EMPLOYEE FORMS

 

Child Abuse and Neglect Reporting Form
Required for all certified and classified employees
(Reading sections 11165.7 and 11166 of the penal code is required prior to signing of the Child Abuse and Neglect Reporting Form.)

 

Church Membership Verification Form

  

Conflict of Interest Form

      -Statement of Ethical Foundations    (Must read before signing the Conflict of Interest Form)

Continuing Education Units (CEUs) New name for PAC forms
(for older versions see Professional Activities Credits)

         Continuing Education Units 2016-17 (NEW for 2016-17) (fillable) (Revised 6/7/17)
           Revised to include Health & Fitness Day. EMT includes the ZOOM Conference
            Local In-service to be added in space provided for School/Conference Approved In-services

         Continuing Education Easy Guide Revised April, 2016-Effective 9/1/16
         Criteria and Guidelines Revised April, 2016 - Effective 9/1/16

         Continuing Education Growth Books 2017
         Continuing Education Growth Books 2018

Educational Scholarship Billing Form

 

Employee Service Record

 

Expense Voucher
To be used for travel expenses

 
I-9 Instructions

I-9 Handbook for Employers

I-9 Employment Eligibility Verification


I-9 Employment Eligibility Verification (Paper Version)

 

Moving Authorization
To be used for moving costs associated with new employment assignment

 

New Employee Data Collection

 

Payroll Schedule for 2017

 

Physical Examination Report and TB Screening

      -  Physical Exam Report
      - TB Screening Assessment
            (If you answer "Yes" to any question on the TB Screening Assessment, please use the TB Test Form)

To be used for State of California and Pacific Union Conference Requirements
(Certificated Employees Only)

 

Professional Activity Credits (see Continuing Education Units for new Versions 2016-17)
          

Criteria and Guidelines Revised November 2013
2015-2016 PAC (fillable) (Revised 5/5/16)

2014-2015 PAC (fillable) (Revised 5/27/15)
2013-2014 PAC
(fillable)


Professional Growth Books 2016

Professional Growth Books 2015

Professional Growth Books 2014

Professional Growth Books 2013

                 To be used to obtain Professional Growth Certificate

 

Short Term Sick Leave Transfer
 (For Exempt employees only)

 

Teacher Certification Application
To be used to apply for NAD K-12 teacher certification

 

Teacher Certification Manual (2016 Edition)

Teacher Intent Form
Due to Principals by January 8

 

Online Tuition Waiver Authorization - (La Sierra University ONLY)

Tuition Waiver Authorization -  (Pacific Union College ONLY)


Vacation Request for 12-Month Exempt Employees

 

W-4 Form (2017)

 
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