HR / Payroll

Michael Kelliher, Human Resources Director

Mary Leary, Human Resource Generalist

Whitney Christmas Howard, Benefits Coordinator

Cindy Symonds, Payroll Officer

Forms and Applications

A variety of forms and applications are available online in PDF format.

FORMS AND APPLICATIONS

Green Divider

New!!! WSESU BENEFITS PORTAL – Please visit our new website for all benefits information, including:

Health Insurance
Dental Insurance
Life Insurance
Retirement
Telehealth
Much more!

Department of Labor:

State of Vermont:

Madlyn Moore Award:

Credit Equivalency

Credit Equivalency Form (includes guidelines)

Course Reimbursement /Prepayment

Course Approval Form – PDF

Payroll Items

Pay Date Schedule 2022-2023
Credit Union Form
Direct Deposit Form
Direct Deposit Form for Substitute Teachers
403 (b) Financial Rep List
403 (b) Salary Reduction Agreement -please choose your employer: WSESD VTSD, WSESU
403b Instructions
Federal W-4 Form
VT State W-4 Form
Payroll Change Notice/Goldenrod
Request for Pay – All Staff

Schedule 403B appointment with Empower Rep.

Expense Items

Expense Reconciliation Form
Funds Advance Request Form
New Mileage Reimburse Form 2023
New Requisition Form 3-9-22
Mileage Matrix
Mileage Matrix ECSE
One Percent Application
Purchasing Manual – 3-9-22

L/RSB Forms (WSESU Re-Licensure forms and links to the Agency of Education (AOE))

Professional Learning Approval Form (as of March 2018)
Self Assessment on Teaching Practice from AOE (as of March 2018)
Self Assessment Verification form from AOE (as of March 2018)
ALIS: VT AOE Online Licensing System for Educators
VT Re-licensure FAQ’s and Tutorials for licensure
VT AOE License Renewal Main Page