PROFESSIONAL EXPERT EMPLOYMENT NOTICE
Human Resources & Equal Employment Opportunity
SSN:
Last Name
First Name
Birthdate:
Gender:
M
F
Phone:
Colleague ID: ____________
Address
City, State, ZIP
* Attach completed Request to Hire Professional Expert (HR-12) when submitting
Department:
Special Project:
BEGINNING DATE OF EMPLOYMENT:
/
mo
ENDING DATE OF EMPLOYMENT:
/
day
/
mo
PAYMENT INFORMATION:
year
Hourly Rate:
Flat Rate:
$
$
/
day
Has employee worked for Hartnell in the past?
year
Yes
No
If yes, please list dates and in what capacity:
Dates
Assignment
WORK SCHEDULE: (Enter # of hours)
Hours:
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
_______
_______
_______
_______
_______
_______
_______
Attendance Advisor:
Phone:
Supervisor of Record:
Phone:
* Manager or Supervisor who is authorized to sign timecards
BUDGET:
________
Fund
________
Area
________
Location
________
Cost Center
_______
Object
________
Percent
________
Fund
________
Area
________
Location
________
Cost Center
________
Object
________
Percent
AUTHORIZATION SIGNATURES:
Dean or Dept. Manager
Date:
Human Resources Rep
Date:
For Office Use Only
Employment Application
Prof Expert Employment Conditions
I-9
W-4
Retirement Questionnaire
Request to Hire Professional Expert
HR-13
For Human Resources Office Use Only
Physician Designation
Oath/Drug Free/Privacy
Disposition of Warrants
Copy of Social Security Card
Automatic Deposit (optional)
Prof Expert Contract (if applicable)
Paperwork Complete
MCOE
Colleague
Payroll
Board Action
/
/
/
/
/
/
/
/
/
/
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