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HSU Forms

Student

Form Numbersort icon Title/Details Department Direct Link To Form
Student Wage Schedule Human Resources
Student Payroll Action Request (SPAR) Human Resources
CSU Family Medical Leave (FML) Human Resources
Position Change Form Human Resources
Application Procedures for Leave of Absence without Pay Human Resources
Housing & Dining Services Separating Employee Clearance Form Human Resources
Travel Expense Claim Financial Services

http://www.humboldt.edu/univtravel/

Immunization form Health Center

www.humboldt.edu/health

Registration and Consent for Treatment Health Center

www.humboldt.edu/health

Travel Health History Health Center

www.humboldt.edu/health

Field Trip Policy Contracts, Procurement and Risk Management
CSU Waiver of Liability for Students Under 18 Years of Age Contracts, Procurement and Risk Management
Medical Information and Authorization Form (for multiple Field Trips) Contracts, Procurement and Risk Management
Bachelor's Degree Application for Graduation Office of the Registrar

http://www.humboldt.edu/registrar/forms/BAappGrad.lc.pdf

Certificate of Study Application Office of the Registrar

http://www.humboldt.edu/registrar/forms/CertStudyAp.lc.pdf

Audit Petition Office of the Registrar

http://www.humboldt.edu/registrar/forms/Audit.lc.pdf

CSU Application for Intrasystem Concurrent or Visitor Enrollment Office of the Registrar

http://www.humboldt.edu/registrar/forms/IVapplication.pdf

Diploma Replacement Office of the Registrar

http://www.humboldt.edu/registrar/forms/DipRepl.lc.pdf

Educational Leave Request - Undergraduate Office of the Registrar

http://www.humboldt.edu/registrar/forms/EdLeave.lc.pdf

Educational Leave Request - Fifth Year Credential Candidate Office of the Registrar

http://www.humboldt.edu/registrar/forms/EdLeave_Cred.lc.pdf

Enrollment Status Change Request Office of the Registrar

http://www.humboldt.edu/registrar/forms/EnrollStatusChg.lc.pdf

Authorized Incomplete ("I") Grade Conditions Office of the Registrar

http://www.humboldt.edu/registrar/forms/Incomplete.lc.pdf

Major Change Request Office of the Registrar

http://www.humboldt.edu/registrar/forms/MajorChng.lc.pdf

Minor Declaration/Update Office of the Registrar

http://www.humboldt.edu/registrar/forms/MinorDeclaration.lc.pdf

Name Change Office of the Registrar

http://www.humboldt.edu/registrar/forms/NameChange.lc.pdf

Petition of the Student Office of the Registrar

http://www.humboldt.edu/registrar/forms/PetitionOfTheStudent.lc.pdf

Petition to Waive or Substitute Office of the Registrar

http://www.humboldt.edu/registrar/forms/PetitionToWaiveOrSub.pdf

Confidentiality Form Office of the Registrar

http://www.humboldt.edu/reg/forms/Confidentiality.lc.pdf

Second Major Request Office of the Registrar

http://www.humboldt.edu/registrar/forms/documents/2ndMajorReq.lc.pdf

Social Security Number Change Office of the Registrar

http://www.humboldt.edu/registrar/forms/SSnumberChange.lc.pdf

Transcript Requst Form - Official Office of the Registrar

http://www.humboldt.edu/registrar/transcripts/

Verification of Enrollment Request Office of the Registrar

http://www.humboldt.edu/registrar/forms/VerifiEnroll.lc.pdf

Student Electronic Funds Transfer Authorization Financial Services

http://www.humboldt.edu/studentfinancial/funds_transfer.html

Pool Vehicle Request Form Facilities Management
Employee/Student Verification of University Employment Facilities Management
CSU Volunteer Identification Form Facilities Management

http://www.humboldt.edu/forms/node/350

Extension Course Generic Registration Form: Fillable Extended Education

http://www.humboldt.edu/extended/pdf/regform.pdf

Contract Credit Registration Form - fillable PDF Extended Education
Graduate Continuous Enrollment Registration Form - fillable PDF Extended Education
High School Concurrent Enrollment Form - fillable PDF Extended Education

http://www.humboldt.edu/extended/pdf/regform-hsce.pdf

Osher Lifelong Learning Institute (OLLI) Registration Form - fillable PDF Extended Education

http://www.humboldt.edu/olli/pdf/regform-olli.pdf

Request For Record Information University Police Department
A.S. Event Funding Application Clubs & Activities
A.S. Event Funding Reimbursement Expense Report Clubs & Activities
Publicity Approval Form Clubs & Activities
Advisor Change Office of the Registrar

http://www.humboldt.edu/registrar/forms/AdvisorChng.lc.pdf

Withdrawal from Classes Office of the Registrar

https://www.humboldt.edu/withdraw/sites/withdraw/files/withdraw/index.ph...

HSU Diversity Program Funding Grant: Signature Form Office of Diversity and Inclusion

http://www.humboldt.edu/diversity/Download/dpfg_signature%20form_Sp_2012...

Liability Release and Consent Agreement Form Clubs & Activities
Model Release Marketing and Communications
Model Release (4 per page) Marketing and Communications
Job Submission Form Marketing and Communications

http://www.humboldt.edu/marcom/workRequest_part1.php

Rental Vehicle Request Form Facilities Management
Request for Authorization to Travel (Domestic travel) Financial Services
Course Title Change Request for Independent Academic Work (IAW) Office of the Registrar

http://www.humboldt.edu/registrar/forms/documents/CourseTitleChngIAW.lc.pdf

Petition to Purchase Honors Cord for Commencement Office of the Registrar

http://www.humboldt.edu/reg/forms/documents/HonorsCord.lc.pdf

Alcohol Approval Request Office of the Vice President, Student Affairs
Registration Petition for Adds with Time Conflicts Office of the Registrar

http://www.humboldt.edu/registrar/forms/documents/AddTimeConflict.lc.pdf

EO 1074 Student Affirmative Action Complaints Actions Resources Table Human Resources
SPF Discrimination Complaint Form Sponsored Programs Foundation
SPF Accomodation Request Form Sponsored Programs Foundation
SPF Overview of the Reasonable Accomodation Process Sponsored Programs Foundation
SPF Guidelines for Evaluating Impairments Sponsored Programs Foundation
SPF Job Duty Evaluation Checklist Sponsored Programs Foundation
SPF Authorization to Release Medical Records Sponsored Programs Foundation
HSU Accommodation Request Form Human Resources
HSU Overview of Reasonable Accommodation Human Resources
HSU Job Duty Evaluation Checklist Human Resources
HSU Guidelines for Evaluating Impairments Human Resources
HSU Authorization to Release Medical Records Human Resources
SPF Separating Employee Clearance Form Sponsored Programs Foundation
SPF Appointment Document Sponsored Programs Foundation
SPF Appointment Process Chart Sponsored Programs Foundation
HSU Volunteer Form Human Resources
SPF SUMMER Student Time Sheet 2014 Sponsored Programs Foundation
SPF Student Time Sheet 2014 Sponsored Programs Foundation
Graduate: Application for Advancement to Candidacy and Graduation Academic Programs
Graduate: Unbound Project Approval Academic Programs
Graduate: Thesis / Project Approval Form Academic Programs
Graduate: Request for Program Variation or Waiver Academic Programs
Graduate: Master's Degree Application for Graduation Academic Programs
Graduate: Educational Leave Agreement Academic Programs
Graduate: Petition for Graduate Credit Academic Programs
Graduate: Documentation of Examination for Currency for Extension of the Seven-Year Limit Academic Programs
EHOS Ergonomics Program Human Resources
Discrimination Complaint Resources Human Resources
CSC Campus Change Report 2010-2011 Change Steering Committee
SPF Personnel Policy Summary Sponsored Programs Foundation
SPF Personnel Policy Summary Sponsored Programs Foundation
SPF Personnel Policy Summary Sponsored Programs Foundation
SPF Predesignation of Personal Physician Sponsored Programs Foundation
SPF Volunteer Form to cover worker's comp Sponsored Programs Foundation
HSU Green and Gold Calendar for 2010-2011 Human Resources
HSU Green and Gold Calendar for 2011-2012 Human Resources
Open University Registration Form - fillable PDF Extended Education

http://www.humboldt.edu/extended/pdf/regform-ou.pdf

SPF Multiple Projects Appointment Form Attachment Sponsored Programs Foundation
Official Grade Change Form Office of the Registrar
HSU Volunteer Form Processing Instructions Human Resources
SPF Student Funding Opportunities: How You Can Help Them Find Support Sponsored Programs Foundation
ORSP Newsletter Spring 2012 Sponsored Programs Foundation
SPF Alistair & Judith McCrone Graduate Fellowship Award Sponsored Programs Foundation
SPF Lost Receipt Form Sponsored Programs Foundation
SPF Payroll Schedule 2014 Sponsored Programs Foundation
Graduate Student Federal Work Study Program 2011-2012 Academic Programs
SPF Direct Deposit Payroll Application Sponsored Programs Foundation
IRB Application for Review Human Subjects - Institutional Review Board (IRB)

http://www.humboldt.edu/human_subjects/images/pdfs/IRB_Application_for_R...

IRB Registration Form Human Subjects - Institutional Review Board (IRB)

http://www.humboldt.edu/human_subjects/images/pdfs/IRB_Registration.pdf

SPF Personnel Manual Sponsored Programs Foundation
Grievance Level 1 Advising Center
Grievance Level 2 Advising Center
Graduate: Addendum to Advancement to Candidacy Academic Programs
Student Petition to Raise Unit Cap Office of the Registrar

http://www.humboldt.edu/reg/forms/RaiseUnitCap.lc.pdf

Hints for completing the SPAR form Human Resources
Symposium: Ecological and Human Health Impacts of the Marijuana Industry in the Emerald Triangle Sponsored Programs Foundation
SPF BARBARA SCHWANTES MEMORIAL FUND SCHOLARSHIP Sponsored Programs Foundation
ITEPP Aplication for Student Retention and Professional Development Program ITEPP: Indian Teacher and Educational Personnel Program

https://humboldt.edu/forms/node/505

SPF Payroll, Benefits, and HR Directory of Services Sponsored Programs Foundation
IRB Policy for the Protection of Human Subjects in Research Sponsored Programs Foundation
IRB Implementaion of the Policy for Protection of Human Subjects in Research Sponsored Programs Foundation
IRB Consent Checklist Sponsored Programs Foundation
IRB Full Board Review SCHEDULE 14-15 Sponsored Programs Foundation
IRB Registration Sponsored Programs Foundation
Independent Academic Work (IAW) Course Form Academic Programs
Graduate Student Checklist Academic Programs
Graduate Student Success Plan Academic Programs
Over 60 Program Registration Form - fillable Extended Education

http://www.humboldt.edu/extended/pdf/regform-over60.pdf

ORSP Bulletin Summer 2013 Sponsored Programs Foundation
Y.E.S. Volunteer Opportunities Program - Release of Liability Youth Educational Services (Y.E.S.)
Y.E.S. Art, Recreation, Theater - Release of Liability Youth Educational Services (Y.E.S.)
Y.E.S. Environmental Education - Release of Liability Youth Educational Services (Y.E.S.)
Y.E.S. Golden Years - Release of Liability Youth Educational Services (Y.E.S.)
Request for International Travel Financial Services
Y.E.S. Homelessness Network - Release of Liability Youth Educational Services (Y.E.S.)
Y.E.S. Hand-in-Hand Program - Release of Liability Youth Educational Services (Y.E.S.)
Y.E.S. Juvenile Hall Recreation Program - Release of Liability Youth Educational Services (Y.E.S.)
Y.E.S. Leadership Education Adventure Program - Release of Liability Youth Educational Services (Y.E.S.)
Y.E.S. North Coast Music Mentors - Release of Liability Youth Educational Services (Y.E.S.)
Y.E.S. New Games Program - Release of Liability Youth Educational Services (Y.E.S.)
Y.E.S. Puentes Program - Release of Liability Youth Educational Services (Y.E.S.)
Y.E.S. Study Buddies (Tutorial) Program - Release of Liability Youth Educational Services (Y.E.S.)
Y.E.S. Youth Mentoring Program - Release of Liability Youth Educational Services (Y.E.S.)
HSU Green and Gold Calendar for 2012-2013 Payroll Department
Payment Request Form Financial Services
Graduate: Formatting Checklist Academic Programs
Clubs Raffle Report Form Clubs & Activities
FEE REQUEST FORM Financial Services
Graduate: Humboldt Digital Scholar Non-Exclusive Distribution License Academic Programs
HSU Clubs & Activities Event Policy Clubs & Activities
A.S. Event Funding Guidelines Clubs & Activities
Check Request form Financial Services
Direct Pay form Financial Services
Petty Cash form Financial Services
HSU Centennial Letterhead Template (MS Word) Marketing and Communications

http://www.humboldt.edu/marcom/campusResources.php?section=templates

Learning Site Student Time Log Academic Programs
SFS Student Request for Refund Financial Services

http://www.humboldt.edu/studentfinancial/tuition_fees.html#

SFS Student Petition for Tuition and Fees Financial Services

http://www.humboldt.edu/studentfinancial/tuition_fees.html#

Graduate Continuous Enrollment Authorization Academic Programs
Diploma Cover Office of the Registrar

http://www.humboldt.edu/reg/forms/DipCover.lc.pdf

Senior Major Change Request Office of the Registrar

http://www.humboldt.edu/registrar/forms/MajorChangeReqSeniors.lc.pdf

HSU Student Learning Plan - UNDERGRADUATES Academic Programs
California State University Student Research Competition Sponsored Programs Foundation
Address Change Form International Programs
Certificate of Finances - IELI International Programs
Certificate of Finances - Undergraduate International Programs
Certificate of Finances - Graduate International Programs
Certificate of Finances - Graduate MBA International Programs
Change of Status Instructions to F-1 International Programs
Change of Status Instructions to F-2 International Programs
Extension of Time to Complete Program International Programs
Curricular Practical Training (CPT) Information Packet International Programs
Optional Practical Training (OPT) Information Packet International Programs
F-1 Model Employer Letter International Programs
I-20-DS2019 Request form International Programs
Reduced Course-Load (RCL) Authorization International Programs
STEM OPT Extension International Programs
Transfer from HSU Information International Programs
Travel Request Form International Programs
Leave of Absence or Withdrawal Request International Programs
How to apply for a Social Security Number International Programs
Departure Survey International Programs
Alternate Health Insurance Petition International Programs
Academic Training Application and Academic Advisor Recommendation Form International Programs
On-Campus Employment for J-1 Students International Programs
Incident Report Form Office of the Vice President, Student Affairs

https://publicdocs.maxient.com/reportingform.php?HumboldtStateUniv&layou...

Student Request for Special Funding from Student Affairs Office of the Vice President, Student Affairs
WRPI Student Internships Available Sponsored Programs Foundation
Student Assistant Performance Evaluation Human Resources
HSU Student Learning Plan - GRADUATES Academic Programs
Club's Event Application Clubs & Activities
Wepspace Tip Sheet Clubs & Activities
Event Tips Checklist Clubs & Activities
Release Liability & Medical Release Form Educational Opportunity Program (EOP)
Model Release and Consent Agreement Educational Opportunity Program (EOP)
Independent Academic Work (IAW) Course Form Academic Programs
Y.E.S. Boosting Education Success in Teens - Release of Liability Youth Educational Services (Y.E.S.)

http://www.humboldt.edu/yes

Y.E.S. Service Travel Encourage Progress for Under-represented People in Poverty - Release of Liability Youth Educational Services (Y.E.S.)
Zombie Run Under 18 Release of Liability Youth Educational Services (Y.E.S.)
001 Reservation Request for the Native American Forum (BSS162) Center for Indian Community Development
APS Application for Academic Employment Academic Personnel Services
APS Form 600 Form 600: Instructional Student Assistant Appointment Form Academic Personnel Services
APS Form 605 Form 605: Instructional Student Assistant Appointment Form (SDRC/EOP/Learning Center) - Non Work Study ONLY Academic Personnel Services
APS Form 610 Advice of Separation: Instructional Student Assistants Academic Personnel Services

http://www.humboldt.edu/aps

FP1 Family PACT Client Eligibility Health Center

www.humboldt.edu/health

FP2 Family PACT Privacy Notice Health Center

www.humboldt.edu/health

HR 2005-26 CSU Volunteer Policy Human Resources
I-9 Employee Eligibility Verification Human Resources

http://www.uscis.gov/files/form/i-9.pdf

PR 19 Student Assistant Time Voucher Payroll

http://www.humboldt.edu/hsuhr/payroll/payroll_forms_1.html

PR 20 PR 20 - Federal College Work Study Time Voucher Payroll

http://www.humboldt.edu/hsuhr/payroll/payroll_forms_1.html

PR8 Intermittent Hourly Time Voucher Payroll
Rel1 Release of Records Health Center

www.humboldt.edu/health

SSA-1945 Statement Concerning Your Employment in a Job Not Covered by Social Security Human Resources
STD-699 Direct Deposit Form Human Resources
W-4 W-4 - Employee's Witholding Allowance Certificate Human Resources

http://www.irs.gov/pub/irs-pdf/fw4.pdf