_____________________________________________________________
_________________________________________________________________________
MEMORANDUM
TO: Director, Human Resources
FROM: Initiator _______________________________________________
Department Head Approval __________________________________
Division Head (VP) Approval _______________________________
SUBJECT: Request for Employment of Hourly Non-Instructional Staff
DATE:
I request that an hourly non-instructional contract be issued for the following individual:
Name: ______________________________________________________________
Job Title:________________________________________________________
Division/Department: __________________________________________________
Semester/Year: _________________________________________________________
Dates of Contract: ___________________________________________________
Hourly Rate: __________________________________________________________
Number of Hours, Per Week, to be Employed: ________________________________
Number of Weeks to be Employed: _______________________________________
Total Amount of Contract: ______________________________________________
Funding Source (Budget Unit Number): _________________________________________
Justification: ___________________________________________________________
Program Assistant or Person Creating Contract: ___________________________________
Revised 1/8/2020
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