Forms Repository


This institutional forms repository is organized according users (Faculty/Staff; Students; or Public). The Faculty & Staff portion of the page is organized alphabetically according to departments. Within an office the forms are organized alphabetically by form name. The Student section of the page is organized so that (hopefully) the more commonly used forms for students are listed first.

The forms available are in a variety of program types. If the document type is specified as a 'Form', then the link takes you to a document that is electronically fill able, but not editable in any other way. In time, help documents will be developed to assist users with using the various form types. Eventually, we intend to develop the forms page so that the users can filter out only the forms that they might need, based on Institution, User type, Department, and even Form Name. *|PDF Form|Word Form|Drupal Form|HTML Form|Excel Form

If you have any forms to add or update, please contact the webmaster.

To skip to a specific section, click on the name.

Faculty/Staff Forms


Students Forms

  Academic Affairs     Admissions
  Bookstore     Financial Aid/Scholarships
  Business Office     Registrar

Copy Center

Early Alert Referral: Faculty


Early Alert Referral: Student Request for Help

Fairmont State University

  Facilities & Capital Projects (Physical Plant)     Pierpont Community & Technical College
  Faculty & Staff Awards and
Foundation Grants
    Workforce Development/
Off-Campus Programs
  Fine Arts      
  Human Resources     Student Affairs - Campus Life
  Information Technology     Student Affairs - Student Services
  Leadership Marion     Student Affairs - Student Activities
  Learning Technologies Center  

Public Forms

  Libraries     Pierpont Foundation Giving Opportunities
  Miscellaneous     GEAR UP
  Public Relations & Marketing     Public Safety
  Sponsored Grants Accounting      

**To open the PDF forms, you must have Adobe Reader

Academic Affairs (aa) (In most cases there are different forms for PCTC and FSU)


Bookstore (bk)

Cap and Gown Order Form |On-line Form (contact: Patti Miller)
Course Book Information Request |HTML (contact: Shelley Fox)
Course Pack Order Form |Docx (contact: Shelley Fox)
Publisher Information Form|PDF (contact Shelley Fox)

Business Office (bo)

BO - Accounts Payable
Employee Reimbursement Request: WVSAO ER1 |PDF (contact: David Williams)
Receiving Report: WVSAO RR1 |PDF (contact: David Williams)
Tax Exempt Certificate: SSTGB Form F0003 |PDF (contact: David Williams)
Transfer of Expense Request |PDF (contact: David Williams)
Vendor's Invoice |PDF (contact: David Williams)
Wireless Device Stipend Agreement |Word Doc (contact: David Williams)

BO - Inventory
Asset Disposal Reporting Form | PDF (contact: Carolyn Fletcher)
Capital Equipment Transfers Reporting Form | PDF (contact: Carolyn Fletcher)
Lost or Stolen Form | PDF (contact: Carolyn Fletcher)
Return to Vendor Trade In Form | PDF (contact: Carolyn Fletcher)

BO - Cash Handling
Cash Count Form | PDF (contact: Dale Bradley)

BO - Procurement
Account Codes – FY 2019 |PDF (contact: David Williams)
Association Dues |PDF (contact: David Williams)
Catering Request |PDF (contact: David Williams)
Catering Request Procedures |PDF (contact: David Williams)
Determination of Independent Contractor Worksheet |Word Doc (contact: David Williams)
Independent Contractor Declaration |PDF (contact: David Williams)
Purchase Change Request |PDF (contact: David Williams)
Purchasing Affidavit |PDF (contact: David Williams)
Purchasing Manual |PDF (contact: David Williams)
Request for Taxpayer ID # and Certification (W-9 Form) |PDF Form (contact: David Williams)
Request for Temporary Space: WV-15 |PDF (contact: David Williams)
Requisition |PDF Form (contact: David Williams)
Requisition for Space: WV-14 |PDF (contact: David Williams)
Single-Sole Source Justification |Word Doc (contact: David Williams)
Telephone Quotation Form |Excel (contact: David Williams)
W-8BEN: Certificate of Foreign Status...for US Tax Withholding (Instructions) |PDF & W-8BEN Form |PDF Form (contact: David Williams)
WV-1: WV Vendor Registration & Disclosure Statement |PDF (contact: David Williams) *over $1,000
WV-1A: WV Vendor Registration & Disclosure Statement |PDF Form (contact: 
David Williams) *under $1,000
WV-48: Institution Vendor Agreement |PDF Form (contact: 
David Williams)
WV-96: WV Vendor Agreement Addendum |PDF (contact: 
David Williams)
WV-96A Agreement Addendum for Software|PDF (contact: 
David Williams)

