All new employees are required to submit employment forms upon hire - preferably one full week prior to the start date but, if this isn't possible, then no later than three business days after the start date. Click here for a printable checklist of required forms
The checklist should be turned in with the completed forms.
Double-click on the icons below to open the forms. Complete the forms using your computer, then print and turn them in. Or, print out each form and complete the information by hand.
Return completed forms to your department representative or the Human Resources Department during scheduled business hours. If assistance is needed, please contact Human Resources.
Required. ALL Lakeland employees must have an employment application on file.
If you have not already, completed an online employment application when applying for the position for which you were hired, please complete an employment application at this time:
If completion of a college degree is a required/preferred qualification for your position (all faculty, administrative, and supervisory/professional positions as well as many staff* positions) and you did not previously submit official transcripts, please contact your degree granting institution to have official transcripts sent to the Human Resources Department (be sure they specify the department), c/o Lakeland Community College, 7700 Clocktower Drive, Kirtland, OH 44094. If transcripts are not received, you may not be eligible to continue in the current assignment or be offered future assignments.
*As stated in the job description or vacancy posting. Unsure if this applies to you? Contact Human Resources.
I - 9 Eligibility Information Sheet
I - 9 Form
I - 9 Form Instructions
Required of ALL Lakeland employees:
After reviewing the instructions and ‘Lists of Acceptable Documents'
used to establish identity and eligibility for employment, complete
Section 1 of the I - 9 form and present the required form(s) of
identification for inspection by either the appropriate department
representative or the Human Resources Department.
Fingerprint Control Form for Employment
Disclosure and Authorization Form
As part of our ongoing commitment to ensuring the safety of our students, employees, and visitors, we require all finalists for employment with the College to submit their fingerprints to the Ohio Bureau of Criminal Identification and Investigation (and Federal Bureau of Investigation, as appropriate) in order to obtain a criminal history background report Convictions do not automatically preclude employment with the College. Several factors are considered when evaluating a candidate's criminal conviction history relative to his/her eligibility for employment with the College. These factors include the nature of the crime, the time that has elapsed since the conviction, and/or relevance to the position for which the candidate has applied and is being considered.
The Human Resources Department is equipped to capture a digital image of your fingerprints and submit them to the appropriate agency. There is no need to schedule an appointment and the department is staffed for fingerprinting, Monday – Friday from 7:30 AM to 4:30 PM. Before reporting to the Human Resources Department, you will need to: 1) complete and print the Fingerprint Control Form for Employment (2 pages) and 2) print and sign the Disclosure and Authorization form. Please bring the completed and signed forms with you, along with your driver's license or state-issued photo ID.
Personal Data Sheet
All information is kept confidential and separate
from your personnel file.
All Lakeland employees must acknowledge receipt of information about the Auditor of State's fraud reporting system.
Authorization Agreement for Direct Payroll Deposit.
Direct Deposit FAQ
Retain for future reference: Instruction sheet to access pay
information using ‘myLakeland' from Lakeland's homepage.
Required: Ohio Department of Taxation, Form IT-4
Required:Federal Internal Revenue Service Form W-4, Employee's Withholding Allowance Certificate.
Optional: Residence Tax Withholding Authorization Form.
Lakeland withholds 2% for Kirtland city employment tax.
Employees living in a municipality with an income tax
rate higher than 2% pay the difference between the
rates as an additional resident tax. Employees may
request the College to withhold the added tax versus
paying on a quarterly or annual basis. This chart
lists the municipalities with city codes and the
added residence tax rate.
Required: Statement Concerning Your Employment in a Job Not Covered by Social Security.
Affordable Care Act Overview
Information About Health Coverage Offered by Your Employer
Affordable Care Act Marketplace
Basic information about the health insurance marketplace coverage
options and employment based health coverage offered by the College
SERS Membership Form
Required for Lakeland staff employees including continuing education instructors:
Membership is in SERS - School Employees Retirement System. A staff
employee may be exempt only if full-time and electing an Alternative
Retirement Plan (ARP) within 120 days of hire; or a Lakeland
student carrying a minimum of six credits.
Required for Lakeland faculty employees teaching credit classes
Membership is in STRS – State Teachers Retirement System.
A faculty employee may be exempt only if full-time and electing
an Alternative Retirement Plan (ARP) within 120 days of hire or
a Lakeland student carrying a minimum of six credits or a
retiree of an Ohio public retirement system.
Optional Student Exemption:
A Lakeland student may choose to be exempt from membership in
SERS/STRS only if enrolled in a minimum of six credits for fall
and spring semester.
Information sheet with Lakeland department contacts.