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Safety + Supervision + Scores = Student Success
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412 South Main Street, Greenville, MS 38701
Phone: 662-334-7000 | Fax: 662-334-7021

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HR FORMS / EMPLOYEE HANDBOOK

HR Forms

Employee Rights.pdf
Employment Verification Form.doc
Health Questionnaire for Staff.docx

New Hire Forms

GPSD Reference Check Form.docx
Interview and Recommendation Form revised.docx

Requests

Application to Receive Donated Leave.docx
Grievance Form.docx
PERS Member Refund Application
PERS Pre-Application for Service Retirement Benefits
Reemployment of PERS Service Retiree - 4B
Request for Transfer of Assignment.docx
Request to Review or Copy Personnel File.docx
Sick Leave Donation Form.docx

Voter Registration

Voter Registration Application.pdf

Employee Handbook

CHANGE OF INFORMATION

Blue Cross/PERS

Blue Cross Blue Shield Change of Address.pdf
1B - PERS Beneficiary Designation
1C - PERS Change of Information

PAYROLL FORMS

Payroll Forms

DIRECT DEPOSIT AUTHORIZATION FORM 8.2021.doc

Tax Forms

MS State Withholding Form.pdf
W-4 Employee Withholding Certificate

COVID-19 INFO

COVID-19 Documents

Staff Protocol COVID-19
Supervisor Employee Reporting Form.docx

TEACHER SALARY SCALE

2024-2025 Teacher Salary Scale With Local Supplement Amounts.pdf
2025-2026 Teacher Salary Scale With Local Supplement Amounts.pdf

LEAVE FORMS

Family Medical Leave Act (FMLA)

WH 380E - FMLA (Employee)
WH 380F - FMLA (Family Member)

Temporary Leave

The Greenville School District is an equal opportunity employer. It is the policy of the Greenville Public School District Board of Trustees not to discriminate on the basis of age, sex, race, color, religion, national origin or disability in its educational programs, activities or employment practices.

The Greenville Public School District is also committed to providing a website that is accessible to the widest possible audience, regardless of technology or ability. This website endeavors to comply with best practices and standards defined by Section 508 of the U.S. Rehabilitation Act. If you would like additional assistance or have accessibility concerns, please visit the website accessibility page. We are always striving to improve the accessibility standards of our website.

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