UPM/MCCD Forms
- UPM Hourly Payroll Form
- UPM Stipend Form
- UPM Stipend Form
- UPM Reimbursement Form
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- 3.10 Faculty Office Hours
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- 4.7a Medical Waiver Temp.
- 4.7b Medical Waiver Perm.
- 4.10 Domestic Partner Enrollment
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- 5.1a Notice of Member Absence
- 5.1b Member Absence Form
- 5.2.13a Sick Leave Donation Form
- 5.5 Conference Leave Form
- 5.6.2 Sabbatical Leave Form
- 5.6.7 Eval Sabbatical Leave Proposal
- 5.8 Request Unpaid Leave
- 5.17 Waiver for Units Banked
- 5.18 Request Leaver for Family Care
- 5.18 Request Leaver for Family Care
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- 6.1 Voluntary Transfer Agreement
- 6.3 Involuntary Transfer Agreement
- 6.4 Assignments Form
- 6.5 District Directed Assignments
- 6.8e ETCUM Availability
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- 7.0a Instructional Performance Observation
- 7.0b Nurse Performance Observation
- 7.0c Librarian Performance Observation
- 7.0d Counselor Performance Observation
- 7.0e Student Course Eval
- 7.0f Student Eval of Library Instruction
- 7.0g Student Eval of Counseling Session
- 7.0h Professional Self-eval Criteria
- 7.0i Professional Objectives Form
- 7.0j Evaluation Progress Report
- 7.0k Evaluation Report
- 7.4 Offsite Clinic Performance Eval
- 7.4.4 Nursing Home Day Program Eval
- 7.5 Community Ed Student Eval of Course
- 7.9a Children Center Staff Performance Observation
- 7.9b Children Center Staff Professional Development Plan
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- Notice of Senior ETUM Eligibility
- 8.3.7 Request for Overload
- 8.12d(a) Management Dept. Chair Eval
- 8.12d(b) Member Dept. Chair Eval
- 8.14 Request for Reduced Load
- 12.3.3 Member Grievance Form
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- 24.1.2 Sample Warning Letter
- 24.14a Student Complaint Initial Notification
- 24.14b Student Complaint Initial Notification to UPM
- 24.14c Student Complaint Member Designation of Rep
- 24.14d Student Complaint Notification to Rep District Form
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- 26.0 Request for Reasonable Accommodation Form
- Dental Benefit for Part-time Faculty
Interactive Forms
GOLD Form Links are interactive PDF forms that may be printed and/or emailed.
RED Form Links are older scanned forms that must be printed.
To use the interactive PDF forms, the current version of Adobe Acrobat Reader is required. This is free software and is available at: Adobe Acrobat Reader (https://get.adobe.com/reader/)
UPM Forms
All UPM Officers and Committee members must complete a UPM Hourly Payroll Registration Form and return it to the UPM office completed and signed, in person, by mail, or email. To submit UPM Payroll Registration Form, please download and complete the UPM Hourly Payroll Registration PDF Form.
To submit UPM Stipend Hours, please download and complete the UPM Stipend Form
To submit for UPM Reimbursement for mileage or purchases, please download and complete the UPM Reimbursement Form.
Completed UPM forms may be submitted via UPM email or printed and submitted to the UPM office via interoffice mail. For all UPM/MCCD collective bargaining agreement (CBA) Forms listed below, follow the current CBA Article requirements to submit the respective form(s).
