Roane State Community College

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Campus Status
Roane State campuses are closed for the holidays. Campuses will reopen Jan. 5. Happy holidays!
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

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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