Lawson State Community College
Official Hiring Flow Chart for Adjunct Faculty
Revised, September 2012
This hiring flow chart has been developed through the cooperation of Department Chairs, Associate
Deans, Assistant Deans and Deans at Lawson State Community College. With that in mind, it is the
responsibility of all supervisors and candidates to follow the proscribed hiring procedures, effective
September, 2012,
Step 1: Interview Candidate.
Step 2: Have NEW EMPLOYEE complete and/or secure the following:
1. Application for employment (if not previously submitted)
2. Original Social Security Card and Driver’s License
(For HR Use Only; copies will not be accepted)
3. Request, Authorization, Consent and Release for Background Information
4. Employment Data Form
5. Faculty Credentials Approval Forms
Step 3: Collect completed paperwork from the new employee and STAPLE a copy of the employee’s
unofficial transcripts to the back of the Faculty Credentials Approval forms.
Step 4: Supervisors must perform the following actions:
1. Assess qualifications and complete the Credentials Approval Form
2. Secure appropriate signatures for completion of the bottom half of the credentials form.
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Approval is required from the Department Chair, Associate Dean, Academic Dean/Career Technical Dean
and the Vice President of Instruction before processing can begin.
3. Complete the Intent to Hire Form
4. Ensure that the new employee has all items listed in Step 2 before escorting them to Human
Resources. (Incomplete packets or employees without original SSN cards or driver’s
licenses will not be processed in the HR Office)
Step 5: Once the credentials packet is complete, make a copy for your records and escort the new
employee to HR for processing. Please do not bring a new employee to HR if their packet is
incomplete or if they do not have a valid social security card and driver’s license.
Step 6: Submit the original copy of the Hiring Packet to Human Resources for final processing.
Step 7: Once processing is complete, Human Resources will provide the Department Chair with the
employee number and classes may be assigned at this time.
NOTE: Human Resources will handle all Official Transcript Requests. Employees have 14-business
days to submit official transcripts. Failure to render official copies can potentially void the teaching
contract.
A. REQUEST, AUTHORIZATION, CONSENT, AND RELEASE
FOR BACKGROUND INFORMATION
I have been informed and acknowledged that on December 13, 2007 the State Board of
Education adopted Policy 623.01 requiring criminal background checks for all new and current
employees.
I understand that I may voluntarily consent to the use of my social security account number for
the purpose of conducting a criminal background check. I further understand that my voluntary
consent to use my social security account number is being requested for purposes of
conducting a criminal background check, pursuant to the authority of the State School Board
Policy 623.01.
The information I have given in my employment application, interviews, and/or related resumes
and documents is true, complete, and accurate.
I understand and agree that if employed, and/or during any period of employment, any false
statements, misrepresentations of facts, or omission made by myself become known, my
employment shall be subject to immediate termination.
I understand that in the event a conviction for a felony or any crime involving moral turpitude is
found that the procedures set out in the guidelines for State Board Policy 623.01 will be
followed.
I have read and completely understand this release.
(PLEASE PRINT)
Name:
______________________________________________________________________
Address:
______________________________________________________________________
______________________________________________________________________
SS#:
________________________
DOB: ____________________
SIGNATURE: ____________________________ DATE: ____________________
NOTE:
Lawson State Community College reserves and exercises its right to screen all personnel
who will be providing services for the college. This includes volunteers as well as regular
employees.
Revised 9/5/2012
Date: _____________
EMPLOYMENT DATA FORM
Name
SS#
Address
D.O.B.
City, State, Zip
Home Phone #
Gender
Race
Cell Phone #
Position
Employment Date
Full-Time
Part-Time
Highest Degree Held
I am an active member of an Alabama Retirement System ( )TRS ( )ERS ( )N/A
Emergency Information
In case of emergency, please notify:
Name
Relationship
Phone
OR
Name
Relationship
Phone
Note: The above information is for Human Resources use only. It is only requested of applicants who have been
offered and accepted employment.
Revised 10/10/12
PAGE 1 of 2—Faculty Credentials Approval Form
LAWSON STATE COMMUNITY COLLEGE
B. Faculty Credentials Approval Form
(Submit All Originals to HR Office for Processing. Incomplete Packets will NOT be processed.)
Last Name: ______________________________ First Name: _______________________________
Print
Print
Address: __________________________________________________________________________
_____________________ AL
City
___________________
Zip Code
Phone: ____________________ Email Address: _________________________________________
SSN: ___________________________ Courses being sought to teach: _________________________
Part I: EDUCATION QUALIFICATION
List, from highest degree, certificate or diploma earned to lowest, all colleges/ universities you have
attended or transferred from in order to complete the degree, certificate or diploma. DO NOT LIST
degrees, certificates or diplomas that are unrelated to the position you are seeking. Also, DO NOT
list degrees you are currently working towards but have not earned.
