UPM/MCCD Forms

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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.

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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: WAGES 

     Article 3.10 Office Hours
 Faculty Office Hours Form 

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ARTICLE 4: FRINGE BENEFITS 

     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

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ARTICLE 5: LEAVES  

     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

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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

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ARTICLE 7: EVALUATION  

     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

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ARTICLE 8: WORKLOAD  

     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

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ARTICLE 12: GRIEVANCE  

     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

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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

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     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

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Together we are:

STRONGER   AND    UNITED

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