Forms

(Any form HR receives that are out-of-date and/or missing pertinent information,

we will ask you to resubmit)


Benefits Forms

Employee Benefits page

Employment Applications
Staff Employment Application
Faculty and Adjunct Faculty Employment Application
Transfer/Promotion Application

HR/Payroll Data Forms
New Employee Form
Position/Pay Change Form
Resignation/Termination of Employment Form
Personal Data Changes:  Please use the on-line Employee Self Service Module in Genysis at http://my.regent.edu  to update your address(es), phone number(s) and emergency contact information.  Contact Human Resources for changes in marital status, dependents, or beneficiaries.
Voluntary Deduction Form
Employment Requisition
Employment Offer & Briefing
Special Project Pay Time Sheet
Temporary Time Sheet

Contract Templates
Adjunct Contract Template (Grad Schools Only)
Adjunct Contract Template (Grad Schools Only: For current Faculty/Staff)

Adjunct Contract Template (Undergrad School Only)

Adjunct Contract Template (Undergrad School Only: For current Faculty/Staff)
Faculty Contract Template
Faculty Contract Template, 9 Months (Law School Only)
Independent Contractor Agreement Template
Student Contract Template (Doctoral Fellowships, Assistantships, etc )

NOTE: Due to the 409A regulations/IRS deferred compensation rules that took effect in the Fall 2008 academic year, faculty must sign a Deferred Compensation (409A) Election Information Form at the time they sign their faculty contract, if the contract is a 9 month appointment. The form is located at http://www.regent.edu/academics/academic_affairs/faculty_res.cfm.

FMLA (Family and Medical Leave Act) Forms
Employee's Serious Health Condition (WH-380E)
Family Member's Serious Health Condition (WH-380F)
Notice of Eligibility and Rights & Responsibilities Form (WH-381)
Designation Notice to Employee of FMLA Leave (WH-382)
Certification of Qualifying Exigency for Military Family Leave (WH-384)
Certification for Serious Injury or Illness of Covered Servicemember for Military Family Leave (WH-385)

Other Forms
Acceptable Use Policy Acknowledgement Form - Information Technology
Adoption Assistance Claim Form
Awards for Excellence Nomination Form (Online Form)
Background Check Authorization Form (Disclosure and Consent Concerning Consumer and Investigative Consumer Reports)
Checklist - Adjunct Faculty File
Checklist - Regular Full/Part Time Faculty File
Confidentiality Agreement

Disciplinary Action Form
To review the Progressive Discipline Policy <click here>

Financial Assistance in Times of Hardship (F.A.I.T.H.) Fund Application and Guidelines
Financial Assistance in Times of Hardship (F.A.I.T.H.) Fund Donation Form
Form I-9, Employment Eligibility Verification (U.S. Citizenship and Immigration Services)
Job Description Template
Leave Request Form

Performance Review Forms

     - Professional Development & Review Plan - due in January

     - Mid-Year Professional Development & Review Status Update - due in July

Phased Retirement Agreement
Quality of Work Life Suggestion Form
Record of Reference Check
Report A Concern To RUBIT
To report the behavior of a student, faculty or staff member that warrants concern, to the Regent University Behavioral Intervention Team (RUBIT).
Tuition Remission Application
Voluntary Contribution Form (Office of Advancement)
Volunteer Offer Form
Wellness Registration Form
Workers' Compensation Accident Claims Form

 


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