Suffolk County Community College s8

SUFFOLK COUNTY COMMUNITY COLLEGE

OFFICE FOR FACULTY AND PROFESSIONAL ADVANCEMENT

REQUEST FOR FULL-TIME RETIREE TO BE PLACED ON

ADJUNCT FACULTY SENIORITY LIST

In order to be placed on the seniority list for adjunct teaching, full-time retirees must complete this form. Once completed, please return to Office for Faculty and Professional Advancement, Smithtown Science Building, Room 100, 533 College Road, Selden, NY 11784.

Name of Retiree:__________________________________________________________

SCCC ID#: ____________________________ Home Campus: ________________

Academic Department:_____________________________________________________

Academic Rank:__________________________ Date of Rank:____________________

College Start Date:___________________ Date of Retirement:____________________

Courses included on the adjunct seniority list will be based on past teaching schedules.

Once your name is placed on the adjunct seniority list, you will be required to complete the adjunct Notice of Reasonable Assurance on-line in order to be considered for adjunct teaching. You will be notified by e-mail when this becomes available for each semester. It is important to check your e-mail weekly to keep current of all timelines.

If you have any questions, please contact our office at 631-451-4300.

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Office Use Only:

# of Semesters:_____________________ # of Hours:_____________________

Courses to be placed on list:

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