Faculty Stipend and
Invoice Form
• This form is for current WVMCCD Faculty (Full or Part Time) for college-related activities beyond their normal teaching or non-
teaching assignments.
• Stipends are not to be used to perform work within the scope of the faculty member’s regular assignment or position.
• Stipends are not to be used for teaching or curriculum development, except for grant-funded programs.
• This agreement is not valid, and work is not to begin, until signed by all parties and returned to initiating department.
• Hours worked must be reported on stipend invoice form in order to be paid. Hours must be reported. Stipends can no longer be
Department Initiating Stipend:
Stipend Assignment Title:
In detail, describe the specific assignment/project to be performed, expected time involvement, and the knowledge you possess to perform it.
If appropriate,
distinguish the stipend assignment from your current assignment. You may attach a separate sheet.
2. If this is for teaching or curriculum work, provide the name of the grant-funded program.
Stipend must be received in HR before Start Date
Financial Analyst Initials
(Check with Faculty Specialist for rate)
If employee is to be paid a different hourly rate, indicate rate:
Indicate below justification for paying a different rate:
Amount Not To Exceed:
Mandatory Payroll Deduction = +13.603%:
Total:
Pay by hourly invoice monthly:
Pay by hourly invoice at completion of
service: Return copy of processed stipend to:
# of Hours authorized for this stipend:
Print Name: L.Kinley/N.Parker-Cornejo
*Only administrators or managers may authorize the expenditure of funds and approve hours worked when invoices are submitted.
Approved for employment by Associate Vice Chancellor or Designee
HR/bb/4/22/14 revised
Account #s
Date:
Date:
Date:
Date:
Date:
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