Fillable Moonlight Form (Edmonds Community College)

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Moonlight Form (Edmonds Community College)

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U.S.A. forms for Edmonds Community College

BROWSE EDMONDS COMMUNITY COLLEGE FORMS

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NAME      EMPLOYEE ID   
ITEM #      COURSE      FTE      TITL E   
CLASS MEETS (DAYS/TIME)      FOR A TOTAL OF     HOURS PER WEEK.
EMPLOYEE SIGNATURE      DATE   
APPROVED: EMPLOYEE SUPERVISOR      DATE   
APPROVED: VICE PRESIDENT      DATE   
Moonlight Contract Schedule Adjustment for Full-Time
Classified and Administrative/Exempt Employees
SUBMIT  ONE  F ORM PER CLASS
I am contracted by Edmonds Community College to teach a moonlight assignment in addition to my regular full-time
assignment. The following information is provided for my personnel contract le:
THE CLASS MEETING TIME  DOES  DOES NOT    COINCIDE WITH MY REGULAR WORK SCHEDULE.
If the class DOES meet during the regularly scheduled work day, my work schedule will be adjusted as follows:
FOR HUMAN RESOURCES OFFICE USE ONLY
OVERTIME C ALCULATION APPLIES?          YES            NO
HUMAN RESOURCES OFFIC E      DATE   
REV. 03/11 | 10-11-090 A
RETURN COMPLETED FORM TO HUMAN RESOURCES
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Moonlight Form (Edmonds Community College)

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Completed 22 July 2020

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