Fillable NEW ASSOCIATE FACULTY NOTIFICATION (MiraCosta College)

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NEW ASSOCIATE FACULTY NOTIFICATION (MiraCosta College)

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File type: PDF

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NEW ASSOCIATE FACULTY NOTIFICATION
TODAY’S DATE: ASSOCIATE is a: New Hire Rehire Current Employee
TO: FROM: DEPARTMENT:
(Dean or Dean’s Designee) (Department Chair)
LEGAL NAME:
(LAST) (FIRST) (MIDDLE)
PREFERRED Name: Last 4 Digits of SSN:
Former MCC? (check all that apply): Student Faculty/Staff Under what name?
MAILING ADDRESS:
(ADDRESS) (CITY) (STATE) (ZIP)
HOME PHONE: CELL:
Personal Email Address (will not be published):
DEGREE TITLE AS IT APPEARS ON TRANSCRIPTS:
Bachelor’s: Master’s:
Doctorate: CC Credential:
OTHER:
SEMESTER: Fall Spring Summer YEAR: 20 Late Start Class: Yes No
ASSIGNMENT LOCATION: OCN SEC CLC
TYPE OF ASSIGNMENT:
Check One:
Check One:
Check All That Apply:
Credit
Vocational
Classroom Instructor
Noncredit
Non-Vocational
Counselor
Librarian
Other: ____________________
TEACHING ASSIGNMENT (e.g., Course: ART100, Section #1234):
Course: Section # Course: Section #
Course: Section # Course: Section #
DEAN/DESIGNEE: Signature: Date:
(Print Name)
Minimum Qualifications Verified Assignment Approved
HR Use Only:
COMMENTS:
Office of Instruction Use Only:
EMPL ID: CREATED BY (initials): DATE:
EMPL ID EMAILED: ENTERED ON SPREADSHEET: ECR CREATED:
NAFN 6-21-12.DOC Rev. Jul 2020
PERSONAL INFORMATION
INITIAL ASSIGNMENT INFORMATION
DEAN’S APPROVAL
SEMESTER: Fall
Key(s) Request:
Equivalency Required
HR REP
SIGNATURE:
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NEW ASSOCIATE FACULTY NOTIFICATION (MiraCosta College)

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Completed 5 September 2020

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