East Tennessee State University
Office of Human Resources

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Electronic On-line Forms

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Directions for Word Format

Directions for Acrobat Reader (.pdf) format

(Should you encounter problems in using the forms listed on this page, please call 423-439-5890 or e-mail mcclayd@etsu.edu.)

  Electronic Form Title (.pdf) file name Word format

Educational
Benefits
Forms
(PPP-13)

 

Clerical and Support Staff Maintenance Fee Payment Program

PDF

Not Available
Employee Audit Program

PDF

Not Available
Request for Fee Discount for Spouse and/or Dependent

PDF

Not Available
Request for State Employee Fee Waiver (PC 191)

PDF

Not Available
TBR Faculty/Administrative/Professional Staff Tuition or Maintenance Fee Reimbursement Program

PDF

Not Available
 

Miscellaneous
Forms

Accident Forms OSHA Form No. 301 OSHA301.pdf Not Available
  TN Accident Report TR-0231.pdf Not Available
Address Change Form  Address.pdf Address.doc
Annual Reappointment and Salary Level for Postdoctoral Fellow Not Available Postdoc Letter.doc
Campus Security Act - Sample to Respond to Employment Information Requests Sample Letter.pdf Sample Letter.doc
Employment Eligibility Verification
(Form I-9)
I-9.pdf Not Available
Employee Recognition Program Form EmpRecForm.pdf EmpRecForm.doc
Financial Interest Disclosure Form FIDC.pdf FIDC.doc
Label Order Form  LabelOrder.pdf LabelOrder.doc

Personnel Change of Status Form


ChangeofStatus.pdf

ChangeofStatus.xls
(Excel format)
Personnel Policy & Procedure 6 - Check-Out Form Checkout.pdf Checkout.doc
Personnel Policy & Procedure 27 - Non-Faculty Grievance/Complaint Form Grievance.pdf Grievance.doc
Personnel Policy & Procedure 27 -
Faculty Grievance Form
FacultyGrievanceForm.pdf FacultyGrievanceForm.doc
Personnel Policy & Procedure 27 -
Faculty Complaint Form
FacultyComplaintForm.pdf FacultyComplaintForm.doc
Personnel Policy & Procedure 50 - Volunteers  Volunteer.pdf Volunteer.doc
Personnel Policy & Procedure 60 - Flex-Time Flex-TimeForm.pdf Flex-TimeForm.doc
Personnel Policy & Procedure 61 - Support Staff Grievance/Complaint Form SupportGrievance.pdf SupportGrievance.doc
W-4 W-4  
Direct Deposit Direct Depost Direct Deposit
Request for Extra Compensation Extra Compensation.pdf Extra Compensation.doc
Name Change Form Name Change  
Request for Outside Employment & Extra Compensation - PPP-07   PPP-07

Performance
Evaluation
Forms

Employee Performance Evaluation Procedures Guide 2008

Classified Personnel Performance Review Form (ETSU Form 10)  staffeval.pdf staffeval.doc
Evaluation Support Form (ETSU Form 9) evalsupport.pdf evalsupport.doc
Five-Month Probationary Appraisal
(ETSU Form 12)
 probation.pdf probation.doc
Periodic Review of Administrators Administrators
Evaluation.pdf
Administrators
Evaluation.doc
Professional Non-Faculty/Administrative Personnel Appraisal Form (ETSU Form 11)

admineval.pdf

admineval.doc

Exit Interview Not Available Exit Interview
 
Position Questionnaires Position Classification Questionnaire for Administrative and Professional Positions (Exempt) adminqu.pdf  adminqu.doc
Position Classification Questionnaire for Clerical and Support Staff (Non Exempt) quform.pdf quform.doc
Division of Health Sciences - Request for Pre-Audit or Audit PreAuditRequest.pdf PreAuditRequest.doc

 

Request to
Advertise
and
Hire
Forms

Adjunct Faculty Notice of Employment Adjunct Faculty-
Contract.pdf
Adjunct Faculty-
Contract.doc
Notice of Employment of Summer School Faculty - Self-Supporting Course (Attachment) Faculty
Self-Supporting.pdf
Faculty
Self-Supporting.doc
 Adjunct Faculty Appointment   Adjunct Faculty
Faculty Appointment   Faculty Appointment
Faculty Appointment - Division of Health Sciences   Health Sciences Faculty
SACS Faculty Qualifications Report SACS Faculty Qualifications Report Form.pdf SACS Faculty Qualifications Report Form.doc
Request to Hire Support or Administrative Staff RequestToHire.pdf RequestToHire.doc
Notice of Temporary Employment and Agreement for Non-Faculty Administrative/ Professional and Clerical/Support Staff TempEmploy.pdf TempEmploy.doc
Request to Advertise RequestTo
Advertise.pdf
RequestTo
Advertise.doc
Uncompensated Adjunct Faculty Appointment Form AdjunctFaculty.PDF AdjunctFaculty.doc

 

Search
Committee
Forms

Affirmative Action Worksheet/Personal Contact Log AAWorksheet.pdf AAWorksheet.doc
Approval for Appointment Recommendation, Form A-2 Approval
forAppt.pdf
Approval
forAppt.doc
Candidate Rating Form Candidate
Rating.pdf
Candidate
Rating.doc
Certification of Applicant Pool, Form A-1 ApplicantPool.pdf ApplicantPool.doc
Certification of Compliance, Form A-3 Compliance
Certification.pdf
Compliance
Certification.doc
Proposed Faculty/Administrative      Compensation Package

