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999.x Policy Forms

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1.103:01 Policy Development Template

1.103:02 Policy Development and Approval Tracking Sheet

2.105:01 Conflict of Interest Disclosure Form

2.203:01 Statement of Commitment and Responsibilities of the Members of the Board of Governors

2.211:01 Recommendation Form for Potential Board Service

2.211:02 Prospective Board of Governors Recruitment Action Plan

3.465:01 Request / Approval Form for Cellular Telephone or Data Device

3.465:02 AU Mobile Device Request Form

3.465:03 Equipment Loan Form

3.467:01 Request for the PNC Bank Commercial Card for Business

3.469:01 Travel Authorization Form

3.469:02 Common Expense Reimbursement Form

3.471:01 Motor Vehicle Report Authorization Form

3.471:02 Requirements for Drivers of Antioch University Vehicles

3.501:01 Release Form for Virtual Use

4.101:01 I-9 Employment Verification Form

4.103:01 Position Funding Authorization/Authorization to Recruit Form

4.103:02 Employee Action Form

4.105:01 Medical Examination Consent Form

4.105:02 Letter of Conditional Job Offer

4.109:01 Background Check Release and Authorization For Pre-Employment Background Screening

4.109:02 Background Disclosure Form

4.205:01 Outside Employment Disclosure and Approval Form

4.207:01 Volunteer Agreement Form

4.301:01 Initial Review Period (IRP) Review Form

4.401:01 CA Employees Request to Makeup Work Time

4.403:01 Flexible Work Arrangements Request Form

4.403:02 California Waiver of Overtime Due to Alternative Scheduling

4.407:01 Monthly Salaried / Exempt Personnel Leave Calendar

4.409:01 Working Remotely Approval Form

4.417:01 Employee Day of Community Service Approval Form

4.423:01 Request for Discretionary Leave

4.509:01 Employee's First Report of Injury

4.603:01 Employee Code of Ethics Annual Certification Form

4.607:01 Complaint Form Sexual Harassment, Sexual Violence and Sex Discrimination

4.607:02 Sexual Harassment, Sexual Violence and Sex Discrimination Policy Statement

4.619:01 Complaint Form Affirmative Action/Equal Employment Opportunity Discrimination

4.713:01 Phased Retirement Agreement - Admin (for NH, OH and WA campuses)

4.713:02 Phased Retirement Agreement Admin (for CA campuses only)

4.901:01 Nomination Form for Chancellor or President Emeritus

5.343:01 Phased Retirement Agreement Faculty (for NH, OH and WA campuses only)

5.343:02 Phased Retirement Agreement Faculty (for CA campuses only)

5.701:01 Nomination Form for Honorary Degree

5.701:02 Honorary Degree Review and Nominating Committee Recommendation Form

7.107:01 Annual Planning Template for Advancement Offices

7.113:01 Grant Notification Report Form

7.201:01 Distinguished Alumni Award Nomination Form