DIVISION
SEMESTER/MONTH/YEAR:
Please group by employee.
Please do not list more than one course or class site per line.
Please use SEPARATE sheets for monthly and hourly.
IDENTIFICATION EMPLOYEE COURSE CLASS DAY, NIGHT, NUMBER RATE TOTAL FOR
NUMBER NUMBER SITE VCC, CONT ED. OF OF PAID BUSINESS
(do not use SS#) OR HOURS PAY OFFICE
GRANT NAME USE ONLY
DIRECTOR/SUPERVISOR DATE
VICE-PRESIDENT/ EXECUTIVE VICE PRESIDENT DATE
PRESIDENT
DATE
MISSISSIPPI DELTA COMMUNITY COLLEGE
PAYROLL FOR INSTRUCTION
Effective October 13, 2009