Fillable Referralcontract Referral Contract.pub

Fill Online, Printable, Fillable, Blank Referralcontract Referral Contract.pub Form

Use Fill to complete blank online CENTRAL OREGON COMMUNITY COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Referralcontract Referral Contract.pub

On average this form takes 4 minutes to complete

The Referralcontract Referral Contract.pub form is 1 page long and contains:

  • 0 signatures
  • 8 check-boxes
  • 11 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Central Oregon Community College

BROWSE CENTRAL OREGON COMMUNITY COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Work‐Study Referral Contract Form
2019‐2020 award year
Pleaseprint,completeandsignthereferralcontractformonlywhenthestudenthascompletedallpaperwork
withHumanResources.Returncompletedcontractbyintercampusmail,faxorscanthiscontractto:
DeborahLehto—FinancialAid
Fax541‐383‐7506:Emaildlehto@cocc.edu
Phone541‐383‐7263ifyouhavequesons
Student Informaon and Signature
StudentnameprintedCOCCIDnumber
Iunderstandandagreetoworkforthebelownameddepartment.Ialsounderstandthatitismyresponsibilitytomaintainarec‐
ordofmeworkedandsubmitmyhoursworkedduringanypayperiodbytheappropriatepayrolldeadlines.Ifurtherunderstand
thatthiscontractwillexpireonthebelowdateandtheWork‐studyCoordinatormayterminateitatanyme.Iherebycerfythat
Ihavereadthisstatementandfullyunderstandtheexpectaonsofmyemployment.
StudentsignatureDate
DirectFWSsupervisorname Department Phone
Designateddepartmentcontactname Phone
 Contractamount:$
(Amountofstudentawardyourdepartmentwillbeusing)
 HourlyWage: minimumwage($11.25) other:
 Didthestudentworkinyourdepartmentduring2018‐2019? Yes  No
 JobTitle:
(Jobtlemustbeexactlywhatthejobdescriponstates)
 Thiscontractisforthefollowingterm(s):
Summer Fall Winter Spring
07/01/19‐09/01/19 09/23/19‐12/15/19 01/06/20‐03/22/20 03/30/20‐06/14/20
IunderstandthestudentlistedabovewillbepaidfromFWSfundsforthosehoursworkedasaneligiblestudentandonlyifhe/she
hasunearnedfundsremaining.Iunderstanditisthejointresponsibilityofmydepartmentandthestudenttoinsurethatnoex‐
cesshoursareworked.Ifanineligiblestudentsubmitshours,Iunderstandthatitwillbetheresponsibilityofthedepartmentto
compensateforthesehours.Iagreetoobtainhoursworkedduringanypayperiodbytheappropriatepayrolldeadlinesothatthe
studentwillbepaidaccordingtoCOCCPolicy.Iagreetoprovideadequatesupervisionandtoassure
thatthestudentwillbepaidonlyforthehoursactuallyworked.
FWSsupervisorsignature Addionalsignatures
(oponal)
ForFWSCoordinator
Payrollsuffix:
Department Informaon and Signature
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Referralcontract Referral Contract.pub

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 7 February 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document