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DELGADO FORMS
ALL FORMS - Alphabetically Listed by Form Title
Contents
Contents of ALL FORMS - Alphabetically Listed by Form Title
ALL FORMS - Alphabetically Listed by Form Title
(249)
Summer Schedule Virtual Work AGREEMENT for Full-time Non-Faculty Employees 5-30 to 6-30-2022, Extended 7-1 to 7-29-2022
Absence From Class/Duties Request (Form 1502/003)
Academic Challenge/Appeal Form (Form 1440/003)
Academic Division Student Complaint Form (Form 2530/005)
Academic Renewal Extension Appeal Form (Form 1411/013)
Access Card Request Form (Form 1370/002)
Accident Report - Louisiana State Driver Safety Program Form DA 2041
Accident/Incident (Employees) Post Analysis Reporting Form (Form DA 2000)
Accident/Incident (Visitor/Client) Post Analysis Reporting Form (Form DA 3000)
Annual Giving Employee Pledge Form
Appeal for Transfer-Suspension Admission (Form 1411/008)
Application for Academic Renewal (Form 1411/007)
Application for Advanced Placement Credit (1432/002)
Application for Certificate (Form 1447/002)
Application for CLEP Credit (Form 1433/001)
Application for College Board AP Credit (Form 1432/003)
Application for Credit Examination (Form 1434/001)
Application for DSST Credit (Form 1432/004)
Application for Graduation
Application for Industry-Based Certification Credit (Form 1435/003)
Application for LEAP Credit (Form 1435/002)
Application for Proficiency Examination - Charity School of Nursing (Form 1434/002)
Application for Reverse Transfer Degree
Archived - Extra Service Agreement (Form 3242/002)
Articulation Agreement Review Form (Form 1438/001)
Authorization for Special Travel Circumstances (Form 1380/004)
Authorization To Release Academic Information to Third Party (Replaced by LOLA form Fall 22)
Batch Cover Work-Study Timesheets
Bookstore Charge Form (Form 1504/002)
Budget Revision Request
Campus Police Presence Requirements (as per AD-4310.1A)
Carl Perkins Equipment Student Loan Form (Form AA-005/001)
Catalog Change Submission Form
Certification of Employee Routine Field Travel Form (Form 1380/003)
Change of Address/Name Form for Delgado Employees
Change of Personal Information Form (Form 1442/013)
Change of Student Record Form (Form 1442/002)
Change/Addition of Major Form (Form 1442/010)
Checklist for Potential Graduates
Classified Employee Grievance Form (Form BAA-L08/001)
Committee Meeting Report Form (Form A)
Committee Recommendation Form (Form B)
Comprehensive Safety Program Requirements for All Employees (Form 1370-003)
Consent to Release Information for Person with Disability (Form 1468/001)
Contact Form for Resource Development
Contract for Professional, Personal, or Consulting Services (Form 3311/001)
Contract Review - Agency Request Form - Civil Service Form
Contracts for Professional, Personal, Consulting and Social Services Sample Certification Letter
Contractual Agreement for Issuance of "Incomplete" (Form 1441/001)
Contractual Evaluation Form for Continuing Services Contracts - Performance Evaluation (OCR Form)
Course Syllabus Format
Curriculum Proposal Cover Sheet (Form 1510/001)
Custody Receipt - Property Removal Pass (Form 1352/001)
Daily Storeroom Material Receiving Report (Form No. 14)
Day One Guarantee Retraining Agreement (Form 1410/009)
Delgado Building Inspection Checklist
Delgado Confidentiality Agreement Form (in New Hire Packet)
Delgado Immunization Requirements Form 9-23.pdf
Delgado Unit Plan Assessment RUBRIC
Delgado Unit Plan Assessment TEMPLATE
Departmental Bookstore Charge Form (Form 3323/002)
