Policies & Forms
Evaluations
- Administrative & Professional Evaluation Form (Excel Document, right-click & “Save target as...”)
- Clerical & Support Evaluation Form (Excel Document, right-click & “Save target as...”)
- Executive Evaluation Form (Excel Document, right-click & “Save target as...”)
- Faculty Performance Evaluation Form
- Six Month Evaluation Form
Family and Medical Leave Act
Request Forms
- Volunteer State Community College Family Medical Leave Request Form
- Certification of Health Care Provider Employee's Serious Health Condition
- Certification of Health Care Provider for Family Member’s Serious Health Condition
- Certification of Qualifying Exigency for Military Family Leave
- Certification for Serious Injury or Illness of Covered Service member — for Military family Leave
Tuition and Fee Forms
In order to ensure fee waiver and tuition reimbursement forms for employees are processed in a timely manner, all forms must be submitted no later than 2 weeks prior to the beginning of the semester/term at the institution where the employee will be taking classes. Proof of grades earned for any previous classes for which an employee has received a fee waiver must be submitted to the Office of Human Resources (Ramer room 139) before forms for upcoming classes can be processed. In the case of tuition/fee reimbursement, checks cannot be released until both proof of grades earned and proof of payment has been received. Receiving anything other than a passing grade (including withdrawal and incomplete status) in a course may disqualify an employee from future participation in these Educational Assistance Programs. Full details are available in Volunteer State Community College Policy V:02:08: Faculty and Staff Educational Expenses; Volunteer State Community College Policy V:02:09: Educational Assistance (Student Fee Discount) for Spouse and Dependent Children of Employees; and Tennessee Board of Regents Guideline: P-130; Subject: Educational Assistance for TBR System Employees.
- Application for Fee Waiver PC 191
- Clerical Support Staff Tuition or Maintenance Fee Reimbursement Form
- Faculty/Administrative Tuition or Maintenance Fee Reimbursement Form
- Spouse/Dependent Fee Discount Form
General Employee Forms
- Certification of Proficiency in Spoken English
- Comp Time Authorization Form
- Designation of Beneficiary for Unused and Accrued Leave
- Direct Deposit Form
- Extra Compensation/Extra Pay Form
- Faculty Academic Qualifications Checklist
- Leave Request Form
- Leave Correction Form
- Outside Employment Request Form
- Personnel Action Form (PAF)
- Personal Information Form
- Position Management Form
- Reference Check Form
- Transcript Request Form
Insurance
- Basic Life Insurance Beneficiary
- Dependent Eligibility — Definitions and Required Documents
- Health Enrollment Form
- Health Insurance Cancellation Request
- Optional Special Accident
- Supplemental Application for Optional Life Insurance
Savings/Retirement Accounts
- Salary Reduction Agreement 401(k) Plan
- Traditional 401(k) and 401 (k) Roth, and 457 (b) Enrollment Form
- Tennessee Consolidation Retirement System Change of Beneficiary Form
- Tennessee Consolidation Retirement System Enrollment Form
- Tennessee Consolidation Retirement System Membership Form
- Tennessee Consolidation Retirement System Notice of Election