1. NINE-MONTH FULL-TIME FACULTY
    2. SUMMER SERVICE EMPLOYMENT FORM
      1. Employee’s Name:  
      2. Highest Degree Held:
      3. Effective Dates:  From:                                       To:
      4. Number of Weeks:    Time Employed:
      5. Rank (or Title):       
      6. Campus:       Division:
      7. Summer Salary:  
      8. Signatures:
      9.                                                                     

 

Org. Code

           

Campus Code                    
   

Position #        

 



NINE-MONTH FULL-TIME FACULTY



SUMMER SERVICE EMPLOYMENT FORM
 

 




 Employee’s Name:  


Banner ID #: Last 4 digits of SS #:
 



Highest Degree Held:
   




Effective Dates:  From:                                        To:
 
 

            Percentage of



Number of Weeks:        Time Employed:



Rank (or Title):            



Campus:            Division:

 



Summer Salary:    
 
 
 
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Compensation for this summer employment will be provided upon validation of minimum student enrollment. If classes are cancelled the faculty member will be paid for the time worked at the Current Summer Session Pay Scale’s contract hourly rate for instruction or at the current contract hourly rate for non-instructional activities (registration) as applicable.
 



Signatures:



                                                                    
_________________________________________________________    _______________
Faculty Member                         Date
 
_________________________________________________________    ________________
Division Dean                           Date
 
___________________________________________________________  _________________
Assistant Vice Chancellor for Human Resources          Date
 
 

Form 2123/001 (4/14)
 
 

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