California State University - Special Consultant Agreement printable pdf download

CALIFORNIA STATE UNIVERSITY, SACRAMENTO

SPECIAL CONSULTANT AGREEMENT

Special Consultants, Classification Code 4660, are appointed on a temporary basis to perform professional tasks. Such an appointment must not

conflict with a current employee’s regularly scheduled duties. This classification may only be used when there is no other appropriate classification

available. All special Consultants are to be paid a daily salary from temporary help accounts. All Special Consultant appointments must be approved by

the Vice President of Human Resources before any work may begin.

(Type the Consultant’s Name and Mailing Address in the box below)

Date: ___________________________________

EMPL ID: __________________________________

Telephone: ___________________________________

Department: ______________________________________

Department ID: ___ ___ ___ ___ ___

Project Grant: ____________________________________

Effective Date: __________________________________

Project Coordinator: _______________________________

Ending Date: ___________________________________

Telephone Extension: _____________________________

Total Days Authorized: __________________________________

Daily Rate: __________________________________

HR OFFICE USE ONLY:

Total Pay Authorized: _________________________________

245- __ __ __ -4660-__ __ __

DAILY RATE WAS DETERMINED IN THE FOLLOWING MANNER: __________________________________________________________________

_________________________________________________________________________________________________________________________

DESCRIPTION OF DUTIES TO BE PERFORMED: ________________________________________________________________________________

_________________________________________________________________________________________________________________________

SIGNATURES: ______________________________________________

________________________________________________

Project Coordinator

Date

Department/Division Head

Date

*****************************************************************************************************************************************************************************

TO BE COMPLETED BY CONSULTANT:

(Current/Former CSUS Employee Status)

_____ Current CSUS Employee

_____ Faculty

_____ Full-Time

CHECK

_____ Former CSUS Employee

_____ Staff

_____ Part-Time

ALL

_____ New CSUS Employee

_____ Management (MPP)

(Timebase:__________)

THAT

_____ Pers Retiree (Retired Annuitant)

_____ Student Assistant

______ Hourly Intermittent

APPLY

_____ Graduate Student

_____ Special Consultant

FOLLOWING APPROVAL OF THIS APPOINTMENT BY THE VICE PRESIDENT FOR HUMAN RESOURCES, and subject to the conditions stated on

the reverse of this form, I agree to perform the duties described above within the time period indicated. As a new or returning employee, I understand I

will need to provide identification documents and complete certain forms in the Payroll Office prior to the effective date of this appointment (see

instructions on the reverse side of this form). In addition, I understand that no payment will be made without an approved time sheet being submitted to

the Payroll Office for each pay period worked. I certify that this Special Consultant assignment will not conflict with my regular CSUS employment, if

any.

_________________________________________________________

______________________

Consultant’s Signature

Date

*****************************************************************************************************************************************************************************

APPROVALS:

____________________________________

______________

____________________________________

______________

Dean /Program Administrator

Date

Vice President for Human Resources

Date

*****************************************************************************************************************************************************************************

INSTRUCTIONS: Submit a resume (if new to CSUS), all copies of the Special Consultant Agreement, and Personnel Transaction Form(PTF) to the

Vice President for Human Resources for approval.

(Rev. 3/04)