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DELGADO FORMS
Contents
Contents of DELGADO FORMS
DELGADO FORMS
(209)
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
(249)
Annual Giving Employee Pledge Form
Appeal for Transfer-Suspension Admission (Form 1411/008)
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 Graduation
Application for LEAP Credit (Form 1435/002)
Application for Proficiency Examination - Charity School of Nursing (Form 1434/002)
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 FORMS AND PROCEDURES
(1)
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")
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
(19)
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
Fee Waiver Form for Minisession/Flex Course (Form 1412/007)
Financial Records System (FRS) Request for Account/Access (Form 1822/005)
FMLA Forms
(8)
Forms - Clinical Practicum Forms
Forms - Committee Standard Forms
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
(60)
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)
Interim Coverage of Hospitalization-Life Insurance Form (Form 2600/001)
INVENTORY FORMS (PROPERTY CONTROL FORMS)
(8)
Key Control Form (Form 1370/001)
L-4 Louisiana Employee Witholding Exemption Certificate
LASERS Change of Address Form
LCTCS Unclassified Staff Evaluation and Planning Form 4-23 Fillable PDF
Leave Request Form (Form 2400/001)
Maintenance Work Order (Form No. 1330/001)
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
(17)
Notice of Cancelled Class (Form 1442/001)
Notification of Problem Form (Form 2534/001)
Office Hours Form (Faculty/Staff Schedule Form)
Office of State Travel
OGB Enrollment/Change Form (GB-01)
Oral and Written Proficiency Form (Form 2122/004)
OUTSIDE EMPLOYMENT DISCLOSURE FORMS and PROCEDURES
(2)
Overtime/Compensatory Time Leave Approval Form (Form 2400/005)
Pager Contract Form
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
PROGRAM REVIEW PROCESS, PROCEDURES and FORMS
(17)
Project Submission Checklist
Promotion-In-Rank Application (Forms 2321/001A, B, and C)
Promotion-in-Rank Division Committee Individual Recommendation Form (Form 2321/002)
PROMOTION-IN-RANK FORMS
(15)
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 2022-2023
Proof of Immunization Compliance (1411.1 Health Services Form)
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
(16)
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 Form (Fall 2019 former version) (Form 1143/001)
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
(14)
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 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
(18)
TRSL Enrollment Application/Notification Form
TRSL Name Change Request Form
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
Violence Incident Statement
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