Dear Part-Time Instructor,
Congratulations, you have been recommended for a teaching assignment at Golden West College within the Coast
Community College District. Please read and complete the enclosed forms, using this check-off sheet, to process
your employment. Employment is contingent upon completion of this packet in full. Please bring the COMPLETE
packet to the Campus Personnel Office, located in Humanities 103, between 8 am – 10 am or 2 – 4 pm, Monday - Friday.
Questions or need assistance? Contact (714) 895-8100
Assignment Details (To be completed by your Dean/Department Chair. Your Dean must also submit a load sheet to finalize your assignment.)
Dean:
Division:
#1 Class Name:
LHE:
Ticket#:
LHE:
Ticket#:
LHE:
Ticket#:
Lab/Lecture:
Start Date
End Date:
FOAP:
Lab/Lecture:
#3 Class Name:
End Date:
FOAP:
Lab/Lecture:
#2 Class Name:
Start Date
Start Date
End Date:
FOAP:
Employment Document Check-Off
 Employment Application: Must be submitted online at: http://agency.governmentjobs.com/cccd/default.cfm
 Are you applying under Equivalency for this position? (If yes, please complete the Equivalency documentation
online at: http://agency.governmentjobs.com/cccd/default.cfm)
 Official Transcripts: You may use unofficial to process, but official transcripts are required before you will be paid.
 If teaching a CTE class, you’ll need an Occupational Letter. (If you have a Bachelor’s Degree, a letter verifying 2
years of experience from a previous employer or if you have an Associate’s Degree, a six year letter is required).
 Personal Data Form.
 Retirement option election (STRS or PARS).
 Social Security Declaration.
 Tax Withholding: W-4 (A figure must be entered in lines 1,2,3 & 5; sign and date).
 Immigration/Residency: I-9 (Complete Section 1, but do not sign until documents are verified in HR).
Bring a valid photo ID with you when you come for processing.
 Original Social Security Card is required for Payroll (If you do not have a Social Security card, you must go to a
Social Security office to order one. It will take 7-10 days to receive a replacement).
 Oath of Allegiance: Notary is NOT required. Your signature will be witnessed in HR.
 Designation of Beneficiary (Beneficiaries must be legal age 18. You must include their Social Security numbers).
 Results of TB atest (not more than 3 years old).
 Receipt for Live Scan fingerprinting (Must be repeated even if done for another District).
 Banner Confidentiality Agreement for District software usage.
 Direct Deposit Form: If you bank with School’s First Credit Union, there is no need to fill this form out. Notify
School’s First that you will be receiving a net check from us to your account.
 Workers Compensation: Optional Pre-designation of Physician and information regarding Medical Provider Network