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HUMAN RESOURCES DEPARTMENT CONTRACT REQUEST FACULTY and REGULAR STAFF |
Department: _______________________________________ Ext.: _____________
Employee________________________________________________________________
Last First MI
Mailing
Address:_________________________________________________________________
Street/PO Box City Zip
SS#________________________ Campus Phone:__________
Home Phone: __________
Starting Date:__________________________ Ending Date: _______________________
Faculty: Adjunct**_________ Overload___________
Professor ______ Associate Professor ______ Assistant Professor _______ Instructor _______
Course # __________ Course Title _____________________________________ Credit Hours_____
Regular, Full-Time* ____________ Regular, Part-Time*
________ Hours/Week
Annual Salary: ___________________ Hourly Rate: _________________
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REQUIRED APPROVALS:
_________________________________________________ _________________________________________
Department Supervisor (Required)
Date
_________________________________________________ _________________________________________
Vice President (Required) Date
_________________________________________________ _________________________________________
Accountant/Grants(Required if Grant Account) Date
ACCOUNT #
______________________________ ____ Moving Expense $__________________________
(Banner Account Number Required)
(if approved by HR and VP)
*Entitled
to benefits **No
Benefits