BOSSIER PARISH COMMUNITY COLLEGE
Outside Employment Approval Form
NAME:
JOB TITLE:
BPCC PHONE #
Select one: Spring Fall
Year:
(Circle the appropriate answer and give additional information if applicable)
Do you currently have outside employment,
YES NO
business interests, or any other activity for which a salary,
retainer, fee, honorarium, or other form of
remuneration is paid?
If yes, please explain the nature and extent:
If yes, please indicate the amount of time the work will require:
Estimated hours per week/month or days per month/year.
Signatures: Date:
Employee
Supervisor
PERMISSION GRANTED: PERMISSION DENIED
Chancellor
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