Roane State Community College

Why Roane State Our Programs Student Resources Locations Apply Now Faculty/Staff Alumni/Community Workforce Programs
Human Resources Office
Forms
Forms

Adjunct Contract (pdf)
Adjunct Contract (doc)

Aflac Claim Forms (Link)

Application for Professional Development Funds (pdf)

Check-Out Procedure - Academic, Administrative and Support Staff (pdf)

Educational Assistance Programs and Guidelines

Request for Educational Assistance (P-130)
  TBR P-130 Guidelines

Tuition Reimbursement Program - Faculty/Administrative/Professional
Tuition Reimbursement Program - Clerical and Support Staff

Request for Fee Discount for Spouse/Dependent

Employment Eligibility Verification (pdf)

Flex Time Program Guidelines

Memorial Payroll Deduction Form (pdf)

OSHA Form 301 for Workplace Injury & Illness Recordkeeping

Outside Employment Notification

Performance Evaluation - Administrative/Professional Staff
Performance Evaluation - Support Staff

Post-Retirement Service Program for Tenured Faculty

Request for Alternate Work Schedule Guidelines (pdf)
Request for Alternate Work Schedule Guidelines (doc)
Request for Alternate Work Schedule Form (xls)

Family and Medical Leave Request Form

FMLA Certification of Health Care Provider
FMLA Request to Return to Work

Sick Leave Bank

Supervisor Development Feedback Form

Support Staff Grievance Form

TBR Support Staff Job Descriptions

Account Clerk 1.pdf
Account Clerk 2.pdf
Account Clerk 3.pdf
Administrative Secretary.pdf
Admissions and Records Clerk.pdf
Air Conditioning-Heating Mechanic 1.pdf
Air Conditioning-Heating Mechanic 2.pdf
Air Conditioning-Heating Mechanic 3.pdf
Child Care Aide 2.pdf
Clerk Typist.pdf
Computer Laboratory Technician.pdf
Computer Operations Specialist.pdf
Custodial Group Leader.pdf
Custodian Lead Worker.pdf
Custodian.pdf
Electronic Technician.pdf
Engineering Laboratory Technician.pdf
Executive Aide.pdf
Executive Secretary.pdf
Grounds Worker 1.pdf
Grounds Worker 2.pdf
Laboratory Technician.pdf
Library Assistant 1.pdf
Library Assistant 2.pdf
Library Assistant 3.pdf
Maintenance Worker.pdf
Office Supervisor.pdf
Personnel Records Supervisor.pdf
Police Officer 1 (Previously Security Officer 2).pdf
Police Officer 2 (Previously Security Officer 3).pdf
Police Supervisor (Previously Security Officer Supervisor).pdf
Public Safety Officer 1 (New Title for 1st Reponder, Homelan.pdf
Public Safety Officer 2 (Previously Public Safety Officer 1).pdf
Public Safety Officer 3 (New Title for 1st Responder, Homel.pdf
Public Safety Officer 4 (Previously Public Safety Officer 2).pdf
Secretary 1.pdf
Secretary 2.pdf
Secretary 3.pdf
Security Officer 1.pdf
Steam and Chiller Operator.pdf
Technical Clerk.pdf
Utility Worker - Driver.pdf
Watchkeeper.pdf

TBR Title Codes

Volunteer Form (pdf)
Volunteer Form (doc)

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Roane State Community College is a TBR and AA/EEO employer and does not discriminate on the basis of race, color, national origin, sex, disability or age in its programs and activities. View full non-discrimination policy.

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