ISA ACADEMIC APPOINTMENT FORM – CSU, CHICO
New Appointment
Subsequent Appt. w/no break in service
New Appointment w/break of more than one year
Subsequent Appt. w/break of one semester only
Date:
Correcting Form
Dated :
Does this person have another paid position on campus?
Yes
No
If yes, what department and timebase?
Dept
TMBS
In accordance with local, systemwide, state and federal Equal Employment Opportunity guidelines, the appropriate compliance report has been filed and
permission is hereby requested to make the following offer to:
Name:
Chico State ID:
College Name:
Contract Number:
Dept Name:
Seq#:
Classification
Instructional Student Asst
Timebase
INT
Academic Year - 1 Semester
Appointment
Campus Zip:
Year:
Term:
Hourly Rate
A52
Code
Job Code
Dept ID
CMS Position #
Effective Date
End Date
Primary Duties:
BY ACCEPTING THIS OFFER OF APPOINTMENT YOU CERTIFY YOU ARE LEGALLY AUTHORIZED TO BE EMPLOYED IN THE
UNITED STATES FOR AT LEAST THE DURATION OF THIS APPOINTMENT. If you are not presently a legal, permanent resident of the
United States, please note that CSUC does not pay for the immigration process or attorney fees. CSUC will facilitate the process, but the
responsibility to obtain and maintain appropriate work status belongs to the employee. Please contact the Office of International Education
(Phone 530-898-5415) as soon as possible for more information regarding obtaining appropriate work authorization. Should you accept this
offer, within three (3) days of arriving on campus you must present in person to the Human Resources Service Center (Kendall Hall, Room 220)
proof of identity and eligibility to work in order to be placed on the payroll.
You are required to complete payroll and personnel documents in the Human Resources Service Center (Kendall Hall, Room 220, 530-898-6771),
including an Oath of Allegiance, prior to the beginning of employment. Failure to do so will prevent the University from completing your appointment.
As an employee of The California State University, the rights and responsibilities of your position are governed by Federal and State law as well as the
policies and procedures of the Board of Trustees and the University. This position is covered by the Collective Bargaining Agreement between the Board
of Trustees of the California State University and the United Auto Workers (http://www.uaw.org). Unit 11 CBA Article 2.8
All required documentation must be completed and submitted in time to be fully processed prior to the State Controller’s monthly cut-off date for that
month. If you miss the cut-off date, you will receive your first paycheck at least three to four weeks after all documentation has been submitted.
Please be aware that an Instructional Student Assistant cannot be employed by the University for more than a total of 20 hours per week in all positions
on campus. This may include employment on state agency funded research projects that support the student’s graduate educational objectives.
Appointments to other positions on campus, whether as student, staff, or faculty, are counted in this total.
RECOMMENDED BY:
Chair/ Director
Date
Dean
AUTHORIZATION TO HIRE: I hereby authorize the hiring of the above named person under the terms stated herein.
Provost / Designee
Date
Date
All binding terms and conditions of this appointment are contained in this written offer and in state regulations, system-wide trustee/chancellor directives,
CSU, Chico policies and procedures and the Collective Bargaining Agreement between the CSU and the UAW, which is available for viewing at
http://www.calstate.edu/LaborRel/Contracts_HTML/CBA_Contract/index.shtml
Please sign and return to the "Dean's Office" indicating that you have read, understand, and accept the conditions of this appointment.
You have 14 days to respond to this offer of employment. If no response is received by
I have read, understand and accept the conditions of this appointment.
Appointee
, this offer will become null and void.
I do not accept this appointment.
Date
Distribution: Orig FAAF; 1 to Dept.; 1 to College for college personnel file.
IN ORDER TO RECEIVE YOUR FIRST PAYCHECK ON TIME
YOU MUST COMPLETE THE FOLLOWING PRIOR TO THE MONTHLY PAYROLL CUTOFF DATE:
Return this signed original appointment form to your college office.
Complete payroll and personnel documents immediately at the Human Resources Service Center (Kendall Hall, Room 220)
Last Update 07/22/2013
99271000