Hiring Packet - Part-time Faculty

Part-time Faculty Hiring Packet

To All New Hires:

The following documents require Acrobat Reader. For filling out and saving forms, it is best to use Internet Explorer.

If you are using a Mac computer to fill out the PDF forms, please make sure you are not on "Apple Preview" mode because the data entered in the form fields will not show when the documents are printed.

Forms To Be Filled Out And Submitted Please Print Each Form Individually (Single-sided)	Information as Applicable
	Welcome Checklist
1. Part-time Faculty Employment Application	CLPCCD Application Procedures and Notice for Part-time Faculty Employment
2. Tuberculosis Forms/Risk Assessment	Tuberculosis (TB) Information & Testing Locations
3. Request for Live Scan	Instructions for Fingerprinting
4. Employment Eligibility Verification I-9 Form	Instructions for Employment Eligibility Verifications
5. Acknowledgement of CalSTRS Membership Information	Cash Balance vs. Defined Benefits vs. Social Security
6. CalSTRS Retirement System Elections ES0350 Form CB 533 Form	Guide to Filling Out the Part-time Faculty Retirement Forms ES0350 Form Information and Instructions CB 533 Form Information and Instructions
7. Statement Concerning Your Employment in a Job Not Covered by Social Security	Information about Social Security Form SSA-1945 Statement Concerning Your Employment in a Job Not Covered by Social Security
8. Verification of Work Experience	Initial Placement on the Faculty Salary Schedule for New Contract or Temporary Leave Replacement Faculty
9. Oath of Allegiance
10. Tax Forms IRS W-4 Form Employee's Withholding Allowance Certificate	Forms are also located: http://www.clpccd.org/business/FormTemplate.php Scroll to Payroll, look for Tax Withholdings. You will need to fill out both forms.
11. Confidential Personal Information Form
12. Retirement Information Form
13. Salary Warrant Distribution Request Form	Scroll to Payroll, look for Check Distribution.
14. Direct Deposit Form	Scroll to Payroll, look for Direct Deposit.
15. Designation of Beneficiary for Deceased Employees Form
16. Request for Sick Leave Transfer Form
17. Provide Official Transcripts [sealed]	Transcript Information Document
Informational Items:	Board Policy 3430: Prohibition of Harassment Chabot-Las Positas 403(b) and 457(b) Plan Highlights Plan Comparison of 403(b) and 457(b) Equal Employment Opportunity Compliance Notice Employee Rights and Responsibilities Under the Family and Medical Leave Act (FMLA) New Health Insurance Marketplace Coverage Options and Your Health Coverage Public Service Loan Forgiveness (PSLF) Application and Program Information Workers' Compensation Information for New Hires Faculty Association Welcome Letter CLPFA Membership Application Form Transit Commuter Flyer Transit Commuter Enrollment Form
For Hiring Administrator: Form(s) To Be Filled Out And Submitted With New Hire Paperwork	Personnel Action Form (PAF) PAF Instructions Reference Check Form CLPCCD Technology Systems Access Request Form for All Hires [Submit completed form to the CLPCCD ITS Help Desk]

For questions, please contact Jennifer Hanna at (925) 485-5238.

Hiring Packet - Part-time Faculty

Human Resources

Part-time Faculty Hiring Packet

To All New Hires:

Informational Items:

For Hiring Administrator: