Click here to enter a date Enter full name Enter address Enter City, State, Zip Offer of Appointment Enter appointee name: Include paragraph for new employee to the University. (Otherwise delete) I am pleased to offer you an appointment to the position of Enter position title , position #Enter position #, in the Enter department name at the University of Colorado Boulder. I’m confident that this will be an excellent opportunity for you, and that you will add substantially to our team. Include paragraph for current employee moving to a new position. (Otherwise delete) I am pleased to offer you an appointment to the position of Enter position title , position #Enter position #. I am really excited at the prospect of working with you in this new role, and I know that you will add substantially to the work we are trying to accomplish. Include paragraph for regular appointments. (Otherwise delete) This is a Choose an item, classified staff appointment. The position will report to the Enter position title. Your initial salary will be $X,XXX per month, equivalent to an annual salary of $X,XXX. Your desired start date is date. Include paragraph for partial year appointments. (Otherwise delete) This is a # of months month, regular, classified staff appointment. The work schedule for this appointment is anticipated to be percentage% for # of months months each year Insert dates of work with no scheduled work or salary during dates. The annualized salary for this part-time FTE appointment is $X,XXX paid monthly. Your desired start date is date. Include for Specific Shift or Department Specific Information. (Otherwise delete) Please note that your regular work hours will be from X:XX a.m. to X:XX p.m., Monday through Friday. Include for On-Call Hourly Appointments. (Otherwise delete) This position is designated as an on-call position with no guaranteed or established hours and requires flexibility in work schedule. Vacation and sick leave will be pro-rated based on hours worked. Include for Essential Services Positions. (Otherwise delete) Your position is designated as Essential Services. A designation of Essential Services means that the employee is required to report to work at times when the campus is closed due to fire, explosion, inclement weather and the like. Include for all appointments - Accrual of Benefits. Note: Revise accrual rates below if less than 100% appointment, based on pro-rated part-time percentage or for partial year appointments. The University of Colorado has a generous leave benefit. You will begin accruing 8 hours of vacation per month, or 12 days per year; and 6.66 hours of sick leave per month, or 10 days per year. In this position, you are eligible to participate in University of Colorado benefits programs, including health and life insurance and retirement programs. You can find additional information about the options available to you within our benefits plans on the CU System website: http://www.cu.edu/employee-services/classifiedstaff-benefits. I am happy to help get you connected with a benefits counselor who can answer specific questions that you might have about the benefits programs. Include for all appointments - Final PG & Acceptance. This offer is contingent upon the successful completion of a criminal and other background checks as required, an Excluded Parties List System check, reference check, verification of your academic degree(s) where required, and verification of your employment eligibility. There are some additional procedural details of which you need to be aware. Please be sure to review the pages which follow. Upon final hire, we invite you to visit the HR website at http://www.colorado.edu/hr/employees for information about new employee orientation and other important things you should know as a new employee at the University of Colorado Boulder. Sincerely, [Hiring Authority’s Name, Title] [Department] Date [Hiring Authority’s Supervisor Name, Title] [Department] Date I accept this offer of the classified staff position described above and associated terms and conditions, with the understanding that this offer is conditional upon successfully passing background and other requirements listed above. Agreed to by: Enter appointee name Date Additional Terms and Conditions Classified Position Rules & Procedures Please note that this position is classified under the state personnel system. Rules and procedures governing the rights and responsibilities of this position as well as the State of Colorado Employee Handbook can be found at https://www.colorado.gov/pacific/dhr/employee-0. Classified Employment Status Include for New Hire Appointments. (Otherwise delete) As a new classified staff employee, your employment status will be probationary for a period of 12 months. Include for Transfer Appointments. (Otherwise delete) As a transferring certified employee, your employment status will remain certified upon transfer. You also retain your original state hire date, and your vacation/sick leave balances and accrual rates will be transferred to your new department. Include for Reinstated Appointments. (Otherwise delete) As a former certified employee eligible