West Virginia Northern Community College

Faculty and Staff

Human Resource Forms



External Links


ADA Accommodation Request Form

ADA Accommodation Medical Inquiry Form

  Application for Employment  
  Authorization to Release Information  
  Authorization to Stop Payroll Deductions  
Change of Information Procedure Change of Information Form (Name and/or Address)  
  Classified Staff Salary Scale 7-1-2001  
  Classified Staff Work Schedule  
  College Closing Procedure  
  Direct Deposit Application (2/2014)                             WV Pay Card Application (2/2015)  
Educational Release Time Procedure Educational Release Time Form  
  Employee Workplace Injury Form   
  External Employment and Entrepreneurship Reporting Form   
  Faculty Absence Presidential Practice (Full-time)  

FERC Documents (2-14)

Procedure and Timeline (2-14)

Classroom Observation (2-14) 

Faculty Professional Plan and Evaluation Appendices (2-14)

Faculty Professional Plan and Evaluation Document (Word) (2-14)

Faculty Professional Plan and Evaluation Document (Excel)

Faculty Professional Plan and Evaluation Document Excel HELP

Faculty Merit Procedure Faculty Merit Forms   
Faculty Promotion Criteria Procedure (4-2010) Peer Evaluation Instrument for Departments and Committees   
  Family Education Rights and Privacy Act (FERPA) Acknowledgement Form  
  Federal Withholding Certificate (W-4) 2015  
Grievance Procedure  Grievance Form    www.pegb.wv.gov
  Improvement Plan Sample (1-11)   
  Incident Reporting Form   
  Medical Leave of Absence Request Form  
  Mt Flex Change in Status Form   
  Mt Flex Flexible Spending Account Reimbursement Request Form   
  Organization Chart  
  Overtime Approval Request Form  
  Photo Video Information Release Form  
  Position Information Questionnaire (PIQ)  
Professional Development    
  Request for Catastrophic Leave Form  
  Request for Medical Leave of Absence  
  Request for Personnel Action Form (RPA)  
  Retirement 401 (a) Vendor Selection Form  
  Retirement 403B Compensation Deferral Election Form  
  Retirement 457B Compensation Deferral Election Form  
  Standard Long Term Disability Enrollment/Calculation Form  
  State of Ohio Tax Withholding Certificate  
  State of WV Tax Withholding Certificate  
Text Alert Registration Procedure    
  TIAA Beneficiary Designation Form  
  TIAA Name Change Form  
  Voluntary Service(s) Release Approval Form  
  WV Pay Card Application (2/2014)  
  Work-Study Application  
  Work-Study Statement of Confidentiality Form  
WVNCC Tuition Waiver Procedure WVNCC Full-time Employee Tuition Waiver Form  
West Liberty Tuition Waiver-Eligible Employees Only WLU Full-time Employee Tuition Waiver Request Form  


Awards and Accreditations