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)

Employee Attendance Record


Employee Service Record


Expense Voucher
To be used for travel expenses


I-9 Employment Eligibility Verification

I-9 Employment Eligibility Verification (Paper Version)

I-9 Employment Eligibility Verification PDF


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


New Employee Data Collection


Payroll Schedule for 2016

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
           Criteria and Guidelines Revised September 1, 2016

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

2012-2013 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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