BO - Purchasing Cards
Hospitality Documentation |PDF (contact: David Williams)
Hospitality Guidelines |PDF (contact: David Williams)
How to Purchase Gift Cards with your PCard  |PDF (contact: David Williams)
Gift Card/Certificate Request Form  |PDF (contact: David Williams)
P-Card Application |PDF (contact: David Williams)
P-Card Cardholder Agreement |PDF (contact: David Williams)
P-Card Dispute Form |PDF (contact: David Williams)
P-Card Manual |PDF (contact: David Williams)
P-Card Missing Receipt Form |PDF (contact: David Williams)
P-Card Purchase Justification |PDF (contact: David Williams)
P-Card Web-based Training Instructions |HTML (contact: David Williams)
P-Card Worksheet Fax Form |Excel (contact: David Williams)
Student Award Prize Form |PDF (contact: David Williams)

BO - Travel
Credit Card Hotel Authorization Form |Word Doc (contact: Dave Williams)
Employee Travel Guide |PDF
Lodging Justification |PDF (contact: Dave Williams)
Monthly Travel Log |Word Doc (contact: Dave Williams)
Travel Settlement/Summary Form | XLS (contact: Dave Williams)
Travel Mileage Calculator | XLS (contact: Dave Williams)
Travel Authorization  Instructions  | PDF
Travel Authorization  Request  | PDF
Travel Roster | PDF


Copy Center (cc)

Auditron Reporting Form |Excel (contact: Monica Cochran)
Copy Center Request Form |Web Form (contact: Georgeann Cain) *Note: Please be sure when you fill out this form that you fill it out COMPLETELY. Please specify whether the copies should be single- or double-sided and whether or not the document needs to be stapled.
Copy Center Request form (Write-In)|.PDF(contact: Georgeann Cain)

Facilities and Capital Projects (Physical Plant) (pp)

Custodial Evaluation Form
Key Request Form |Web Form (contact: Stephanie Slaubaugh) *Note: Restricted submission
Physical Plant Work Order |Web Form (contact: Stephanie Slaubaugh) *Note: Restricted submission
Supply Order Form |Excel (contact: Lenora Montgomery) *Physical Plant Purchasing/Shipping/Receiving
Supply Order Form Information |PDF (contact: Lenora Montgomery) *Physical Plant Purchasing/Shipping/Receiving
Special Supply Order Form |Excel (contact: Lenora Montgomery) *Physical Plant Purchasing/Shipping/Receiving

Faculty & Staff Awards and Foundation Grants (fsaw)

Visit the Center for Teaching Excellence

Fine Arts (fa)

Reservation Form for Wallman Hall |Word Doc (contact: Debby Rogers)

Human Resources Office (hr)

HR - Classification/Compensation
Adjunct Rates |PDF
Faculty CIP code description |Excel
Position Information Questionnaire |PDF

HR - Employment Forms
Payroll Forms |PDF (contact: Cinda Lu Ewing) *Includes: W-4 Forms, Resident/Non-Resident WV Withholding Forms, I-9 Forms, Direct Deposit Form, WV Higher Ed. Retirement Programs
Temporary Appointment Fringe Benefits Calculation forms: (Full Time) |Excel (Part Time) |Excel
Temporary Appointment For Special Program Online Instructions |PDF (contact: Maria Marshall)
Employee Fringe Benefits Calculation forms (Full Time) / Excel (Part Time) / Excel 
Time Sheet for Student Employees |PDF (contact: Dana Gribben)
Selective Service System (Online and Fillable Registration Forms)
Time Sheet and Pay Schedule (contact: Steve Leach)
Important 403(b) Retirement Notice
Background Checks  
Retirement/Salary Reduction Form