Departmental Supplies Requisition (Form 3323/001)
Departmental Wish List Application (Form 3050/002)
Dependent of Military Personnel Tuition Waiver Request
Direct Deposit Enrollment Authorization Form (LCTCS Form for EMPLOYEES)
Direct Deposit Vendor Payment Delivery Authorization Form (For VENDORS)
Direct Deposit Waiver Request Form (LCTCS Form)
Disability Services Testing Accommodations Form (Form 1468/002)
Disclosure of Outside Employment Requiring Approval of Chancellor or System President (LCTCS Form "B")
Disclosure of Outside Employment Requiring Approval of Chancellor or System President (LCTCS Form "B")
Disclosure of Outside Employment Requiring Approval of the Vice Chancellor (LCTCS Form "A")
Disclosure of Outside Employment Requiring Approval of the Vice Chancellor/ Executive Dean (LCTCS Form "A")
Documentation of Warning (Form 2130/001) - Suggested Template
Donation of Movable Property Form (Form 3050/001)
Driver Authorization Form (Form DA 2054)
Dual Enrollment Maximum Hours Waiver Form (Form 1440/004)
Dual/Concurrent Enrollment Application/ Tops Tech Early Start Application/ Supplemental Course Allocation 2015-2016
Duplicate Diploma Request Form (Form 1447/001)
Duplicate Diploma Request Form (Form 1447/001)#
Educational Degree Plan (Form 1505/001)
Electronic Message Board Request Form
Emergency Contact Form
Employee Request for Educational Leave to Attend Class (1412/001)
Employee Request for Tuition Exemption (Form 1412/002)
Employee Request for Tuition Reduction (1412/003)
Employee Safety Rules and Responsibilities Form
Employee Safety Rules and Responsibilities Form (Duplicate Link)
Employment Eligibility Verification Form (I-9)
End-of-Semester Checkout Form (Form 2122/002)
English Language Proficiency Report Form (PDF Version)
English Language Proficiency Report Form (Word Version)
Excellence in Teaching Award Nomination Acceptance Form (Form 2230/001)
External Agreement for Use of Facilities (Form 4310/002)
FA-003, 100 Financial Aid Reconciliation Meeting Recap Template Form
Faculty Evaluation- Sample Formative Evaluation Form
Faculty Qualifications Verification Summary (Form 2122/007)
Federal Ethnicity & Race Reporting Form
Fee Waiver Form for Minisession/Flex Course (Form 1412/007)
Financial Records System (FRS) Request for Account/Access (Form 1822/005)
Forms - Curriculum Proposal Cover Sheet Forms
Forms - Master and Course Syllabi Forms
Forms - Power of One Internal Giving Grants
Forms - Software License Compliance Certification Form
Forms - Travel Forms
Forms - Unclassified Faculty Staff Position Description Form
Foundation Board Faculty/Staff Activity Grant APPLICATION FORM
Function Request - "Internal" Event/Function Request (Form 4310/001)
Fundraising Request Form (Form 6313/002)
Grade Change Form (Form 1441/002)
Grant and Proposal Routing Form (Form 6310/001)
Grant Concept Planning Form (Form 6310/002)
Grant Process Checklist (Form 6310/003)
Graphic Design Work Order Form
Grievance Committee's Report of Findings and Recommendations Form (Form 2534/012)
Grievance Outcome Appeal to the Chancellor Form (Form 2534/013)
Hazard Control Log (ORM Form HC-1-90)
Hazardous Material Survey Form (Form 1373/001)
Hurricane Ida Temporary Virtual Work AGREEMENT for Non-Faculty Employees Effective Dates 9-20 to 10-3-21
INACTIVE - Request for Leave of Absence and Advanced Degree Leave (LCTCS Form for Delgado Employees)
Insurance Requirements for Vendors
Interactive Television Teaching (ITT) Course Proposal Worksheet (Form 1452/001)
Key Control Form (Form 1370/001)
L-4 Louisiana Employee Witholding Exemption Certificate
