Project Manager Part-Time

NEW EMPLOYEE YES NO FISCAL YEAR

FORM – *

PERSONNEL PAYROLL ACTION

This form is mandatory when requesting to employ temporary/short-term or student personnel to perform short-term projects, and not for performing routine duties. All positions/projects must have all appropriate approvals below. All positions/projects, except student workers, must receive Board approval. All new employees must receive live scan clearance and negative TB test results prior to the start of work.

SCC ID # NAME CLASSIFIED

Short-Term Temporary (not to exceed 150 days max or 999 hours, whichever comes first) Regular Employee – Additional Assignment (part-time employee to work additional hours) STUDENT

Student Worker Federal Work Study CalWORKS

FACULTY

Full-Time Faculty Adjunct Faculty

Payment will be made via:

*Hourly Academic *Must submit timesheet(s) Lump Sum Payment (Paid in months) Please indicate below the amount of time needed for this assignment and how it impacts/impacted their overall load. Full Load Distribution:

# Hours Per Week Assignment

This Assignment

Instructional/Classroom Hours

Instructional/Classroom Support Duties (grading, prep, office hours, etc.) Additional Assignment -

Additional Assignment -

Additional Assignment -

Additional Assignment -

JOB TITLE DIVISION/DEPT. START DATE END DATE Job Duties Outcomes/Deliverables HOURLY RATE or TOTAL $ NTE $ NTE HRS FUNDING/GRANT NAME BUDGET DISTRIBUTION % - - - - % - - - - APPROVALS

Project Manager (oversees work) (print) (sign) Budget Manager (oversees budget) (print) (sign) Immediate Supervisor

(if different than Project Manager) (print) (sign) Vice President (of budget ORG) (print) (sign) Employee is aware they must turn in timesheet(s) to be paid Employee is aware they will be receiving lump sum payments

**FISCAL AUTHORIZATION**

Budget code(s) are correct according to FOAPAL rules Verified funds are available Approved by Date

**HUMAN RESOURCES AUTHORIZATION**

Board Agenda Date Hourly Rate Position # TB Live Scan I-9 Docs Retirement: PERS STRS DB CB Creditable Not Creditable HR Approval Date

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