HR - Departmental
Authorization for Unused Annual and Sick Leave Form
Name Address Change Form
Employee Occupational Injury/Illness Report | must be completed within 24 hours of injury
Student-Visitor Injury/Illness Report | must be completed within 24 hours of injury
Election of Option Form | must be completed if employee misses more than 3 days of work due to work-related injury

HR - Interview Process
Confidential Interview Evaluation Form |PDF
Pre-employment Inquiry Guide |PDF

HR - Leave of Absence
Catastrophic Leave Donation Request |PDF
Leave of Absence Options |PDF

HR - Miscellaneous Forms
Optional Employee Election To Reduce F.T.E. |PDF

HR – Separation from Employment
Separation from Employment – Part time staff (1039) and Casual (225 hr) Employees
Pierpont Voluntary Post Retirement Plan Form | PDF 

HR - Student Employees
Student Employment Information Sheet |PDF (contact: Kelly Kimble)
Student On-Line Pay Information |PDF  (contact: Kelly Kimble)

Information Technology (it)

IT - Administrative Systems
Project Request Form |Excel
Banner Access Request
Exit Form

IT - Application Services
Request to Migrate Section Template

IT - Networks, Security and Servers
Expense Transfer

IT - Project Management Office
Project Charter |Word Doc
Project Scope Definition |Word Doc
Project Baseline Schedule |Word Doc
Project Status Report |Word Doc

IT - Teaching & Learning Commons
Expense Transfer
IT Purchase Authorization Form Process
IT Purchase Authorization Form (PAF) |.pdf (contact: Ron Hamilton)
Software Purchase
IT Work Order
Creating WebDAV Folders in Windows
Importing WebCT CE Content into Vista
Request to Migrate Section Template

Leadership Marion (lm)

Brochure |PDF (contact: Budd Sapp)
Application |PDF (contact: Budd Sapp)

Libraries (lib)

Library Instruction Request Form (On and Off-Campus) |HTML (contact: Charley Hively)


Permit to use alcoholic beverages on campus |PDF
Student Prize/Award Form|PDF

Public Relations and Marketing (pr)

Email Signature Block Word Template|Word docx(contact: Laura Williams)

Sponsored Grants Accounting (rs)

Grant Pre-Certification Form (GPCF) |Word Doc (contact: Sandy Shriver)
Final Proposal Certification Form (PCF) |Word Doc (contact: Sandy Shriver)
Grant Budget Creation Request |Excel Form (contact: Sandy Shriver)
Transfer of Funds Request |Excel Form (contact: Sandy Shriver)
Institutional Review Board (IRB) “Human subjects” Application |Word Doc (contact: Sandy Shriver)
Informed Consent Form |Word Doc (contact: Sandy Shriver)


Return to Content List

Admissions (adm)

Campus Visit Information (Schedule Individual or Group Tours) |HTML 
Join Our Mailing List |HTML
Online Undergraduate Application for Admission |HTML
Undergraduate Application for Admission & Residence Hall Lease |PDF
Academic Forgiveness Request Form|PDF
Residency Application|PDF
Application Signature Page|PDF


Financial Aid (fia)

Epay: Online Payment System |HTML

2018-19 FAFSA Verification Worksheet Dependent or Independent |PDF
Free Application for Federal Student Aid (FAFSA) |HTML
PLUS Loan Application |PDF
Standards of Satisfactory Academic Progress |PDF
SAP Appeal Form for Pierpont students |PDF

Application for PROMISE Scholarship  | HTML 
WV Invests Grant |HTML

Multicultural Affairs:
Hunt-Arnold Scholarship Application |Drupal Form (contact: Tara Brooks) *Note: Not currently accepting applications - all awards have currently been disbursed.

