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HUMAN RESOURCES

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 in Room C-2089. (We are open Monday through Friday from 8 a.m. - 5 p.m. except for summer session when we close at noon on Friday.) If assistance is needed, please contact Human Resources at (440) 525-7575.

  • Employment Application
    Required. ALL Lakeland employees must have an employment application on file.
    If you have not already done so, complete one at this time using the link to the right. If you already submitted an employment application, please note where it was sent (e.g., via e-mail to HRJobs or directly to the hiring department):

    Transcripts
    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.

    *As stated in the job description or vacancy posting. Unsure if this applies to you? Contact Human Resources at 440.525.7575.
  • 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
    Required. 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, located in Room C-2089, 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
    Required: All information is kept confidential and separate from your personnel file.
  • HB 66
    Required: All Lakeland employees must acknowledge receipt of information about the Auditor of State's fraud reporting system.
  • Direct Deposit
    Required: Authorization Agreement for Direct Payroll Deposit. Direct Deposit FAQ
  • Pay Information
    Retain for future reference: Instruction sheet to access pay information using ‘myLakeland' from Lakeland's homepage.
  • Ohio Tax
    Required: Ohio Department of Taxation, Form IT-4
  • W4
    Required: Required:Federal Internal Revenue Service Form W-4, Employee's Withholding Allowance Certificate.
  • Residence Tax
    Optional: 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.
  • SSA
    Required: 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.
    SERS Information
  • STRS
    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.
  • Student Exemption
    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.
  • Departmental Contacts
    Information sheet with Lakeland department contacts.
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