Fillable REQUEST TO PROCESS ACADEMIC PERSONNEL (Los Medanos College)

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REQUEST TO PROCESS ACADEMIC PERSONNEL (Los Medanos College)

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REQUEST TO PROCESS ACADEMIC PERSONNEL
TO: College HR Assistant
DATE:
Send Hiring Instructions Yes No
If No, Employee/Former Employee:
Circle Location: CCC DVC DO LMC
Interviewed By
(Print Names):
1)
2)
3)
REVIEWED AND SIGNED BY YOUR
INSTRUCTIONAL/COUNSELING DEAN:
Applicant Name:
Teach
Substitute
Counsel
Librarian
Other (list):
Campus
Department
Course#
Start Date
Discipline
Full-time
Part-time
New Position
Replacement For:
Position I.D. or GL Budget #:
Fall
Spring
Summer
MINIMUM QUALIFICATIONS DECLARATION WITH SUPPORTING DOCUMENTATION:
A. Master’s Discipline:
Qualification Type (check one)
Discipline/Subject Area
Master’s Degree or Higher
Bachelor’s Degree in combination with a
Master’s, License or Certification
Teaching Credential @ Community College Level
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Discipline/Subject Area (list here):
Bachelor’s Degree
(any discipline) + a total
of 2 or more years full-
time experience
Associate Degree
(any discipline) + a
total of 6 or more
years full-time
experience
Teaching
Credential @
Community
College
Level
Equivalency with
supporting
documentation with
signed Equivalency form
from Academic Senate
Foreign Transcript
Evaluation: Any
education outside
the U.S., even if in
English.
DOCUMENTATION ATTACHED (if not attached, request will be returned to the department):
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Routing:
1. Interviewers send to Instructional/Counseling Dean or Sr. Dean for review of minimum qualifications AND signature.
2. Dean sends to Office of Instruction Supervisor to assign Position ID number tied to proper budget for new employee.
3. Office of Instruction Supervisor sends to College HR Assistant for completion of hiring process.
Form 7383 JULY 2017
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REQUEST TO PROCESS ACADEMIC PERSONNEL (Los Medanos College)

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Completed 5 September 2020

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