Fill - Free fillable DeAnza College - Part Time Faculty Additional Assignment Authorization PDF form

AdditionalPay_PT_AssignmentCover_2014_v5.docx Updated 12/14 kp/pg

PART-TIME FACULTY ADDITIONAL ASSIGNMENT AUTHORIZATION

ACADEMIC YEAR _______________

Last Name: _______________________________________ First Name: ______________________________________

Division: _______________________________ Dept: _________________Employee CWID: ____________________________

Assignment Title*: ______________________________________________________________Pay Rate:_____________

* Describe duties being performed on an additional page for each assignment

Index Code:____________ or Fund: ________________ Org: ______________ Acct: 1430 Prog: ______________

Start:____________________ End:___________________ Hourly Rate:$ ___________ NTE* Amt: $________________

* NTE = not to exceed

Please Note: Not withstanding Article 7.11 in the FA Agreement, additional pay for part-time faculty will create load if it is their

primary assignment and will be calculated by column and step. Please keep this in mind when awarding additional pay to part-time

faculty.

APPROVALS

___________________________________________ ________________________________________________

Originator's Name (Please Print) Ext./Date Faculty Member Date

___________________________________________ ________________________________________________

Division Dean Date Vice President Date

___________________________________________ ________________________________________________

Associate V.P. of Instruction Date Director, Budget & Personnel Date

*All Additional Pay is presumed No Load unless initialed by the A. V.P. of Instruction. Load Initialed by: _____ AVPI

COLA: Yes No

NOTES: Submit this signed authorization form to Campus Personnel Office prior to start of assignment. Timesheets cannot be

processed without an additional assignment authorization form. Monthly timesheets must be submitted. Submit timesheet to

Campus Personnel Office (Administration Building Room 137) by the 13

calendar day of the month for inclusion in the month-end

pay cycle.

For Payroll Use Only

Position #: ___________________ Entered by:_________________ Date: _____________________

Fill Online, Printable, Fillable, Blank DeAnza College - Part Time Faculty Additional Assignment Authorization Form