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Disclosure of Outside Employment Requiring Approval of the Vice Chancellor/ Executive Dean (LCTCS Form "A")
In accordance with LCTCS Policy 6.018, this LCTCS Form adapted for Delgado is used by employees on an annual basis to disclose all outside employment and requires approval of the appropriate Vice Chancellor/ Executive Dean.
Handle: Document-634
Owner: Laiche, Karen (User-23, klaich:DocuShare)DS
Monday, November 3, 2003 12:58:53 PM CST
Monday, June 7, 2021 11:40:48 AM CDT
Modified By: Laiche, Karen (User-23, klaich:DocuShare)DS
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  • 6.018 FORM ADisclosure of Outside Employment Louisiana Community and Technical College SystemBaton Rouge, Louisiana Delgado Community College Proposed Outside Employer and Location ofSame: LCTCS Policy No.
  • [] Yes [] No 2. My outside employment would involve teaching, which results in LCTCS student credit, will be conducted on LCTCS time or will utilize LCTCS property or services.
  • Immediate Supervisor : Department Head/ Dean/ Provost: Appropriate Vice Chancellor : [ ]Yes[ ] No [ ]Yes[ ] No [ ]Yes[ ] No 10. The outside employment involves public policy.
  • Immediate Supervisor : Department Head/ Dean/ Provost: Appropriate Vice Chancellor : [ ]Yes[ ] No [ ]Yes[ ] No [ ]Yes[ ] No ADMINISTRATIVE APPROVALS If the answer is YES to either ...
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Adobe Portable Document Format (.pdf) - application/pdf
Outside Employment Form 'A' - LCTCS Form adapted for Delgado 6-7-21 fill in PDF.pdf
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131173
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Appears In: ALL FORMS - Alphabetically Listed by Form Title DELGADO FORMS HUMAN RESOURCES FORMS OUTSIDE EMPLOYMENT DISCLOSURE FORMS and PROCEDURES
Preferred Version: Disclosure of Outside Employment Requiring Approval of the Vice Chancellor/ Executive Dean (LCTCS Form "A")