Eastern Connecticut State University
Office of
Human Resources
Text Only Version
Eastern's Home Page
Online Forms
Instructional Faculty Search Procedures and Forms
Faculty Search Procedures
Faculty Search Forms
ConnSCU Request to Fill Form (Word Version) (PDF Fillable Version)
EHR-2 (Word)
Ad Template and Sample (Word)
Background Authorization For Faculty
Benchmark Timeline
Search Plan Form (Word)
Search Checklist (Word)
Authorization for Reference Checks (Word)
W-9 Form (PDF Fillable)
All Search Candidates Travel Expenses Request Form (Word)
Individual Search Candidate Travel Expenses Request Form (Word)
Faculty Search Committee Recommendation Form (Word)
Request for Permission to Hire and Salary Analysis (Word)
Search Report Form (Word)
Other Search Related Forms

I-9 Form (PDF Fillable)

Classified Position Hire Request Form
Background Authorization For Non-Faculty
Frequently Used Forms
AAUP Article 10.12 Form (Word)
Application for Tuition Reimbursement - Classified Employees Only (PDF)
CT-W4 Form (PDF Fillable)
Federal W4 Form (PDF fill-able)
Designation of Retirement System-Tier-Plan-Beneficiary (CO-931h)
Direct Deposit Form (Word)
Dual Employment Request Form (PDF)
Employment Application Form (PDF fill-able)
Part Time Authorization Form - Lecturer (Word)
Part Time Authorization Form - UA/GA (Word)
Personal Data Sheet (PDF)
Records Disposal Authorization (Word)
Registration Fee Waiver for Classified Employees (Word)
Report of Occupational Injury Form (PDF)
Reporting of Research or Consulting Compliance Form (Word)
Request for External Teaching (PDF)
Course Cancellation Form (Word)
Clerical Tuition Waiver Form (PDF)
Retiree Health Fund Enrollment Form (CO-1300)
Evaluation Forms
AAUP Professional Assessment Form - DEC (Word)
AAUP Professional Assessment Administrator Comment Form (Word)
Administrative Faculty Evaluation Form  (Word)
General Service Rating Form for Protective Services (Per-125) (Word)
Clerical Service Rating Form (Per-126) (Word)
Administrative & Residual Service Rating Form (Per-127) (Word)
Maintenance Service Rating Form (Per 148) (Word)
Leave Related Forms
AAUP/MC Sick Leave Bank Application (PDF)
SUOAF Sick Leave Bank Application (PDF)
Employee Medical Certificate P-33A (PDF)
Caregiver Medical Certificate Form P-33B (PDF)
FMLA-HR1 (PDF)
FMLA-HR2a (PDF)
FMLA-HR2b (PDF)
FMLA-HR2c (PDF)
FMLA-HR3 (PDF)
Request for Adjusted Work Schedule -Clerical (Word)