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DELGADO FORMS
Contents
Contents of DELGADO FORMS
DELGADO FORMS
(195)
4310-1A FACILITY SCHEDULING COORDINATORS
Absence From Class/Duties Request (Form 1502/003)
Academic Challenge/Appeal Form (Form 1440/003)
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)
ADVISORY COMMITTEES/BOARDS PROCEDURES AND FORMS
(4)
ALL FORMS - Alphabetically Listed by Form Title
(234)
Application for Advanced Placement Credit (1432/002)
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 LEAP Credit (Form 1435/002)
Application for Proficiency Examination - Charity School of Nursing (Form 1434/002)
ARCHIVED - CANCELLED PROGRAM REVIEW PROCESS, PROCEDURES and FORMS
(17)
Authorization for Special Travel Circumstances (Form 1380/004)
Batch Cover Work-Study Timesheets
Bookstore Charge Form (Form 1504/002)
BUDGET FORMS
(6)
Budget Revision Request
Career Pathways Development (Program Review) Template
CARL PERKINS FUNDS
(11)
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)
CLASSROOM/TEACHING FORMS
(17)
CLINICAL PRACTICUM FORMS
(5)
COMMITTEE STANDARD FORMS
(3)
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 SERVICES FORMS
(7)
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 AND PROGRAM DEVELOPMENT FORMS
(11)
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)
Departmental Supplies Requisition (Form 3323/001)
Departmental Wish List Application (Form 3050/002)
Direct Deposit Enrollment Authorization Form (LCTCS Form for EMPLOYEES)
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 the Vice Chancellor/ Executive Dean (LCTCS Form "A")
Donation of Movable Property Form (Form 3050/001)
Driver Authorization Form (Form DA 2054)
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)
Employment Eligibility Verification Form (I-9)
EMPLOYMENT FORMS AND PROCEDURES
(20)
End-of-Semester Checkout Form (Form 2122/002)
Excellence in Teaching Award Nomination Acceptance Form (Form 2230/001)
External Agreement for Use of Facilities (Form 4310/002)
FACULTY CREDENTIALS FORMS
(2)
Faculty Evaluation- Sample Formative Evaluation Form
FACULTY EVALUATION FORMS
(12)
Faculty Qualifications Verification Summary (Form 2122/007)
Federal Ethnicity & Race Reporting Form
Financial Records System (FRS) Request for Account/Access (Form 1822/005)
FMLA Forms
(8)
Forms - Clinical Practicum Forms
Forms - Faculty Credentials Verification Process.pdf
Forms - Faculty Evaluation Process (Collection of Faculty Evaluation Forms)
Forms - STEP Proposal & Eligibility Forms
Foundation Board Faculty/Staff Activity Grant APPLICATION FORM
Function Request - "Internal" Event/Function Request (Form 4310/001)
FUNCTIONS/EVENTS Forms
(6)
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
Hazard Control Log (ORM Form HC-1-90)
Hold Harmless Agreement- Student Life Intramural/Sports Activities
HUMAN RESOURCES FORMS
(48)
INACTIVE - Request for Leave of Absence and Advanced Degree Leave (LCTCS Form for Delgado Employees)
INSTITUTIONAL ADVANCEMENT/FOUNDATION BOARD/ALUMNI AFFAIRS FORMS
(5)
Interactive Television Teaching (ITT) Course Proposal Worksheet (Form 1452/001)
INVENTORY FORMS (PROPERTY CONTROL FORMS)
(8)
Key Control Form (Form 1370/001)
L-4 Louisiana Employee Witholding Exemption Certificate
Leave Request Form (Form 2400/001)
Master Syllabus and Course Syllabi: Format and Guidelines
Master Syllabus Format
Mini-Grant Application Forms (Forms 6311/001, 002, and 003)
Mini-Grant Application Sample Proposal
MISSION STATEMENT AND STRATEGIC GOALS (COMMITMENTS & DIRECTIVES)
(18)
Notice of Cancelled Class (Form 1442/001)
Notification of Problem Form (Form 2534/001)
Office of State Travel
Oral and Written Proficiency Form (Form 2122/004)
OUTSIDE EMPLOYMENT DISCLOSURE FORMS and PROCEDURES
(2)
Overtime/Compensatory Time Leave Approval Form (Form 2400/005)
PARKING AND DRIVING FORMS AND INFORMATION
(3)
Passenger Liability Waiver (Form 1382/002)
Payments and Refunds for Non-Credit WFD Courses (Form WFD-001/01)
Permission to Enroll at Another Institution for Program Degree Requirements for Graduation (Form 1413/008)
Personnel Action Form (Form 2200/002)
Petty Cash Check Voucher Request (Form BAA-A001)
Portfolio Worksheet and Assessment Evaluation Form for LEAP (Form 1435/001)
Position Control Form (Form 2200/001)
Professional Development Presenter Grants Application & Information
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 FORMS
(16)
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 2025-2026
Proposal for Use of Student Technology Enhancement Program (STEP) Fee (Form 1837/001)
PUBLIC RELATIONS & MARKETING OFFICE FORMS
(3)
PURCHASING CARD (P-CARD) FORMS and PROCEDURES
(17)
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
Recoupment of Overpayments Statement of Understanding Form (LCTCS Form)
Reference Check Form
Refund Request - Change in Employment Certification Form
Refund Request - Death of Immediate Family Member Certification Form
Refund Request - Institutional Error Certification Form
Refund Request - Primary Caregiver of Ill Family Member Certification Form
Refund Request - Student Illness Certification 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 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 Organize (Charter Approval for Proposed Student Organization - Form 1470/001)
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 Reclassification Application Form (Form 1411/010)
Response to Student Complaint (Form 2530/002)
Response to Student Grievance (Form 2530/004)
Retirement Membership Plan Disclosure Form
SAFETY FORMS
(15)
Sample Faculty Work Schedule Template (Form 2122/001)
Software License Compliance Certification Form (WORD VERSION)
Software License Compliance Certification Form 8-9-2022 (EDITABLE PDF VERSION)
Special Topics Course Proposal Cover Sheet (Form 1510/003)
STUDENT ACCESSIBILITY SERVICES FORMS & PROCEDURES
(1)
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 5-19-22 for web distribution.docx
Summer Service Employment Form for Nine-Month Full-Time Faculty (Form 2123/001)
Telephone Reference Sample Form
test.docx
TRAVEL FORMS AND PROCEDURES
(14)
Tuition Increase/ Fee Hardship Appeal Form (Form 1412/011)
Vehicle (Delgado Vehicle) Request Form (Form 1382/001)
Vehicle Rental Request Form (Form 1380/005)
Verification of Employment Form
VIRTUAL TEMPORARY WORK AGREEMENTS
(2)
W-9 Form
Web Site Content Management System (CMS) Authorized User Agreement(Form 1823/001)
Withdrawal From College Form (Form 1442/003)
DELGADO FORMS Contents DELGADO FORMS Contents