2014- 16 UPM/MCCD CBA Forms
ARTICLE 1: RECOGNITION
ARTICLE 2: PAYROLL DEDUCTIONS
Article 3.10 Office Hours
Faculty Office Hours Form
Article 4.7.a Medical Waiver Temporary Member
Medical Waiver Temporary Member Form
Article 4.7.b Medical Waiver Permanent Member
Medical Waiver Permanent Member Form
Article 4.10 Domestic Partner Enrollment
Domestic Partner Enrollment Form
Article 5.1.a Notice of Member Absence
Notice of Member Absence Form
Article 5.1b Faculty Absence Report
Faculty Absence Report Form
Article 5.2.13.a Donation of Sick Leave
Sick Leave Donation Form
Article 5.5 Conference Leave
Conference Leave Form
Article 5.6.2 Sabbatical Leave Application
Sabbatical Leave Application Form
Article 5.6.7 Evaluation of Sabbatical Leave Proposals
Sabbatical Leave Proposals Evaluation Form
Article 5.8 Request for Unpaid Leave
Request for Unpaid Leave Form
Article 5.17 Waiver for Units Banked
Waiver for Units Banked Form
Article 5.18 Request for Family Care Leave
Request for Family Care Leave Form
ARTICLE 6: TRANSFERS & ASSIGNMENTS
Article 6.1 Voluntary Transfer Agreement
Voluntary Transfer Agreement Form
Article 6.3 Involuntary Transfer Agreement
Involuntary Transfer Agreement Form
Article 6.4 Assignments
Assignments Form
Article 6.5 District Directed Assignments
District Directed Assignments Form
Article 6.8.e ETCUM Availability
ETCUM Availability Form
Article 7.0.a Instructional Performance Observation
Instructional Performance Observation Form
Article 7.0.b Nurse Performance Observation
Nurse Performance Observation Form
Article 7.0.c Librarian Performance Observation
Librarian Performance Observation Form
Article 7.0.d Counselor Performance Observation
Counselor Performance Observation Form
Article 7.0.e Student Evaluation of Course
Student Evaluation of Course Form
Article 7.0.f Student Evaluation of Librarian Instruction
Student Evaluation of Librarian Instruction Form
Article 7.0.g Student Evaluation of Counseling Session
Student Evaluation of Counseling Session Form
Article 7.0.h Professional Self-evaluation Criteria
Professional Self-evaluation Criteria Form
Article 7.0.i Statement of Professional Objectives
Statement of Professional Objectives Form
Article 7.0.j Evaluation Progress Report
Evaluation Progress Report Form
Article 7.0.k Evaluation Report
Evaluation Report Form
Article 7.4 Offsite Clinic Performance Observation
Offsite Clinic Performance Observation Form
Article 7.4.4 Nursing Home Day Program Evaluation
Nursing Home Day Program Evaluation Form
Article 7.5 Community Education Student Evaluation of Course
Community Education Student Evaluation of Course Form
Article 7.9.a Children Center Staff Performance Observation
Children Center Staff Performance Observation Form
Article 7.9.b Children Center Staff Professional Development Plan
Children Center Staff Professional Development Plan Form
Notice of Senior ETUM Eligibility
Article 8.3.7 Request for Overload
Request for Overload Form
Article 8.12.d(a) Management Evaluation of Department Chairs
Management Evaluation of Department Chairs Form
Article 8.12.d(b) Member Evaluation of Department Chairs
Member Evaluation of Department Chairs Form
Article 8.14 Request for Reduced Load
Request for Reduced Load Form
ARTICLE 9: CALENDAR
ARTICLE 10: CLASS SIZE
ARTICLE 11: SAFETY
Article 12.3.3 Member Grievance
Member Grievance Form
ARTICLE 13: BOARD/AGENT RELATIONS
ARTICLE 14: DISTRICT RIGHTS
ARTICLE 15: REDUCTION IN FORCE
ARTICLE 16: UPGRADING of TEMPORARY & PERMANENT PART-TIME FACULTY
ARTICLE 17: ACADEMIC FREEDOM
ARTICLE 18: NON-DISCRIMINATION
ARTICLE 19: SEVERABILITY
ARTICLE 20: CONCERTED ACTIVITIES
ARTICLE 21: REPRESENTATION/SERVICE FEE
ARTICLE 22: COMPLETION of AGREEMENT
ARTICLE 23: TERM
ARTICLE 24: PROFESSIONAL STANDARDS
Article 24.1.2 Sample Warning Letter
Sample Warning Letter PDF
Article 24.14.a Student Complaint Initial Notification
Student Complaint Initial Notification Form
Article 24.14.b Student Complaint Initial Notification to UPM
Student Complaint Initial Notification to UPM Form
Article 24.14.c Student Complaint Member Designation of Representative
Student Complaint Member Designation of Representative Form
Article 24.14.d Student Complaint Notification to Authorized Representattive by District
Student Complaint Notification to Authorized Representative by District Form
ARTICLE 25: COPYRIGHT
ARTICLE 26: REASONABLE ACCOMMODATION
Article 26.0 Request for Reasonable Accommodation
Request for Reasonable Accommodation Form
Link for Dental Benefit for Part-Time Faculty Form:
http://www.marin.edu/WORD-PPT/REIMBURSEMENTPTDENTAL_082516.pdf