Revised 11/24/2004
This form should be attached by the employer to the Employee Transaction Form (ETF) or the
Temporary/Student Appointment Form (TSAF)
MONTANA STATE UNIVERSITY - BILLINGS
APPLICANT INFORMATION CONCERNING PART-TIME EMPLOYMENT
Date: Department or Unit:
Name:
Position applied for:
You are being considered for the above referenced part-time employment assignment. Nonteaching
part-time employees are limited to working LESS THAN 20 HOURS PER WEEK unless prior approval is
received from the Human Resources office. Individuals teaching part-time do not use this form. Please
check with the teaching department for the appropriate forms for part-time teaching. In order to
determine your eligibility to fulfill the time requirements of this assignment, we request that you answer
the following questions. Please answer these questions as they apply on the date you complete this
form.
This question applies to
ALL employment assignments at both the main campus and the College of
Technology.
If you are currently employed by MSU-Billings in a non-teaching position, please list all the
departments, current assignments and expected hours per week.
Include the position and expected hours per week for which you are being hired.
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
I attest that to the best of my knowledge the information provided on this form is true:
Signature ___________________________________________________ Date_________________
Instructions for Completing Form Online
Click here to print, then sign, date, and return.
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