Registrar's Office (ro)

Change of Major (contact: Enrollment Services)
Change of Name and/or Address |PDF (contact: Enrollment Services)
Course Override Form (contact: Registrar's Office)
Credit Overload Approval Form| Link (contact: Provost Office)
Prerequisite and Co-requisite Change Form | PDF Form (contact: Provost Office)
Transcript Request 
Residency Application Form|PDF (contact: Registrar's Office)
Registrar Appeal Form|PDF (contact:  Registrar's Office)
FERPA Form|PDF (contact:  Enrollment Services )
Transient Approval Form|PDF (contact:  Registrar's Office
Application for Graduation I PDF (contact: Registrar's Office)
Room Reservation Request I Form (external)

Pierpont Community & Technical College (pc)

Pierpont Curriculum Proposal Form |Word Doc
Culinary Arts Application | Google Form
Homeland Security Application | PDF
Pastry & Baking Arts Application | Google Form

School of Health Careers
School of Health Careers General Application *Note: Students must complete a separate application for each program of study within the School of Health Careers. This is in addition to the PC&TC application.
Health Information Technology Application (HIT) |
Google Form (contact: Amy Cunningham)
Medical Laboratory Technology Application (MLT) |Google Form (contact: Melissa White)
Physical Therapist Assistant Application (PTA) |Google Form (contact: Erin Curry)
Radiologic Technology Application (Rad Tech) |Google Form (contact: Rosemary Trupo (UHC) or Jay Morris (WVU))
Respiratory Care Application (Resp Care) |Google Form (contact: Hollie McDaniel-Brown)
Veterinary Technology Application (Vet Tech) |Google Form (contact: Anna Romano)

Workforce Development/Off-Campus Programs (cwe)

Center for Workforce Education-Registration

Center for Workforce Education-Financial Aid
WV Higher Education Adult Part-Time Student (HEAPS) Grant Program:
HEAPS Workforce Development Financial Aid Application |PDF (contact: Ashley Tennant)
Workforce Development Financial Aid Application FAQs |PDF (contact: Ashley Tennant or Jill Sole)

Student Affairs - Campus Life (sl)

Residence Life (Housing)
All housing forms and applications can be found here

Student Affairs - Student Services (ss)

Crisis Counseling/Student Affairs Counselor
Notice of Absence

Disability Services

Americans with Disabilities Act | (contact:, 304-534-7878)
Rehabilitation Act  Section 504  |  Section 508  | (contact:, 304-534-7878)
Faculty Mentor LibGuide Website |(contact: 304-534-7878
Disability Accommodation Complaint Procedures for Students  | Online Form  (contact:, 304-534-7878)
Students Can Make an Appointment with a Disability Counselor   | Online Form  (contact:, 304-534-7878)
Link for All Faculty Online Forms Online Forms  (contact:, 304-534-7878)
Request Form for Interpreting Services |  Online Form (contact:, 304-534-7878)

Electronic Format Text Book Request Form for Students  | Online Form  (contact:, 304-534-7878)



Student Affairs - Student Activities (sa)

Feaster Center Trainer
Parent Letter / Instructions for Forms Completion
Acknowledgement of Risk
Physical Form
Insurance Protocol
Athletic Competition Release
Medical Information Release
Medical History

Intramural Sports

Intramural Sport Agreement Form |PDF (contact: Tina Mascaro)
Intramural Sports Roster |PDF (contact: Tina Mascaro)
Sport Commitment Sheet |PDF (custodian: Tina Mascaro)


Return to Content List

Pierpont Foundation Giving Opportunities (pf)

Irrevocable Stock/Bond Power |PDF
Make a Gift Via Check Using Regular Mail |HTML Form *Note: must be printed and mailed. <-----
Make a Gift Via Credit Card Using Regular Mail |HTML Form *Note: must be printed and mailed. <-----
Make a Pledge |HTML Form  <-----
Faculty and Staff Gift FormPDF

Public Safety (ps)

Anonymous Complaint
Parking Decal & Token Request |PDF
Parking Decal & Token Request |Word Doc
Accident Form |Word Doc