Fillable Hourly-Academic-Employment-New-Add-Change-Form - Hourly Academic Employment New-Add-Change Form

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Hourly-Academic-Employment-New-Add-Change-Form - Hourly Academic Employment New-Add-Change Form

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PASADENA AREA COMMUNITY COLLEGE DISTRICT
Office of Human Resources
HOURLY ACADEMIC EMPLOYMENT NEW/ADD/CHANGE FORM
Assignment: Teaching
Hourly instructors are bound by the 67% rule in accordance to the Education Code
Date:___________________ Teaching
Non-teaching
Name: _______________________________________________ Add
Employee Identification (EID) # or Social Security # for new faculty:
_______________________________________
(REQUIRED)
Division: __________________________________________________________
Discipline/Subject:___________________________________________________
Effective date of assignment: __________________________________________
(1st day the faculty is going to teach, specify the semester/intersession)
New Add Assignment Change of Assignment
Pool Emergency
Teaching FTE:______ Non-teaching FTE:______
Counseling FTE:_______ Lab Coordinator FTE: _______
Labor Distribution: (What account do we charge this assignment? Please make sure to list all
14 digits.)
___________________________________ (REQUIRED) EMP: _________(REQUIRED)
Cost Center Number (14 digits)
___________________________________ __________________________
Cost Center Manager/Authorized Signature Date
Lc012/11revised
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Completed 7 February 2020

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