SAN DIEGO COMMUNITY COLLEGE DISTRICT
Non-Academic Non-Classified Personnel Action Sheet
Submit this form, with appropriate signatures, to the Administrative Services/Business Office, BEFORE employee is cleared to work by District Human Resources.
* Employee Name *Officer Code (see limitations below) Reason
Employee ID ABSO Bookstore Badge No.
*DOJ Clearance Date *Equifax Date Position# *Job Code Empl Rec *Effective Date: *Job End Date
*FTE** *Standard Hours *Position Title *Pay Rate
*Department Code *Business Unit *Location *Reports To Supv/Mgr Name *Reports To Position#
*LIMITATIONS – Refer to Guidelines for Hiring and Employment of Non-Academic Non-Classified Employees: THIS ASSIGNMENT RESULTS FROM:
Substitute for an absent Contract Classified Employee (limit 175 days)
Substitute for a Vacant Contract Classified Position (limit 50 consecutive days) (Currently in recruitment)
Short-Term (limit 175 days) – Employment may not begin until their service has been certified by the Board of Trustees.
Personal Services Contracts (limit 175 days) - may only be provided to the specific classifications indicated. Include NANCE Position Authorization Form.
Signature of Supervisor Date Signature of Manager Date
FOR COMPLETION BY EMPLOYEE:
Have you worked for or retired from the San Diego Community College District in the past fiscal year? Worked __________ Retired __________
If yes, Position Title:
Are you currently working for the San Diego Community College District? Yes __________ No __________ If Yes, where?
Are you a Student part of the SDCCD Work Study Program? Yes __________ No __________
Are you an International Student? Yes __________ No __________
Are you a Part-Time Student with SDCCD? (6 or more Units OR 7.5 hrs per week with Cont Ed) If Yes, attach a STUDENT WAIVER and a copy of enrollment. Yes __________ No __________
Are you a Full-Time Student? (12 or more Units OR 15 hrs per week with Cont Ed) If Yes, attach a STUDENT WAIVER and a copy of enrollment. Yes __________ No __________
with SDCCD? __________ Other institution? __________
Employee's Signature Date
PLEASE REMEMBER: EMPLOYEES WHO DO NOT CORRECTLY SUBMIT THEIR TIME IN HCM BY THE CAMPUS PAYROLL SUBMISSION DATE WILL NOT RECEIVE A PAYCHECK ON THE 10TH OF THE FOLLOWING MONTH.
Campus VP Admin Services/District Vice Chancellor Signature: Date
Employment/Date Compensation/Date Retirement/Date Payroll/Date Benefits/Date
Rev. 12-04-19
Professional Expert - Perform temporary project work, regardless of length of time. Include Professional Expert/Consultant Authorization and Evaluation of Employer/Employee Relationship Form
It is the District's policy that continuous service WILL NOT be provided by employing two or more temporary employees or by releasing an employee after working approximately 175 days only to rehire the employee or another employee in the subsequent
fiscal year to perform the same or similar services.
This assignment is temporary and will not lead to permanent employment with the San Diego Community College District nor is it a commitment or guarantee of employment through the dates listed above. You may be released early, or the assignment may be
extended. Ask your supervisor if you have questions regarding assignment length. If you are interested in permanent employment, please visit www.sdccdjobs.com. (If you have not worked for the District in over 18 months, you MUST COMPLETE A NEW
APPLICATION PACKET in addition to this form.)
**FTE to reflect actual projected weekly hours to be worked
