Forms for Students
Admissions
- Application for Admission
- Form I134,Affidavit of Support
- Home-Educated College Preparatory Credit Evaulation
- MMRV Immunization Requirement
- Academic Plan
- Minor Student Consent Form
- Declaration of Eligibility for In-State or NEBHE Tuition Rate
- Honors Application Form
Records
- Class Registration Form
- Application for Withdrawal After the Refund Date Withdrawals are only accepted until certain dates in the semester. Please see the dates on the academic calendar to see if your withdrawal request can still be honored.
- Transcript Request
- Declaration of Audit Status
- Change of Personal Data
- Graduation Checklists listed by degree or certificate
- Request to Restrict Directory Information
- Records Release Authorization
- Password Reset
Financial Aid
Continuing Education
Dean of Administration and Finance
- Bus Trip Information & Policies
- Incident Report
- Request for Delinquent Debt Repayment
- Student Emergency Information
Scholarships and Funds for Students
- Scholarship Application
- Artists for World Peace Application
- Single Parents Line of Hope Operating Procedures
- Student Parent Line of Hope Application
Student Activities/Student Senate
- Senate Activity Record
- Petition for Senator Position
- Petition for Officer Position
- Club Packet
- Student Senate Constitution
- Sample Student Senate Constitution
- Senate Organizational Chart
- Senate Biography Form
- Website Information Update Request
- Media Release Form
- Minutes Template
- Activity Calendar
- Purchase Request Form
- Event Scheduling Form
- How to Make A Motion
- Roberts Rules Of Order Revised
- Parliamentary Procedure
- Accounting Procedures
- Wesleyan University Student Activities & Leadership Development
Club Resources
- Agenda Template
- Attendance Sheet
- Club Roster
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Forms for Faculty and Staff
Curriculum and Academic Policy
- Visit the Governance site for these forms
Dean of Administration & Finance
- Bus Trip Information & Policies
- Incident Report
- Leave Request Form- Printable
- Leave Request Form- Digital
- Student Emergency Information
Human Resources & Payroll
- CT-W-4 Tax Withholding Form (Payroll)
- Dual Employment Form (PER-DE-1)
- Employment Application – Board of Regents/Community Colleges
- Employment/Examination Application PLD-1/State of CT
- Employment Eligibility Verification (I-9)
- Federal W-4 Tax Withholding Form (Payroll)
- 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)
- 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)
- CCP/EA Evaluation Form (Congress/4C’s union)
- Placement on Statewide Transfer List Request Form
- Promotion Application 4C’s/Faculty (Contact Human Resources)
- Request for Taxpayer Identification Number (Form W-9) (Payroll)
- Sabbatical Leave Application 4C’s (Contact Human Resources)
- Tenure Application 4C’s (Contact Human Resources)
- Tuition Reimbursement Form
- Sexual Assault Report Disclosure Form
Retention Services
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