A - C
ACE Classified Performance Evaluation Form
ACE Educational Reimbursement Form (updated 05.05.2020)
ACE PGA Application and Guidelines
ACE Recess Form (Go to FHDA MyPortal)
ACE Travel and Conference Fund Application (updated 05.05.2020)
ADA Request for Accommodation (updated 05.10.2022)
Additional Pay Form (District FTF) (updated 12.07.2022)
Administrator Handbook Appendices:
Appendix A - Guidelines For Step Placement on the Salary Schedule (Administrator)
Appendix A2 - Request for Reevaluation of Salary Placement (Administrator)
Appendix B - Administrative Achievement Award (AAA) Application (Administrator)
Appendix C - Administrator Evaluation Form (Administrator)
Appendix D - Eligibility Criteria for Domestic Partners' Benefits (Administrator)
Appendix E - Request for Additional Duties Stipend (Administrator)
Appendix F1 & F2 - Classification and Appeal Guidelines & Request for Reclassification (Administrator)
Appendix F3 - Reclassification Appeal Form (Administrator)
Appendix G - Application for Administrative Leave (Administrator)
Appendix H - Family Medical Leave and Pregnancy Disability Leave (Administrator)
Appendix I - Application for Training/Retraining Stipend (Administrator)
Appendix J - Administrative Grievance Form (Administrator)
Authorization to Eliminate Position
Admin Early Notice Incentive Program Application (updated 05.05.2020)
BENEFITS FORMS (ALL) Submit forms to mybenefits@fhda.edu
Calendars:
2022-2023 and 2023-2024 Holiday Calendar
2024-2025 and 2025-2026 Holiday Calendar
Classified Performance Evaluation Instructions
Classified Performance Evaluation Form (EXCEPT ACE - see ACE Classified Performance Evaluation Form)
Classified Hourly Performance Evaluation Form
Confidential Educational Reimbursement Form
Contract Change Form (updated 03.06.2024)
CSEA Apprenticeship Application Form
CSEA Educational Reimbursement Form (updated 05.05.2020)
CSEA Recess Form (Go to FHDA MyPortal)
CSEA Travel and Conference Form
D - L
Donation Sick Leave Pledge Form
Educational Achievement Request Form (Administrators)
Faculty Request for Column Advancement - Full-Time Faculty
Faculty Request for Column Advancement - Part-Time Faculty
FA Agreement Appendices:
Appendix H4 - Individual Proposal for Faculty Flex Day - Article 27
Appendix I - Application for Professional Achievement Award - Article 38 - PAA must be filed with
Division Dean by July 1st (PGA filed with Campus Personnel by June 1st).
Appendix J1 - Administrative and Peer Evaluation Form - Article 6 and 6A
Appendix J1A Administrative and Peer Evaluaion Form- Faculty-Synchronous Instruction
Appendix J1B Administrative and Peer Evaluation form- Faculty-Asynchronous Instruction
Appendix J1C Administrative and Peer Evaluation Form- Faculty-Mixed Modality Instruction
Appendix J1D Administrative and Peer Evaluation Form-Faculty Librarians
Appendix J1E Administrative and Peer Evaluation Form Faculty- Counseling
Appendix J1G Administrative and Peer Evaluation Form Faculty- Supplemental Instruction
Appendix J2: Student Evaluation Form (for Classroom Instruction) - Article 6 and 6A
Appendix J2.1: Student Evaluation Form (for Counseling Sessions)
Appendix J2.2: Student Evaluation Form (for Child Development Teachers)
Appendix J2.3: Student Evaluation Form (for Library Visits/Sessions)
Appendix J2.4: Student Evaluation Form (for Supplemental Instruction)
Appendix J2W: Student Evaluation Form (for Online Instruction)
Appendix J3: Tabulation of Student Evaluations (for Classroom Instruction)
Appendix J3.1: Tabulation of Student Evaluations(for Counseling Sessions)
Appendix J3.2: Tabulation of Student Evaluations(for Child Development Teachers)
Appendix J3.3: Tabulation of Student Evaluations (for Librarians)
Appendix J3.4: Tabulation of Student Evaluations (for Supplemental Instruction)
Appendix J3W: Tabulation of Student Evaluations (for Online Instructional Faculty)
Appendix N1 - Notice of Grievance - Article 5 - Faculty must first attempt to resolve issues by using
FA's conciliation process. Please contact FA's Office Manager, Susanne Elwell, for assistance.
Appendix O1 - PGA Recording Form: Credit Coursework - Article 38.4.1
Appendix O2 - PGA Recording Form: Conference, Workshop, and Non-credit Courses - Article 38.4.2
Appendix O3 - PGA Recording Form: Professional Activities and Projects - Article 38.4.3
Appendix P1 - Application for Professional Development Leave - Article 17 (word)
Due Monday, Oct 21, 2024 by 4:30 PM to hr@fhda.edu.
Appendix P2 - Request for Change in Professional Development Leave Plan -Article 17
Appendix P3 - Professional Development Leave Report - Article 17
Due after your last quarter of PDL, 30 days after your return to campus.
Appendix R - Application for Training/Retraining Stipend - Article 35 - Deadline is May 1st by 4:30 pm.
Send the completed form via email to hr@fhda.edu.
Training/Retraining Reimbursement Request Form - Faculty
Appendix S3 - Part-time Faculty Resignation/Retirement Form - Article 7
Appendix T2 - Application for Family Medical Leave - Article 16.29
To initiate leave contact:
Full-Time Faculty - Anna Luna
Part-Time Faculty/Foothill - Jean McCarron
Part-Time Faculty/DeAnza - Jiatong Li
Appendix T3 - Medical Certification Statement
Appendix U1 - Annual Plan for Emeritus Program - Article 19 - Contact Anna Luna
Article 19 filed with President or designee by March 15th
Appendix W - Reduced Workload Program - Article 18 - Contact Anna Luna/Barbara Richardson
Appendix X- Early Notice Incentive Program Application Form - Article 20
Appendix Y- Additional Faculty Service Area (FSA) Application - Article 15
Appendix Z- Department Chairs and Schedulers - Article 25
FMLA and PDL Application - To initiate leave contact:
-
- Classified/Supervisor/Administrator - Karen Hunter
Independent Contractor Agreement (ICA)
M - R
Medical Certification Statement Initiating Leave from Work
Medical Certification Release and Return to Work (updated 05.05.2020)
Part Time Employees Paid Sick Leave Operational Policy and Procedure
Reassigned/Release Time Authorization Form
S - T
Sick Leave Transfer Form (updated 02/04/2025)
Staff Development Leave Application
Staff Development Leave Information
Student Evaluation - Part A Envelopes
Student Evaluation - Part B Envelopes
Student Evaluation - Confidential Page
Teamsters Educational Assistance Form (updated 11.15.2024)
Teamsters PGA Application and Guidelines (Click here for the Word Document to add more lines)
Teamsters Recess Form (Go to FHDA MyPortal)
Training/Retraining Application (Appendix I) - Administrators
Training/Retraining Reimbursement Request Form - Administrators
U - Z
Unlawful Discrimination Complaint Form (updated November 2024)
Workers' Comp Report of Injury Form
Working Out-of-Classification (WOC) Form (updated 02/23/2024)