Not available

Proposed.xls
(Excel format)

Receipt of Application Letter and
Applicant Self-Identification Form

.pdf format

Letter word format
Form word format

Record of Applicants Recordof
Applicants.pdf
Recordof
Applicants.doc
 

To obtain additional Educational Benefits Forms and Payroll Forms
(including the Authorization of Direct Deposit of Pay) go to:
ETSU Financial Services
 www.etsu.edu/comptrol/frm.htm

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WORD FORMAT

The Word format documents will open Microsoft Word and the form may be completed, printed, and saved from Microsoft Word.  When completing the form in Microsoft Word, should a formatting, length of fill-in blank, or other problems occur, click the "View" menu on the toolbar, go to "Toolbars" and click "Forms".  When the "Forms" toolbar appears, click the picture of the lock to unlock the form.  The form may then be manipulated as needed.  This action returns the document to a regular Word document.   If you continue to have problems with using the Word (.doc) format, please try using the Acrobat (.pdf) format.

If you do not have Microsoft Word, you may download the free Viewer for Word 97/2000 on PCs using Windows 95/98 or Windows NT by logging on at:

Download Details: Word Viewer 2003

With Word Viewer, you will not be able to complete the form from your computer, but you will be able to print it and complete from a typewriter.

NOTES:

Use the TAB key to move forward from blank to blank and SHIFT+TAB to move backwards through the form.
Some entries are check boxes and require the mouse be used to check (or uncheck) the box.
Please call Diana McClay at x95890 with any problems, questions, or comments about this electronic form.

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Acrobat Reader (.pdf) FORMAT

The electronic on-line .pdf forms in the table can be completed at your computer using Adobe Acrobat Reader which is a free downloadable software from the internet.  This software can be downloaded by clicking on the following  icon --->
 

Acrobat Reader icon with link to Acrobat Reader
5.0

This icon downloads Acrobat Reader 5.0 for Microsoft® Windows® 95 OSR 2.0, Windows 98, Windows Millennium, Windows NT®* 4.0 with Service Pack 5 or 6, Windows 2000, or Windows XP

Acrobat Reader icon with link to Acrobat Reader
4.05

This icon downloads Acrobat Reader 4.05 for Windows 95.

When you click on the above icon, you will be downloading a file named ar500enu.exe.  When you click, you will be asked where you want to save the file.  You can choose any directory or folder on your hard drive or you can save the file to the desktop.  The file takes a few minutes to download depending on your internet connection.

After downloading this application file, you must then run this file to install Adobe Acrobat Reader.  The download is not complete until you run this file and accept the Acrobat Reader use agreement.  After doing this, any .pdf file, including these forms, should automatically open for you.  

For more detailed directions of working with Adobe Acrobat, please click here.

NOTE:  These .pdf forms can be completed and printed using your personal computer and Adobe Acrobat Reader.  The .pdf forms cannot be completed using ANY word processing software such as WordPerfect or Microsoft Word.  The .pdf forms must be completed using Acrobat Reader.

These .pdf forms can be downloaded to your computer and filled out with input from your keyboard.  The current version of Acrobat Reader 5 allows .pdf files to be saved to your computer hard drive.

NOTES:

bulletUse the TAB key to move forward from blank to blank and SHIFT+TAB to move backwards through the form.
bulletSome entries are check boxes and require the mouse be used to check (or uncheck) the box.
bulletUpon completing a page of entries, the TAB won't take you to the next page.  Use the mouse to click the scroll arrows to move to next page, then continue entering data into the blanks as before.  The mouse is always used to move to the next page.
bulletPlease call Diana McClay at x95890 with any problems, questions, or comments about these electronic forms.

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Working With .pdf Forms - When using Adobe Acrobat Reader software, following these steps will allow you to make the most efficient use of the software.  

Step 1 - Before you fill out the form, save the .pdf form to your hard drive (works with Acrobat Reader 5.0 or higher only; if you are using a version lower than Reader 5.0, please skip this step.)  You may be prompted by your browser to save when you first click on the link.  Or, clicking on the link may automatically open Acrobat Reader and the form.  If this happens, use the Save button to save the file to your hard drive.

Step 2- The saved version of the file is the copy you want to use to fill out the form. This will allow you to save a copy of the completed form.  If you are unable to save the form to your hard drive (or don't want to), you can still complete the form and print the data.  

NOTE:  Completing the form without saving to your hard drive may appear  to 'save' the data 'out on the Internet.'  If you return to the link using your browser, you may notice all of your data is still there.  This data is stored ONLY on your hard drive and nowhere else.  The user cannot accidentally save a completed form to the Internet.  The system will not allow this to happen.  If you wish to complete another form, delete the old data as you enter new data.

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ETSU Logo with link to ETSU Home Page

HR Logo with link to home page

Back to ETSU Home 

Back to ETSU Human Resources Page

Mailing Address:  Office of Human Resources
ETSU Box 70564
Johnson City, TN  37614-1707
Telephone:  423-439-4457
Fax:  423-439-8354
TDD:  423-439-4710

Office Hours:  8 a.m. to 4:30 p.m. Eastern; Monday - Friday
Office Location:  Room 307, Dossett Hall

Webmaster

Updated on 08/25/08

Hit Counter since 12/1/2000