Fillable I propose to engage in the following outside (Motlow State Community College)

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I propose to engage in the following outside (Motlow State Community College)

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O
UTSIDE EMPLOYMENT AND EXTRA COMPENSATION REQUEST
NAME:
TITLE:
DATE:
Instructions:
Prior to engaging in any outside employment or business activity, all employees must submit
this form through appropriate administrative channels for approval.
I propose to engage in the following outside employment or continuing business
activity:
Period of Outside Employment:
I certify that the outside employment or business activity will not interfere with my assigned
duties and responsibilities at Motlow College and is not otherwise in conflict with the
provisions of TBR/MSCC Policy No. 5:01:05:00.
S
igned:
FORWARDING APPROVALS:
Rec
ommended by Supervisor: Date:
Depa
rtment Head: Date:
Vice President: Date:
[ ]
Approved
[ ] Disapproved - Explanation
Original will be retained in Human Resources
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I propose to engage in the following outside (Motlow State Community College)

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Completed 27 July 2020

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