits Template FY24 (This is an Excel file, when clicked it will copy to your Downloads folder.)
- Position Requisition 4-2017
- Application for Equivalence
- Confidentiality Statement--Recruitment
- Emergency Contact Information
- Employee Acknowledgement of Receipt of KCCD Policies
- Employment Eligibility Verification (I-9) 2016
- KCCD Employee Exit Interview
- KCCD Employee Separation Checkout Clearance
- KCCD Volunteer Service Agreement
- Physician Work Status Report
- Special Compensation Checklist
- Temporary Employment Agreement 1-29-2024
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