Form Depot

Please note: To successfully fill out and save a fillable PDF, download the free version of Adobe Acrobat Reader DC. After Acrobat Reader is installed, download the PDF and save it to your computer. Once downloaded, find the PDF in the location on your computer it was saved to and double-click on it to open it.

If it does not automatically open with Adobe Acrobat Reader DC, right-click on the file and highlight “Open with”, then choose Adobe Acrobat Reader DC from the options. When finished filling out all necessary fields, save the file in Adobe Acrobat Reader DC to retain the information you entered.

Adobe Acrobat Reader is also available on mobile devices.

• Get Adobe Acrobat Reader from the Google Play store
• Get Adobe Acrobat Reader from the App Store

Admission

• Affidavit of Free Room and Board
• Application for Admission
• Assessment Testing Exemption Request
• International Student Certification of Finances
• International Student Information
• International Student Transfer Clearance
• Re-Application Form

Alumni

• Alumni Registry
• Alumnus/Alumna of the Year Nomination Form

College Career Pathways

• CCP Course Withdrawal Form
• MCC Teacher Certification Application Form

Continuing Education

Cooperative Education

• Co-op Conversion Form
• Co-op Time Sheet
• Co-op Position Description
• Co-op Site Agreement
• Information for Employers

• Site Visit Report
• Student Application
• Student Learning Assessment
• Student Learning Objectives
• Supervisor’s Evaluation

Copy Center

• Copy Request and Fair Use (faculty and staff only)

Events

• Submit an Event for the MCC Web Calendar

Faculty and Staff

• Educational Technology Proposal Form
• Academic Affairs Mileage Log
• Mileage Reimbursement Process (Employee)
• Instructional Observation Form for Adjunct Faculty
• Instructional Observation Form and Guidelines for Evaluating Online Courses
• Discipline Review Instrument
• Program Review Instrument
• Tenure Application
• Travel Authorization Checklist-Academic Affairs
• Travel Authorization Request
• Regional Advisory Council Award
• Curriculum
  • Curriculum Committee Standard Operating Procedures
  • New Course Proposal Form
  • Course Revision Form
  • Program Revision Form
  • General Education Revision Form-New or Revised Proposal
• Holidays and Paydays 2019
• CSA Crime Statistic Report Form

Office Signs

• MCC Office Sign Insert Order Form

Faculty/Staff Space Reservation Form

• EMS Space Reservation System

Financial Aid

Human Resources & Payroll

• BOR (MCC version) Employment Application
• CCP/EA Evaluation Form (4Cs)
• Direct Deposit Authorization and Input
• Dual Employment Request Form
• Employment Eligibility Verification (I-9)
• Faculty: Evaluation & Overall Performance Form
• Faculty: Instructional Observation Form for Classroom & ESL
• Faculty: Instructional Observation Form for Clinical Settings
• Faculty: Instructional Observation Form for Lab & Studio
• Faculty: Self Appraisal Form
• FMLA – Employee Medical Certificate – 33A
• FMLA – Care Giver Medical Certificate – 33B
• FMLA HR1 – Employee Leave Request Form
• FMLA HR3 – Employee Form – Intent to Return to Work (to be completed before the start of the leave)
• FMLA HR2A – HR Employer Response Form – Notice of Eligibility and Rights and Responsibilities
• FMLA HR2B – HR Employer Response Form – Designation Notice
• FMLA HR2c – HR Employer CORE Coding Form
• FMLA Military Leave – Form – WH 384– (qualifying exigency)
• FMLA Military Leave – Form – WH 385-(qualifying injury/illness)
• FMLA Military Leave – Form – WH 385-V
• Memo of Transmittal re: Evaluation Conference
• Notification of Employment (NOE)   (for students in the work- study program and those hired as discretionary workers)
• Payroll Address Name Change Form

• PER – 125: Performance Evaluation Form, Campus Police (NP-5 Union)
• PER – 126: Service Rating Form, Admin and Clerical (NP-3 Union)
• PER – 127: Service Rating Form, Admin and Residual (P-5 Union)
• PER – 148: Service Rating Form, Maintenance and Service (NP-2 Union)
• Personnel Action Form
• Placement on Statewide Transfer List Request Form
• Professional Development Plan 2 2014
• Promotion Application 4C’s/CCP
• Promotion Application 4C’s/Faculty
• Request for Taxpayer Identification Number (Form W-9)
• Sabbatical Leave Application (4Cs)
• Supplemental Retirement 403B Plan – Prudential Enrollment Form
• Supplemental Retirement Deferred Compensation 457 Plan – Prudential
• Supplemental Retirement Deferred Compensation 457 Plan – Prudential Contribution Rate Change
• Tax Withholding-W4-CT-2019
• Tax Withholding-W4-Federal-2019
• Tenure Application
• Tuition Reimbursement Form

Information Technology

• Exit Form
• Move Form
• New Employee Form
• Position Change Form
• Systems Change Form

MCC Foundation

• Bench and Auditorium Seat Naming Opportunities Form
• Brick Donation Form
• Call for Proposals-Annual Fund Application
• Campaign 2020 Application for Funding
• Grant Application and Instructions
• Hall of Fame Volunteer Award Nomination
• Health Careers Program Application for Fee Assistance
• Payment Request Form
• Payroll Deduction Donation Form

Purchasing

• #10 Envelope Request Form
• Faculty Business Cards Request
• Staff Business Cards Request
• Name Badge Request
• Request for Certificate of Insurance

Registration

• Add/Drop Request Form
• Consent for Disclosure of Education Records
• Course Withdrawal Form after Two-Thirds of Semester
• Course Withdrawal Form Prior to Two-Thirds of Semester
• Declare a Major
• Diploma Reorder Form
• Enrollment Verification
• Graduation Application and Instructions
• Immunization Verification
• Late Add Form
• Medical Information Release Form
• Name and Address Change
• Refund Appeal Form
• Registration Form
• Transcript Request

Health Career Programs Applications

• Dental Assistant
• Occupational Therapy
• Radiation Therapy
• Radiography
• Respiratory Care
• Surgical Technology

Credit Extension Courses

• Credit Extension Registration Form

Student Activities

• Advisor’s Agreement for Clubs
• Artist’s Agreement
• Bulletin Board Posting Policy
• Chaperone Guidelines
• Checklist for Club Travel
• Checklist for Holding An Event
• Checklist for Starting a New Club
• Club Travel Packet
• Club Officer’s List
• Club Privileges
• Community Service Project Report
• Cougar Pride Discount Form
• Cultural Programs Committee Program Proposal & Guidelines
• Employee Payroll Reimbursement
• Event Evaluation Form
• Event Planning Packet
• Event Setup / Request a Space (BETA)
• Event/Travel Funding Request
• Guidelines for Participant Behavior
• How to Keep Minutes of a Meeting

• Liability Waiver
• Liability Waivers for Minors
• New Club Packet
• Off-Campus Vendor Program Form
• Par-Q Physical Activity Questionnaire
• Projected Budget Allocation Request Form for Clubs
• Returning Club Packet
• Roberts Rules of Order
• Sample Agenda
• Sample Constitution
• Sample Minutes
• State Tax Exempt Form
• Student Activities Accident & Incident Report
• Student Club Handbook
• Student Government Association Constitution
• Student Government Association Bylaws
• Travel Authorization Form CO-112 for Chaperones
• Travel Acknowledgment Form
• Vendor Profile

Student Success

• STARS Program Application
• STARS Program Letter of Recommendation

Testing Center

• Test Adjustment Request Form
• Make Up Test Request Form