________________________________ ________ ________________ ___________
Name of College/University
Degree/ Certif.
Diploma Earned
Major (must be accurate)
Year Earned
________________________________ ________ ________________ ___________
Name of College/University
Degree/ Certif.
Diploma Earned
Major (must be accurate)
Year Earned
________________________________ ________ ________________ ___________
Name of College/University
Degree/ Certif.
Diploma Earned
Major (must be accurate)
Year Earned
Part II: ADDITIONAL CREDIT HOURS (no degree earned):
________________________________ ________
Name of College/University
# of Credit Hours
___________________________
Major field of Study
Part III: TRANSCRIPTS REQUEST:
ATTACH COPIES OF YOUR UNOFFICIAL TRANSCRIPTS TO THIS FORM. Failure to
attach unofficial transcripts will delay the hiring process.
OFFICIAL TRANSCRIPTS must be mailed or hand delivered (unopened) within two weeks to
Mrs. Janice McGee, Director of Personnel. Additional information regarding requesting and
submitting OFFICIAL TRANSCRIPTS will be provided by the Human Resources Office. Please verify
(by your initials) that you understand and will comply with the transcripts requirements and deadlines
outlined above.
_________
INITIALS
PAGE 2 OF 2—Faculty Credentials Approval Form—Attach all required documents.
Part IV: LICENSES AND CERTIFICATIONS REQUEST:
ATTACH COPIES OF YOUR LICENSE(S) AND CERTIFICATION(S) TO THIS FORM.
License/ Certification Type: _______________
Discipline/Field: __________________
License # (if applicable):___________________ Expiration Date: __________________
Part V: ELIGIBILITY TEST (check all that apply):
____ I have a Doctorate degree in the exact field in which I am requesting to teach.
____ I have a Specialist degree in the exact field in which I am requesting to teach.
____ I have a Masters degree in the exact field in which I am requesting to teach.
____ I have a Bachelors degree in the exact or related field in which I am requesting to teach.
____ I have 18 graduate hours in the exact field in which I am requesting to teach.
NOTE: Do not check the 18 graduate hour’s category unless the courses that appear on your transcript match the EXACT field of study in
which you are seeking employment (i.e., Math, Biology, History, Barbering, Sociology, etc).
____ I have a certification or diploma in the exact field in which I am requesting to teach.
____I have related work experience in the field in which I am requesting to teach.
(Letter(s) from previous employer(s) where experience was obtained)
NOTE: If you are applying for a Career Technical teaching position, how many years of field experience do you
have? __________
For INTERNAL OFFICE use ONLY
Approved: _______________________________________
Date: ____________________
Department Chair
Approved: _______________________________________
Date: ____________________
Associate Dean
Approved: ________________________________________
Date: ____________________
Academic Dean/Career Technical Dean
____ Q (Qualified) 
____ N (Not Qualified) 
____ I (Incomplete Packet)
Approved: _____________________________________, Vice President of Instruction
D. INTENT TO HIRE FORM
(Completed by Supervisor. Submit this form to HR)
Directions: Supervisors, complete and sign this form and send the applicant to either Janice McGee
(Birmingham campus) or Carol Champion (Bessemer campus) to begin the official application process.
Please note that this form should NOT be completed unless the applicant has passed a background check,
submitted completed credentials packets, passed the credentials check, and you intend to offer this
individual a contract.
Prospective Employee: ___________________________ _______________________________
First Name
Last Name
Social Security Number: ________________________
Department: _______________________
Courses Eligible to Teach: _________________________________________________________
Direct Supervisor: ____________________________
As supervisor, I verify that the applicant listed above has:
______Passed the Credentials Test and has attached all required documentation to packet
Personnel Officers: The new employee listed above is eligible to complete the hiring process in the
Personnel Office (located on the 1st floor—Room 103—of the Administrative Building on the
Birmingham campus or in the A-Building—Room 101—on the Bessemer campus). The new employee
is also eligible to pick-up an authorization form for an ID badge and parking decal.
My signature below indicates that the applicant has been cleared for hiring. Please start the official
hiring process on this new employee and upload him or her in the AS400 system as an active employee.
Also, this new employee is authorized to receive an ID badge and parking decal.
Signed and approved:
Supervisor____________________________________________
Date: __________________
*Please DO NOT process any applicants who DO NOT have this official (signed) form.
HR Transcript Verification
(To be completed by HR Officers Only)
_____Official Transcript Request was provided to new employee and the process explained.
_____Employee verifies that he/she is fully aware that ALL official transcripts must be
submitted (unopened) or mailed to Ms. Janice McGee, the HR Director within 14business days (from the hire date listed above) or the contract is void.
Employee:___________________________ HR Director/Rep:___________________________