Form 20a-1 Honolulu Community College - Request For Casual Hire

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Clear Form
Job Order No. ________________
HRO Use Only
Honolulu Community College
Request for Casual Hire
Division / Unit: ______________________________
Warrant: _______
Contact Person:______________________________
Phone Number: ______________
Position Title: ___________________________________________________________________________
Account Code(s): ________________________________________________________________________
Appointment Period: _________ to __________
Location of Position: _______________________
Work Schedule (days/times): ____________________
Number of hours: ______ per week
OR ______ total;
OR
Number of Credits: ______
Requested Rate of Pay: ___________ per hour / monthly / flat fee / credit (circle one)
How was pay rate determined?
Justification for casual appointment:
Impact if the request is not approved:
Description of Duties:

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