_________________COUNTY SCHOOLS
TEMPORARY PART-TIME AGREEMENT/CONTRACT
FOR PRIVATE SCHOOL SERVICES
The above named county board of education, upon the nomination and recommendation of the
superintendent of schools, herein enters into an agreement/contract with:
Name: _______________________________________ Social Security Number ___________________
Home address: ______________________________________________________________________
Phone:______________________________ Email address:___________________________________
Location of services:
Effect Period of Assignment:
This agreement/contract is for the performance of the following tasks and duties:
1. Description of the instructional services provided to private school students:
2.
Description of the services for family involvement and/or professional development, if
applicable:
3. Duties, Hours, Compensation and/or Other Considerations, and Other Conditions:
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4. Delineation of costs for the following activities:
Description
Amount
Activity
Instructional Costs
*Family Involvement Costs
*Professional Development
*Administrative Costs
TOTAL COSTS
* If Applicable
This agreement shall be subject to any and all existing state laws, West Virginia Board of Education
policies, county board of education policies, and such laws, regulations, and rules as may be in effect on
the approval date indicated below, and may not extend beyond 90 days or 720 hours. Furthermore, no
temporary, part-time employee is entitled to receive retirement, health or life insurance, personal leave, or
any other benefit afforded to regular employees.
___________________________________
Superintendent
________________________________
Date
___________________________________
Board President
________________________________
Date of Board Approval
___________________________________
Employee
________________________________
Date
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