Roane State Community College

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Campus Status
Roane State Scott and Cumberland campuses closed Friday, March 6 due to weather.
Human Resources Office
Forms
Forms

Adjunct Contract (pdf), (doc)

Aflac Claim Forms

Application for Professional Development Funds (pdf)

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

Educational Assistance Programs and Guidelines

Forms in above link, at the bottom of the page:

  • Exhibit 1 - Request for Educational Assistance (Audit/Non-Credit or Fee Waiver)
  • Exhibit 2 - Request for Tuition Reimbursement (Faculty, Professional/Administrative and Support Staff)

Form in above link, at the bottom of the page:

  • Exhibit 1 - Request for Fee Discount (Spouse or 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)(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), (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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