INDIAN HILLS COMMUNITY COLLEGE
ADJUNCT/PART-TIME TEACHING AGREEMENT
Date:
Employee Name:
Address:
Telephone; ( )
Soc. Sec, No:
TEACHING ASSIGNMENT: Adjunct/Part-time Overload Other
1. Course Number: Course Title:
Start Date: End Date:
Total Hours: Rate: $ Total Amount: $
Position Code:
Account Number (14 digits required) Source
- - - -
2. Course Number: Course Title:
Start Date: End Date:
Total Hours: Rate: $ Total Amount: $
Position Code:
Account Number (14 digits required) Source
- - - -
The above named employee agrees to provide instruction for the course(s) as noted above in accordance with college policy. In return,
the college will provide payment as calculated above. Payment will be made
(check one) in equal installments that will begin no sooner than two (2) weeks after the start date, or
on the rst paydate after the end date.
All pay dates will be based on established payroll deadlines. Failure to complete the assignment as agreed will result in a salary reduc-
tion at the above rate of pay. This agreement should be signed and returned to the supervisor prior to the course start date. This agree-
ment may become void if the class is cancelled or the instructor fails to meet stipulated guidelines.
Employee Signature: Date:
Supervisor: Date:
Budget Director: Date:
Payroll Dept. Use Only
DATE PAID
12/95 PER45
Original - White 1st Copy - Supervisor/Department 2nd Copy - Employee
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