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FOR MORE INFORMATION

Human Resources Office
Chilton Circle Modular
Great Basin College
1500 College Parkway
Elko, NV 89801
hr-employment@
lfkgw.com

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HR Forms

See also Important Links for Forms at Third-Party Websites

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Benefits
CLASSIFIED BENEFITS SUMMARY (PDF, 230 K)
Summary of benefits for Classified employees.
FACULTY BENEFITS SUMMARY (PDF, 217 K)
Summary of benefits for Academic & Administrative faculty.
PERS BENEFICIARY DESIGNATION FORM (PDF, 166 K)
Update Public Employees Retirement System beneficiary information.
PERS CHANGE PERSONAL INFORMATION (PDF, 389 K)
Change personal information with Public Employees Retirement System.
STANDARD INSURANCE COMPANY CHANGE FORM (PDF, 73 K)
Beneficiary designation and change form
Claims
DENTAL CLAIM FORM (PDF, 75 K)
For dental claim reimbursement.
MEDICAL/VISION CLAIM FORM (PDF, 82 K)
For state self-funded medical and vision plan claims reimbursement.
Grant-In-Aid
CLASSIFIED DEPENDENTS (PDF, 203 K)
Complete form in Workday.
CLASSIFIED (PDF, 125 K)
Complete form in Workday.
PART-TIME INSTRUCTOR (PDF, 97 K)
Complete form in Workday.
PROFESSIONAL STAFF & DEPENDENTS (PDF, 208 K)
Current employees complete form in Workday. Eligible emeritus and retired faculty return completed form to Human Resources.
Hiring/Compensation
2023-2024 NEW HIRE SCHEDULE (PDF, 113 K)
AUTHORIZATION TO HIRE PART TIME EMPLOYEE (PDF, 211 K)
This authorization is for all Part Time employee's including students. This form must be submitted with all new hires and returning employees.
FICA ALTERNATIVE PLAN INFORMATION (MS Word, 41 K)
FAQ's regarding the FICA Alternative Plan.
PERSONAL DATA FORM (PDF, 347 K)
All new hires (not hired through Workday recruitment) must submit this form
PROFESSIONAL NEW HIRE CONTRACT WORKSHEET (PDF, 66 K)
Must be completed for all Professional new hires or promotions to new positions.
PROFESSIONAL RECRUITMENT AUTHORIZATION (PDF, 430 K)
Before Human Resources can open a recruitment for a Professional position, the recruitment authorization form must be complete and have all of the approving signatures.
VARIABLE WORKDAY SCHEDULE (MS Word, 264 K)
Classified employees only.
Misc Forms
KEY REQUEST - EFFECTIVE 11-20-19 (PDF, 126 K)
Forms will be accepted in HR with original signatures or employee may complete form and e-mail form to signature authority, then the signature authority may forward e-mail to hr-payroll@lfkgw.com
PART-TIME EMPLOYEE REMOTE WORK POLICY (PDF, 58 K)
This form must be fully completed and submitted to Human Resources prior to the start of each semester. Spring Semester - December 28th, Summer Semester - June 1st, Fall Semester - July 28th
REMOTE WORK POLICY (PDF, 153 K)
This does not cover any health related conditions. Those fall under FMLA and an employee should contact Human Resources regarding FMLA and health related matters.
Payroll
2024 TIME ENTRY/APPROVAL FOR PART-TIME HOURLY EMPLOYEES (PDF, 63 K)
DEBIT CARD INFORMATION
REQUEST TO WORK OVERTIME (PDF, 67 K)
This is for department use only. This form is to be completed and approved prior to any overtime/compensatory time being worked.
Performance
EMPLOYEE APPRAISAL & DEVELOPMENT REPORT (NPD-15)
In order for a supervisor to complete and present a classified employee evaluation, he/she must have received the state approved Employee Appraisal training. If a supervisor has not received this training (as per NRS 284.338) please contact human resources.
EMPLOYEE APPRAISAL INSTRUCTIONS
Guidelines to assist you in preparing the NPD-15
PART-TIME INSTRUCTOR PERFORMANCE REVIEW (PDF, 281 K)
Part-Time Instructor Policy and Performance Review form. To be completed by Department Chair or designee.
PERFORMANCE REVIEW (ADMINISTRATIVE FACULTY)
Administrative Faculty Performance Review form
WORK PERFORMANCE STANDARDS (NPD-14)
Current work performance standards are used as criteria for evaluating the employee�s performance. These standards are developed together by the supervisor and the employee and approved by the appointing authority. Each employee should have a current set of work performance standards on file, and prior to the annual evaluation these standards should be reviewed and updated as necessary.
WORK PERFORMANCE STANDARDS GUIDELINES
Guidelines and requirements to assist you in developing employee Work Performance Standards.
Termination
PART TIME EMPLOYEE TERMINATION (PDF, 28 K)
Please complete for all part time employees who will no longer be working for 澳门新甫京娱乐游戏在线下载 (except student workers)
STUDENT WORKER TERMINATION (PDF, 23 K)
Please complete for all student workers who will no longer be working for 澳门新甫京娱乐游戏在线下载.
Workers' Compensation
C-1 (PDF, 101 K)
Completed by employee when an injury or occupational disease occurs. Must be submitted within 7 days of the incident.

For More Information Contact

Human Resources Office
Chilton Circle Modular
Great Basin College
1500 College Parkway
Elko, NV 89801
hr-employment@lfkgw.com

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Why Great Basin College

Great Basin College wants to be your choice for higher education. 澳门新甫京娱乐游戏在线下载 offers associate and baccalaureate level instruction in career and technical education and academic areas. About 4,000 students are enrolled annually online from across the country and on campuses and centers across 86,500 square miles, two time zones, and ten of Nevada's largest counties. We border Arizona, Oregon, Idaho, Utah, and California. We are 澳门新甫京娱乐游戏在线下载!

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