FORMS
Several forms are listed below. If you have problems printing the forms, please contact Karen Portera, Human Resources, so we can make any desirable adjustments. You may also download designated forms as RTF files. RTF files can be opened with any word processing program.
POSITION ACTION REQUEST AND SEARCH FORMS
¨ AAP FORM 1 - Personnel Action Request
¨ AAP FORM 2 - Affirmative Action Search Plan
¨ AAP FORM 3 - Authorization to Interview/Recruitment Efforts
¨ AAP FORM 4 - Approval of Recommended Candidates
¨ INSTRUCTIONS FOR COMPLETING SEARCH FORMS
Administrative Clerical Tuition Waiver Form
(Article 10.12 Form)
COMPENSATION FOR BARGAINING UNIT WORK AUTHORIZATION, INSTRUCTIONAL FACULTY
(Article 10.12.1 Form)
COMPENSATION FOR BARGAINING UNIT WORK AUTHORIZATION, INSTRUCTIONAL FACULTY
CCSU Application for Employment
Classified Evaluation Forms: Clerical; A&R; Maintenance; Police
Compliance Form for Reporting of Research or Consulting w/Outside Public or Private Entity
Dual Employment Request Form (PER-DE-1)
EVALUATION and RECOMMENDATION FOR RENEWAL, TENURE, PROMOTION or PROFESSIONAL ASSESSMENT
EVALUATION and RECOMMENDATION FOR RENEWAL, TENURE, PROMOTION or PROFESSIONAL ASSESSMENT FOR COACHES
EVALUATION and RECOMMENDATION FOR RENEWAL, TENURE, PROMOTION or PROFESSIONAL ASSESSMENT FOR TRAINERS
EXTERNAL TEACHING REQUEST FOR APPROVAL
FAMILY & MEDICAL LEAVE (FMLA) INFORMATION & FORMS
* Employee Rights & Responsibilities under FMLA
* Employee Request Form (HR-1)
* Employee Medical Certificate Form (P-33A)
* Employee Medical Certificate Form - Caregiver (P-33B)
* Intent to Return to Work (HR-3)
FULL-TIME TEACHING APPOINTMENT FORM (Summer or Intersession)
PART-TIME FACULTY APPOINTMENT FORM
Performance Excellence Award Nomination Form
PSA INDEPENDENT CONTRACTOR OR EMPLOYEE PRELIMINARY DETERMINATION QUESTIONNAIRE
Form to be printed from your browser or the form may be downloaded in RTF format and opened with your word processing program.
Reporting Research or Consulting with Outside Public or Private Entity
State of CT Application for Examination or Employment (PLD-1)
Form to be printed from your browser or the form may be
downloaded in RTF format and opened with your word processing program.
Tuition Reimbursement
Tuition Waiver
University Assistant Appointment Form
Form W-4 (U.S.) (IRS Website)
Form CT-W4 (Connecticut Dept of Revenue Services website)
1615 Stanley Street, New Britain, CT 06050 860.832.CCSU or toll free instate 1-888-733-2278
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Last Update: Tuesday January 10, 2006