UPM/MCCD Forms
- UPM Hourly Payroll Form
- UPM Stipend Form
- UPM Stipend Form
- UPM Reimbursement Form
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- 4A Temp. Credit Medical Benefits Waiver
- 4.B Temp Non-Credit Medical Waiver Perm.
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- 5A Faculty Absence Report
- 5B Sick Leave Donation Form
- 5C Unpaid Leave Form
- 5D Prof. Dev/Honorary Leave Form
- 5E Sabbatical Leave Form
- 5F Sabbatical Scoring Rubric
- 5G Receipts Waiver Form Banked Units
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- 6A Temp Faculty Offer of Assignment
- 6B Notice Involuntary Transfer
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- F7.A Classroom Observation Plan.pdf
- F7.AA Health Center Nurse & Mental Health Counselor Self Evaluation.pdf
- F7.B Classroom Observation.pdf
- F7.D Self Evaluation.pdf
- F7.DD Reference Desk Observation Reflection.pdf
- F7.E Teaching Portfolio.pdf
- F7.EE Reference Desk Observation.pdf
- F7.F Online Faculty Evaluation.pdf
- F7.HH Reading and Writing Lab Reflection.pdf
- F7.I Child Development Program Teaching Portfolio.pdf
- F7.II Reading and Writing Lab Observation.pdf
- F7.J Child Development Program Class Observation Plan.pdf
- F7.K Child Development Program Class Observation.pdf
- F7.N Coach Class Observation Plan.pdf
- F7.O Non-Instructional Coaching Plan.pdf
- F7.R Counselor – 1-1 Observation.pdf
- F7.S Counselor – 1-1 Observation Reflection.pdf
- F7.T Counselor Self Evaluation.pdf
- Health Center Nurse & Mental Health Counselor Observation.pdf
- F7.Z Health Center Nurse & Mental Health Counselor Observation Reflection.pdf
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- 8A Faculty Assignment Request Form
- 8B Part-Time Faculty Stipend Request Form
- 8C Faculty Office Hours Form
- 8D Instructional Development Grant
- 8E Reduced Load
- 8F Academic Chair Self Evaluation
- 8G Academic Dept. Chair Evaluation
- 8H Dept. Request for Part-Time Faculty
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- 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
ARTICLE 1: RECOGNITION
ARTICLE 2: PAYROLL DEDUCTIONS
Article 4.A Medical Waiver Temporary Member
Medical Waiver Temporary Credit Member Form
Article 4B Temp Non-Credit Medical Waiver
Medical Waiver Temporary Non-Credit Member Form
Article 5A Faculty Absence Report
Notice of Member Absence Form
Article 5B Donation of Sick Leave
Donation Sick Days Form
Article 5C Unpaid Leave
Unpaid Leave Form
Article 5D Professional Development/Honorary Leave
Prof, Develop/Honorary Leave
Article 5E Sabbatical Leave
Sabbatical Leave Form
Article 5F Sabbatical Scoring Rubric
Sabbatical Application Scoring Form
Article 5G Waiving Banked Units
Receipts Waiver Form for Banked Units
ARTICLE 6: TRANSFERS & ASSIGNMENTS
Article 6A Temporary Assignments
Temp Faculty Offer of Assignment
Article 6B Involuntary Transfer Agreement
Notice of Involuntary Transfer Form
F7.A Classroom Observation Plan
F7.AA Health Center Nurse & Mental Health Counselor Self Evaluation.pdf
F7.B Classroom Observation.pdf
F7.D Self Evaluation.pdf
F7.DD Reference Desk Observation Reflection.pdf
F7.EE Reference Desk Observation.pdf
F7.F Online Faculty Evaluation.pdf
F7.HH Reading and Writing Lab Reflection.pdf
F7.I Child Development Program Teaching Portfolio.pdf
F7.II Reading and Writing Lab Observation.pdf
F7.J Child Development Program Class Observation Plan.pdf
F7.K Child Development Program Class Observation.pdf
F7.N Coach Class Observation Plan.pdf
F7.O Non-Instructional Coaching Plan.pdf
F7.R Counselor – 1-1 Observation.pdf
F7.S Counselor – 1-1 Observation Reflection.pdf
F7.T Counselor Self Evaluation.pdf
F7.Y Health Center Nurse & Mental Health Counselor Observation.pdf
F7.Z Health Center Nurse & Mental Health Counselor Observation Reflection.pdf
Article 8A Faculty Assignment
Full-time Faculty Assignment Request Form
Article 8B Part-Time Faculty Stipend Request Form
Stipend and Part-Time Faculty Noninstructional Assignment Request Form
Article 8C Faculty Office Hours
Faculty Office Hours Form
Article 8D IR&D Grant Application
IR&D Grant Application
Article 8E Reduced Load
Reduced Load Application
Article 8F Academic Dept. Chair
Academic Dept. Chair Self-Evaluation
Academic Dept. Chair Evaluation
Article 8H Request Part-Time Faculty
Dept. Request for Part-Time Faculty Assignments 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
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).