NOTE: The below items will be required when you meet with your adjunct hiring coordinator. Print, check off each completed item and place this coversheet on top of all documents.
Adjunct Instructor/Part-Time Employment Packet Instructions
Applicant Name: ______Date: ______
ID#: ______(SCF will complete)
To access the hyperlinks below: Hi-light the hyperlink, right click and select “Open Hyperlink”
☐ / SCF Application for Employment / Complete, print and sign the on-line application located at (Adjunct Faculty). Attach completed application to employment packet.☐ / Resume / Attach a copy of your resume to employment packet
☐ / Unofficial copy of transcripts / Attach a copy of your unofficial transcript(s) to packet. Official transcripts must be received in 30 days.
☐ / Official transcript(s) with your highest degree /
Submit completed request form to university(s) to request your records. Note: Official copy must be received within 30 days of 1st day of employment
☐ / Employee Notification of Social Sec. Number Collection and Usage /
Employee should read and retain this information
☐ / