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MIRACOSTACOMMUNITYCOLLEGEDISTRICT

ASSOCIATEFACULTYOFFICEHOURSTIMEREPORT

LASTNAME:________________________FIRST:______________________M.I._______

SEMESTER:FALLSPRING 20____ TOTALASSIGNEDLHE:______

CREDIT NON‐CREDIT(SELECTONE:NCESL

PAYID:________

DATE OFFICEHOURS TIME

EXAMPLE:WED.10/12 EXAMPLE:5:00‐6:00P.M. EX.:1.0

TOTAL

RATE=$44.00/HR

DEAN’SOFFICEINITIAL

PAYROLLUSEONLY:ACCOUNT#

FFICEHOURSSHALLBEPAIDATTHEFLATRATEOF$44PERHOUR(AFCBA11.4).

CERTIFYTHATALLOFTHEINFORMATIONREPORTEDABOVEISCORRECT.IAUTHORIZEMIRACOSTACOMMUNITYCOLLEGETOMAKEANY

NECESSARYADJUSTMENTSDUETOUNDER

/OVERPAYMENTASNEEDED.

______________________________________________ ___________________________________________

ACULTYSIGNATURE  DATE DEAN’SSIGNATURE  DATE

REV4/6/2020

SENDSIGNEDFORMTOYOURDEANFORAPPROVAL

AHS

NCGen

NC STV)

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MIRACOSTACOMMUNITYCOLLEGEDISTRICT ASSOCIATEFACULTYOFFICEHOURSTIMEREPORT AHS CREDIT NONCREDIT(SELECTONE:NCESL NCGen NC STV) (MiraCosta College)

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