AdditionalPay_PT_Cover_2016.docx
Updated 8/16 k.perales
PART-TIME FACULTY ADDITIONAL PAY AUTHORIZATION
ACADEMIC YEAR _______________
Quarter:
FALL____ WTR_____ SPR_____ SUMMER____
Last Name: _______________________________________ First Name: ______________________________________
Division: _______________________________ Dept: ____________________Employee CWID: ________________________
Assignment Title*: __________________________________________________________________________________
* Describe duties being performed on an additi
onal page for each assignment
Index Code:____________ or Fund: ________________ Org: ______________ Acct: 1430 Prog: ______________
Start:________________ End:_______________ Hourly Rate:$ ___________ NTE* Amt: $
________________
•
NTE = not to exceed
NON-INS
TRUCTIONAL - LOAD:
Start:____________________
End:___________________ Total Hours
: ________________
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
___________________________________________ ________________________________________________
Director, Budget & Personnel Date Associate V.P. of Instruction 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
th
calendar day of the month for inclusion in the month-end
pay cycle.
For Payroll Use Only
Position #: _______________ Column/Step___________________ Entered by:_________________ Date: _________
OTHER COMPENSATION: