Forms and Documents

NCCU Application for Family and Medical Leave (FMLA)

The Family and Medical Leave Act of 1993 (FMLA) requires covered employers to provide up to 12 weeks of paid or unpaid job protected leave to “eligible” employees for certain family and medical reasons. This can be used for serious personal illness, birth or adoption of a child, the serious illness of an immediate family member, qualifying exigency or military caregiver leave.

Area:
Human Resources
Department:
Benefits and HR Services
Audiences:
Employees,
Public
Contact Person:
Connie Boone

Organizational Chart Standards and Structure

The repository for all North Carolina Central University organizational charts is OHR's Classification and Compensation department. Below are standards and structures that are to be consistently applied to University organizational charts. Questions or requests for guidance or technical assistance should be directed to the appropriate stakeholders provided via this document.

Area:
Human Resources
Department:
Human Resources
Audiences:
Employees,
Public
Contact Person:
DeRonde Dawson

Request for Off-Duty Law Enforcement/Security Personnel Form

The Request for Off-Duty Law Enforcement/Security Personnel Form is to be used by campus departments and entities to request police/security presence at an event. The form provides the necessary details for University Police to review staffing and ensure that staffing can be allocated appropriately.

Area:
Campus Safety
Department:
University Police
Audiences:
Employees,
Students,
Public
Contact Person:
Lateria Scott

OPT Employment and Address Report Form

Throughout your period of optional practical training (OPT) employment, remember that you must make updates to your contact information, address and employment information to the Office of International Affairs.

Instructions: Please fill in and submit the requested information below if you change employers while on OPT. Please list your employers below in the order of employment. For example, your first employer should be listed in the field “Employer 1,” your second employer should be listed in the field “Employer 2” and so on. 

Area:
Office of International Affairs
Department:
International Affairs
Audiences:
Employees,
Students,
Public
Contact Person:
Brenda Boone