Part Time Employment Form
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Employee’s Name:
Department:
Employee’s Title:
Supervisor’s Name:
________________________
Employee ID #
____________
BEGINNING DATE OF EMPLOYMENT
RATE OF PAY:
(Check One)
BUDGET CODE(S)
** (Mandatory for payroll)
Hourly Rate
By Class
____________________________________
$ _______________
____________________________________
Part-time Job Description
Salary Justification
:
On file:
Attached:
On file:
Attached
PLEASE CHECK APPROPRIATE BOX
New Employee
PT Faculty
(Has never worked at PCC)
Online application completed
Returning Employee
(Has
worked at PCC within the last 12 months)
Official Credentials Attached with
Faculty Credentials
Index.
Returning PCC Employee
(Has
not
worked at PCC within the last 12 months)
PT Staff
FT Employee working PT
Online application completed
Any additional employment must not conflict with
current work hours and must be noted and approved
on the Secondary Employment form on file in Human
Criminal Background Check Release Form
Resources
.
PT Employee currently on payroll
Attached
Adding/changing budget code to current
Submitted to HR
PCC employee.
Note to Hiring Supervisor:
Employee is responsible for contacting Stephanie Posey at (252) 493-7753 to schedule an
before start
date.
appointment to complete all part-time new hire paperwork
*REQUIRED:
Must complete all information or new hire will not be processed.
Supervisor’s signature
Date
Division Dean’s signature
Date
(if applicable)
Vice President’s signature
Date
Director, Human Resources
Date
Email:
sposey@email.pittcc.edu
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