1. NINE-MONTH FULL-TIME FACULTY
    2. SUMMER SERVICE EMPLOYMENT FORM
      1. Employee’s Name:   
      2. Banner ID #: Last 4 digits of SS #:
  1.    
  2. Effective Dates:  From:                                       To:
  3.        
  4.       Percentage of Time Employed:
  5. Rank (or Title):       Division:
  6. Campus:        
      1. Summer Salary:     
      2. Signatures:       

 
 
 
    AREA 1        AREA 2        AREA 3

                                    
Org. Code(s)  
Campus Code
Position No.(s)



NINE-MONTH FULL-TIME FACULTY



SUMMER SERVICE EMPLOYMENT FORM
 

 

   



Employee’s Name:    

       


Banner ID #: Last 4 digits of SS #:

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Effective Dates:  From:                                        To:
 
 
 
 

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           Percentage of Time Employed:
 
 
 
 
 
 
 

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Rank (or Title):            Division:
 
 
 
 

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Campus:              
 
 
 
 



Summer Salary:          
 

COURSE               ACC+OFF
PREFIX   DESCRIPTION                                                   LCTCS FTE   DCC FTE   HR/WK HRS PAY HRS DAY NO. WKS AMOUNT
AREA 1                        
               
AREA 2                        
               
AREA 3                        

 
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Compensation for this summer employment will be provided upon validation of minimum student enrollment.  If course sections are canceled, the faculty member will be paid for the time worked at the Current Summer Session Pay Scale’s hourly rate for instruction or at the current hourly rate for non-instructional activities (registration) as applicable. This agreement becomes null and void if the faculty member’s employment is terminated, if the faculty member is notified that his or her appointment will not be renewed for the next academic year, or if the faculty member is unable to fulfill the agreed upon responsibilities.
 
 



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


              
                       Form 2123/001 (2/16)

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