Fillable Fa culty Member (Full Name) (e.g., conduct three (Los Medanos College)

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Fa culty Member (Full Name) (e.g., conduct three (Los Medanos College)

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Fa
culty Member (Full Name)
Faculty Member's ID Number:
Signature of Employee:
Printed Name of Dean:
Signature of Dean:
Date:
FACULTY DESCRIPTION FORM OF COVID-RELATED EXTRA WORK AND APPROVAL FOR PAYMENT
SUMMER 2020
Printed Name of Employee:
Please provide a short description of the work you will be performing and when you expect to perform the work
(e.g., conduct three extra
meetings in July, each for two hours):
Anticipated Total Hours to complete the task(s):
Anticipated Total Hours to complete the task(s):
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Fa culty Member (Full Name) (e.g., conduct three (Los Medanos College)

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Completed 5 September 2020

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