for reinstatement, your employment status will be probationary for twelve months. If you have had a break in state service of more than 90 days, your original state hire date will be the same as your start date in this position, and any sick leave balance you left and your annual leave accrual rate will be restored. Include for Promotional Appointments. (Otherwise delete) As a current classified employee promoting to a higher position, your employment status will be trial service for a period of 6 months. Overtime Eligibility Include for appointments exempt from overtime. (Otherwise delete) The position to which you will be appointed is exempt from the overtime provisions of the Fair Labor Standards Act, and as such you are not eligible for overtime compensation, compensatory time, nor any other extra compensation for hours worked beyond 40 in a work week. Include for appointments eligible for overtime. (Otherwise delete) The position to which you will be appointed is non-exempt from the overtime provisions of the Fair Labor Standards Act, and as such it is eligible for overtime compensation in the form of compensatory pay or compensatory time, subject to the University’s sole discretion and per the University’s practices and policies regarding overtime approval and documentation. Include for new employees. (Otherwise delete) Employment Eligibility Check (Work Authorization) You must provide proof of identity and authorization to work in the United States. This is in compliance with the Immigration Reform and Control Act (IRCA), which requires every employee to complete an I-9 Form and to provide certain documents for examination. Read and comply with the posted campus IRCA policy and submit your documentation prior to beginning employment at the University. Failure to submit IRCA documentation will result in termination of this appointment. Internal Revenue Service (IRS) policy requires that the Social Security Number and the name of the employee for payroll purposes match the number and employee name found on the Social Security Card. This verification is necessary in order to comply with IRS policy and to ensure that you are paid in a timely fashion. Include for all appointments – Self Disclosure and Classified Staff Language. Self-Disclosure Policy All employees are required to self-disclose post-offer criminal convictions or felony charges filed against them within three business days of the conviction or felony charge to the Human Resources Background Check Coordinator (hr-bgc@colorado.edu). Employees with driving responsibilities are also required to self-disclose suspension or revocation of a driver’s license within three business days. Employees failing to self-disclose may be subject to disciplinary action, up to and including termination. Your signature on this letter represents your agreement to comply with this self-disclosure requirement. Classified Staff Retirement As an employee of the state personnel system your retirement plan is established through the Public Employees Retirement Association (PERA). Your salary is not covered by Social Security and there could be implications on any Social Security Benefits you may receive in the future. If included, please read and sign the attached Statement Concerning Your Employment in a Job Not Covered by Social Security form. Vacation & Sick Time Vacation and sick time taken must be submitted to your supervisor monthly. All days, with the exception of University holidays, must be worked or claimed as vacation or sick leave. This includes periods when the faculty and students are not in residence, such as during academic breaks. Salary and leave accruals are pro-rated for any partial months worked. Required Training As a University of Colorado employee, it is required that you complete certain mandatory trainings related to your job or as required by university or campus policy. A list of required trainings is available at Mandatory Training. University and State of Colorado Terms and Conditions You agree to uphold ethical standards appropriate to your position as a staff member of the University, including, but not limited to, standards applicable to conflicts of interest and conflicts of commitment as defined by University policies. You agree to meet all obligations imposed by federal and state law and to comply with all laws, rules, regulations, policies, procedures and resolutions, adopted by the Board of Regents, the University of Colorado, and the campus or other unit(s) in which your appointment is made. You also agree to report suspected or known noncompliance with such laws and policies as required by Regent and University policies. Include paragraph for positions with Campus Security Authority responsibilities. (Otherwise delete) Campus Security Authority Responsibilities This position is a Campus Security Authority (CSA) under the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics. CSAs are required to report certain crimes to the University of Colorado Police Department. You are required to pass Clery Act training within the first 30 days of employment. To access this training, visit https://www.cu.edu/employee-services/learning-anddevelopment/skillsoft and search for “CU: Clery Act Reporting for CSAs. For more information about your responsibilities as a CSA, please see http://police.colorado.edu/CleryCSAreporting. Include paragraph for athletics positions. (Otherwise delete) Athletics Appointments Terms and Conditions As an employee with the Department of Intercollegiate Athletics, you should be aware that you will be held accountable for and must abide by the University of Colorado, the Pac-12 Conference, and the NCAA Rules and Regulations in your position on a daily basis. The University of Colorado is committed to fostering an atmosphere of compliance and expects integrity, attendance in all rules education opportunities and a genuine commitment to reporting violations you become aware of. Violations will occur during your tenure at the University of Colorado, and you have a responsibility to report any violation to your supervisor or directly to the Compliance Office. You should feel at ease visiting with the Compliance Office staff regarding possible violations and confident that questions you have will be addressed in an expeditious manner. In addition, the NCAA requires that all Athletics Department staff agree to the following as a condition of their employment: Per NCAA rules, athletics department staff members are required to annually provide a written detailed account to the chief executive officer for all athletically related income and benefits from sources outside the institution. The Operation Bylaws of the NCAA require that this letter of offer include the stipulation that a coach who is found in violation of NCAA and or Pac-12 Conference regulations shall be subject to disciplinary or corrective action as set forth in the provisions of the NCAA enforcement procedures. Include for new hire classified staff positions. (Otherwise delete). Note: Page also available formatted through DocuSign Classified Staff Template – can delete this page if using. Statement Concerning Your Employment in a Job Not Covered by Social Security Employee Name: Employer Name: University of Colorado Boulder Employer ID: 84-6000555 Your earnings from this job are not covered under Social Security. When you retire, or if you become disabled, you may receive a pension based on earnings from this job. If you do, and you are also entitled to a benefit from Social Security based on either your own work or the work of your husband or wife, or former husband or wife, your pension may affect the amount of the Social Security benefit you receive. Your Medicare benefits, however, will not be affected. Under the Social Security law, there are two ways your Social Security benefit amount may be affected. Windfall Elimination Provision Under the Windfall Elimination Provision, your Social Security retirement or disability benefit is figured using a modified formula when you are also entitled to a pension from a job where you did not pay Social Security tax. As a result, you will receive a lower Social Security benefit than if you were not entitled to a pension from this job. For example, if you are age 62 in 2005, the maximum monthly reduction in your Social Security benefit as a result of this provision is $313.50. This amount is updated annually. This provision reduces, but does not totally eliminate, your Social Security benefit. For additional information, please refer to Social Security Publication, “Windfall Elimination Provision.” Government Pension Offset Provision Under the Government Pension Offset Provision, any Social Security spouse or widow(er) benefit to which you become entitled will be offset if you also receive a Federal, State or local government pension based on work where you did not pay Social Security tax. The offset reduces the amount of your Social Security spouse or widow(er) benefit by two-thirds of the amount of your pension. For example, if you get a monthly pension of $600 based on earnings that are not covered under Social Security, two-thirds of that amount, $400, is used to offset your Social Security spouse or widow(er) benefit. If you are eligible for a $500 widow(er) benefit, you will receive $100 per month from Social Security ($500 - $400=$100). Even if your pension is high enough to totally offset your spouse or widow(er) Social Security benefit, you are still eligible for Medicare at age 65. For additional information, please refer to Social Security Publication, “Government Pension Offset.” For More Information Social Security publications and additional information, including information about exceptions to each provision, are available at www.socialsecurity.gov. You may also call toll free 1-800-772-1213, or for the deaf or hard of hearing call the TTY number 1-800-325-0778, or contact your local Social Security office. I certify that I have received Form SSA-1945 that contains information about the possible effects of the Windfall Elimination Provision and the Government Pension Offset Provision on my potential future Social Security benefits. ____________________________________________________________________________________ Signature of Employee Date Form SSA-1945 (12-2004)