Deferred Compensation Plan Forms Extended Coverage/ COBRA Change Request Form Family Medical Leave Act Forms Flexible Reimbursement Account Election Forms Healthcare Enrollment Form Leave Forms Life Insurance Forms Prescription Drug Forms Virginia Retirement System Forms CLASSIFICATION AND COMPENSATION Administrative/Professional Faculty Performance Plan Administrative/Professional Faculty Performance Review Administrative/Professional Justification Form Administrative/Professional Position Description Form Classified Acknowledgement of Extraordinary Contribution Form Classified and Hourly Pay Action Worksheet and Request Form Classified Interim Evaluation Form Classified Notice of Improvement Needed/ Substandard Performance Form Classified Probationary Progress Review Form Employee Work Profile (EWP) for classified positions Hourly Position Description (AP-5) New Classified/Hourly Position Request (AP-12CH) To create a new classified/ hourly position for the recruitment process. RECRUITMENT Certification of Classified/Hourly Search(Search Form 1) Criminal History Background Check Form Interview Questions Form (AP-2) Non-Faculty Reference Check Form (SF-5) Recruitment Request for Classified or Hourly Positions (AP-15CH) HUMAN RESOURCES - GENERAL Change of Address or Name Form Emergency Contact Form
This form should be used by qualified beneficiaries to make allowable changes to an existing Extended Coverage/ COBRA plan or membership. (To enroll in COBRA coverage, submit the election form included in your election notice.)
In the event of a serious health condition, please complete the FMLA Request Form and have your health care professional complete the medical certification form. Please contact the Office of Human Resources (HR) at 757-594-7145.
To enroll in healthcare during open enrollment or as a result of a status change.
For further information about leave programs and the forms applicable to your leave plan go to the Leave link and click on the leave forms tab.
For further information about life insurance programs and the forms applicable to your plan go to the Life Insurance link and click on the group life insurance link.
For further information about prescription drug programs and the forms applicable to your plan go to the Health Care link and click on the Prescription Drug tab.
All forms pertaining to the Virginia Retirement System.
To identify when an employee goes above and beyond their job duties.
To request a role change, in-band adjustment, transfer, temporary pay, competitive salary offer or in-band bonus.
This form is used to document concerns regarding an employees ability to perform on the job duties.
To evaluate an employees job performance during their first 12 months of employment.
The EWP provides a description of work duties for a specific job title.
The AP-5 provides a description of work duties for a hourly position.
This forms authorizes the release of information for the criminal history background check which is a requirement of the CNU recruitment process.
To be completed by all interviewers on each interviewee, this form must be approved for classified/hourly positions.
A requirement of the non-faculty recruitment process, Search Form 5 must be submitted by applicants with including a minimum of 3 references.
To recruit for a current classified/ hourly position that becomes vacant.
CNU requires an original signature on each change of address form.This form lists necessary steps for an employee separating from CNU.
This voluntary form is completed by employees authorizing CNU Police to contact the person of their choice in the event of an emergency.