LASERS Change of Address Form
LCTCS Parental Leave Certification Form
LCTCS Unclassified Staff Evaluation and Planning Form 4-23 Fillable PDF
Leave Request Form - (Same as Document-1785 but in Word Document version.docx)
Leave Request Form (Form 2400/001)
Liberty Bank Sponsored Professional Development 'Best Practices Series' Grant Application
List of Witnesses, Parties Called to Be Present at Grievance Hearing Form (Form 2534/011)
Louisiana National Guard Tuition Waiver Request
Maintenance Work Order (Form No. 1330/001)
Master Syllabus and Course Syllabi: Format and Guidelines
Master Syllabus Format
Meritorious Commendation Application Form - Verification of Eligibility Form (Form 2322/001A)
Mini-Grant Application Forms (Forms 6311/001, 002, and 003)
Mini-Grant Application Sample Proposal
Mobile Communications Agreement and Request Form (BAA-E01/001)
Mobile Device Acceptance Agreement (Form BAA-E01/002)
Name Change Form (Form 1442/016)
New Orleans Active Police and Firefighter Tuition Waiver Request
Non-Credit Course Change Request
Non-Credit Course Creation and Change Request Instructions
Non-Credit Course Creation Request
Notice of Cancelled Class (Form 1442/001)
Notice of Grievance Committee Selection Form (Form 2534/006)
Notice of Grievance Committee's First Meeting (Form 2534/008)
Notice to Appear at Grievance Hearing (Form 2534/010)
Notification of Problem Form (Form 2534/001)
Office of Disabilities Services Accommodation Referral Form (Form 1468/004)
Office of State Travel
OGB Enrollment/Change Form (GB-01)
Oral and Written Proficiency Form (Form 2122/004)
Overtime/Compensatory Time Leave Approval Form (Form 2400/005)
Pager Contract Form
Part-Time Agreement (Form 3242-002)
Passenger Liability Waiver (Form 1382/002)
Personnel Action Form (Form 2200/002)
Petty Cash Check Voucher Request (Form BAA-A001)
Petty Cash Reimbursement Request Form (Form BAA-001/002)
Portfolio Worksheet and Assessment Evaluation Form for LEAP (Form 1435/001)
Position Control Form (Form 2200/001)
Problem Solving Meeting Summary Form (Form 2534/003)
Professional Development Presenter Grants Application & Information
Professional Information Form (for new hires)
Project Submission Checklist
Promotion-In-Rank Application - Verification of Eligibility Form (Forms 2321/001A)
Promotion-in-Rank Division Committee Individual Recommendation Form (Form 2321/002)
Promotion-In-Rank Recommendation Form for Academic Affairs Promotion Appeals Council (Form 2321/007)
Promotion-In-Rank Recommendation Form for College Promotion-In-Rank Committee (Form 2321/005)
Promotion-In-Rank Recommendation Form for Division Promotion-In-Rank Committee (Form 2321/003)
Promotion-In-Rank Timeline 2023-2024
Proposal for Use of Student Technology Enhancement Program (STEP) Fee (Form 1837/001)
Public Records Request Authorization 4752081 Form Delgado
Purchasing Card Action Form (Form 3300/013)
Purchasing Card Cardholder Agreement Form (Form 3300/011)
Purchasing Card Cardholder Enrollment Form (Form 3300/010)
Purchasing Card Issuer's Statement of Disputed Item
Purchasing Card Missing Document Affidavit Form (Form 3300/012)
Purchasing Card Notification of Discrepancy- Violation Form (Form 3300/015)
Purchasing Card Unauthorized Purchase Form (Form 3300/014)
Receiving Report (Daily Storeroom Material Receiving Report) Form No. 14
Reference Check Form
Refund Request Form (Form 1143/001)
Reimbursement for Personally-Owned Vehicle Use (DA MV7)
Relocation Request for Equipment/Furniture (1352/002)
Repeat/Delete Application (Form 1441/003)
Request for Change of College Catalog for Degree or Certificate Requirements (Form 1413/002)
Request for Change of College Catalog for Degree or Certificate Requirements (Form 1413/002)
Request for Course Substitution (Form 1413/007)
Request for Grievance Hearing Form (Form 2534/005)
Request for Permission to Serve Alcohol (Form 1475/001)
Request for Reconsideration of Library Materials (Form 1451/001)
Request for Released Time (Form 2420/001)
Request for Sanitization of Data Storage Device (Form 1822/009)
Request for Student Record Information (Form 1442/005)
Request to Create Account (Form 3300/001)
Request to Defer or Withdraw Graduation Application (Form 1440/005)
Request to Inspect and Review Education Records
Request to Organize (Charter Approval for Proposed Student Organization - Form 1470/001)
Request to Prevent or Allow Disclosure of Directory Information
Requisition for Purchase (Form 3300/001) - Both Versions of Form
Requisition for Purchase (Form 3300/001) - Editable PDF Version
Requisition for Purchase (Form 3300/001) - Word Version
Residency Appeal Form (Form 1411/012)
Residency Reclassification Application Form (Form 1411/010)
Respondent's Problem Solving Response (Form 2534-002)
Response to Student Complaint (Form 2530/002)
Response to Student Grievance (Form 2530/004)
Retirement Membership Plan Disclosure Form
Review of Request for Grievance Hearing Form (Form 2534/009)
Salary Deferred Pay Option Plan Form 2023-2024
Sample Faculty Work Schedule Template (Form 2122/001)
Sample Student Organization Charter
Science Laboratory Incident Accident Report Form (Form AA-001/01)
Senior Citizen Tuition Waiver Request
Special Topics Course Proposal Cover Sheet (Form 1510/003)
Statement of Agreement or Understanding for Compensation for Classified Employee Overtime Work (Form 2400/006)
Student Course Load Override Form (Form 1440/001)
Student Field Trip Waiver (Form 1502/001)
Student Government Association Officer Tuition Waiver Agreement (Form 1471/001)
Student Grievance Form (Form 2530/003)
Student Information System (SIS) Request for Account Access (Form 1822/003)
Student Technology Enhancement Program (STEP) Proposal Eligibility Form (Form 1837/002)
Student Waiver of Services/Accommodations Form (Form 1468/003)
Substantive Change Review Form (Form 1510/002)
Summer Schedule Temporary Virtual Work AGREEMENT for Full-time, Non-Faculty Employees (5-30 to 6-30) LINK PAGE.pdf
Summer Service Employment Form for Nine-Month Full-Time Faculty (Form 2123/001)
Technical Division Work Experience Education Student Incident/Accident Report Form
Telephone Reference Sample Form
Temporary Property Storage Form (Form 1352/003)
Third Party Sponsor Payment Request
Transcript Request Form
TRSL Enrollment Application/Notification Form
TRSL Name Change Request Form
Tuition Increase/ Fee Hardship Appeal Form (Form 1412/011)
Unclassified Employee Problem Solving Form (Form 2534/014)
Unclassified Faculty Staff Position Description Form (Form 2200/005)
Vehicle (Delgado Vehicle) Request Form (Form 1382/001)
Vehicle Rental Request Form (Form 1380/005)
Verification of Employment Form
Violence Incident Statement
Voluntary Self-Identification of Disability Form - LCTCS
W-9 Form
Web Site Content Management System (CMS) Authorized User Agreement(Form 1823/001)
Withdrawal From College Form (Form 1442/003)
Workforce Development Non-Credit Course Refund Request Form (WFD-001/01)
DELGADO FORMS ALL FORMS - Alphabetically Listed by Form Title Contents DELGADO FORMS ALL FORMS - Alphabetically Listed by Form Title Contents