Department of Human Resources

 

Forms

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These forms are accessible using Adobe Acrobat Reader. These forms cannot be submitted electronically. They must be printed and submitted through the proper channels to Human Resources. However, forms marked with an asterisk(*) are editable on-line. This means that you can complete them (type on them) via your computer and print them out.
Absentee Report
Administrator and Support Staff Evaluation
Adjunct Faculty Hire Request Form
Application for Employment*
Application for Leave
Approval of Leave of Absence
Authorization to Deduct Pay
COBRA
Computer Use Policy
Disciplinary Reporting
Due Process
Employee Accident
Employee Change of Status*
Employee Check
Employee Clearance
Employee Rental Agreement
Employee Termination*
Enrollment Health
Exit Interview Survey
External Grant Application
Family Medical Leave Act*
Form 1 Enrollment
Form 1B Beneficiary Nomination
Form 1C, Change of Information
Form 4B, Certification/Acknowledgment of Reemployment of Retiree
Form I-9, Employment Eligibility Verification*
Leave Request
Maintenance*
MS Employee Withholding Exemption Certificate
MS Form State Directory of New Hires
New Application Interview
New Employee*
Payroll Direct Deposit
Performance Appraisal
Personal Data
Purchase Requisition
Receipt of Drug Policy
Reference Check
Reference Request Authorization
Screening Letter
Screening Selection Committee
Service Check
Student Evaluation
State and School Employees' Life Insurance Plan Enrollmen/Change Request
Supplemental Pay
Travel Log
Travel Request*
Vacancy Posting Request
Vacation Request
Vehicle Request*
Coahoma Community College Department of Human Resources
3240 Friars Point Road, Clarksdale, Mississippi 38614