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How To's and Forms

All forms requiring signatures must be printed out, signed, and sent to the appropriate department. Please call Human Resources at 358-2877 with any questions.

Staff CERP and Severance Program Descriptions

The Request Process

Once a COVID-19 Work Accommodation Request form has been returned to Human Resources for the following reason:

  1. Because I have a serious health condition that puts me at a greater risk for COVID-19 or;
  2. Because I am cohabitating with someone who has a serious health condition that put them at a higher risk for COVID-19 or;
  3. Because I have a documented mental health condition supporting that it is unhealthy for me to return to campus at this time, Human Resources will:
    • HR acknowledges receipt of the work accommodation request via e-mail notification to the employee.
    • HR will review the work accommodation request and supporting documentation received and will reach out to the employee if additional documentation is needed.
    • Once reviewed, HR will respond to the work accommodation request with either an approval or denial via e-mail notification to the employee within 3 days of receiving all required supporting documentation.
    • If work accommodation is approved, HR will communicate approval to the supervisor and copy the employee via e-mail notification.
  4. Because I am caring for my child whose school or place of care is closed (or provider is unavailable) due to COVID-19 related reasons, Human Resources will:
    • HR acknowledges receipt of the work accommodation request via e-mail notification to the employee.
    • HR will review the work accommodation request and supporting documentation received and will reach out to the employee if additional documentation is needed.
    • Once reviewed, HR will respond to the work accommodation request with either an approval or denial via e-mail notification to the employee within 3 days of receiving all required supporting documentation.
    • If work accommodation is approved, HR will communicate approval to the supervisor and copy the employee via e-mail notification.
    • The employee should contact MetLife to initiate a claim for FFCRA (888-608-6665) (The Families First Coronavirus Response Act (FFCRA) provides eligible employees of the University System of New Hampshire who are actively at work with paid sick leave and/or expanded family and medical leave for specified and qualifying reasons related to COVID-19. These provisions will apply from 4/1/2020 through 12/31/2020.)

Complete and Submit the Request Form

Download, complete and submit the Word Accommodation Request form.

Connect to WISE

WISE, Web Self Service for Employees is available so employees may update their personal information, emergency contact data, and submit hourly timesheets or apply approvals.

Connect to PeopleAdmin

Internal resources for KSC faculty and staff.

Employment Verifications

Reporting an Accident or Injury

Any employee who is involved in an accident or is injured in the workplace is covered by Worker’s Compensation. Employees should complete an Incident Report Form. Incident Reports should be completed by the employee and his/her supervisor and filed with Human Resources within two days of the accident/injury. If non-urgent medical attention is required, employees are urged to use the Emergency Room or the Occupational Health Department at the Dartmouth-Hitchcock Clinic in Keene. For further information, contact Karyn Kaminski.

Personal Information Forms

Performance Management Evaluation Process and Forms *

* Please Note: The new staff performance evaluation form is for both PAT and OS staff.

Position Descriptions (PD)

Appointment, Benefit, and Financial Forms

Time and Leave Reporting

PAT Leave Reporting Using WISE

Kronos Information and Resources

Compassionate Leave

The Compassionate Leave Policy was established in 2006 to provide an avenue for Keene State staff to help each other out in times of need.

Medical Leave Forms

Search Forms

  • Please contact Human Resources at 358-2877 to request a Position Action Form

Volunteer Forms and Notices


Pick-up Forms

The following forms must be picked up at Human Resources:

  • Keene State College Position Action Form
  • Advertising Information Requisition Form
  • Candidate Recommendation/Rejection Matrix for All Interviewees
  • Faculty/Staff Non-Credit Tuition Waiver Form
  • Adjunct Tuition Waiver (if eligible)

Benefit providers have additional forms (or links on their webpages) specific to those plans. Contact Karyn Kaminski for assistance.

Contact Human Resources

Office of Human Resource Management
Keene State College
229 Main Street
Keene, NH 03435-1604

Hours of Operation
8:00am - 5:00pm

603-358-2877
vhodge@keene.edu
Fax: 603-358-2483