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Disclosure of Outside Employment Requiring Approval of the Vice Chancellor (LCTCS Form "A")
WORD Version - In accordance with LCTCS Policy 6.018, LCTCS Form adapted for Delgado, which is used for all outside employment disclosures requiring approval of the Vice Chancellor
Handle: Document-3438
Owner: Laiche, Karen (User-23, klaich:DocuShare)DS
Thursday, August 14, 2008 07:57:55 PM CDT
Monday, June 7, 2021 11:47:53 AM CDT
Modified By: Laiche, Karen (User-23, klaich:DocuShare)DS
Locked By:
  • 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 question (3) or (10), the System President’s approval is required.
  • Immediate Supervisor Signature: [ ] Recommended [ ] Not Recommended Department Head/Dean/Provost Signature: [ ] Recommended [ ] Not Recommended Appropriate Vice Chancellor Signature: [ ] Recommended [ ] Not Recommended ACTION BY CHANCELLOR Chancellor Signature: [ ] APPROVED [ ] DISAPPROVED [ ] Forwarded thru Chancellor ...
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Microsoft Office Word (.doc, .dot) - application/msword
Outside Employment Form 'A' - LCTCS Form adapted for Delgado 6-7-21.doc
4
70656
No
Appears In: ALL FORMS - Alphabetically Listed by Form Title ,  DELGADO FORMS ,  HUMAN RESOURCES FORMS
Preferred Version: Disclosure of Outside Employment Requiring Approval of the Vice Chancellor (LCTCS Form "A")