Alabama A&M University Outside Employment Verification
Office of Human Resources Revised June 2015
Verification of Outside Employment
In an effort to improve efficiency in University operations and strictly adhere to and monitor existing
University policies, all employees must complete and submit the following outside employment
verification form. Failure to submit this form to Office of Human Resources will cause delay in the
processing of your Electronic Personnel Action Form (EPAF) for the current fiscal year. Consistent
with section 5.3 Outside Business and Employment, of the Faculty Staff Handbook (September 2011)
and sections 4.4, Outside Employment and 5.1 Work Schedules, of the Staff Handbook (September
2011), please respond to the following questions:
Name:
Department:
Faculty Staff
1. Is Alabama A&M University your only place of employment?
Yes
No
2. If you work another job outside of the University, including any type of work with university
affiliated entities or consultant positions, please complete the chart below:
Nature of Employment/
Courses Taught
Any employment listed above must meet the requirements provided in Section 5.3 of the Faculty
Handbook or Section 4.4 of the Staff Handbook, whichever is applicable to your employment. Any
change in your employment status requires submission of an amendment to this submission.
My signature below certifies that the above statements are true and correct and that I understand any
false statements will have a negative impact on my employment with the University.
_________________________________________________________ ________________
Print Signature Date
Alabama Agricultural and Mechanical University
Office of Human Resources
Mailing Address : Human Resources, Alabama A&M University, Normal, AL 35762
Phone: 256.372.5835 Fax: 256.372.5881
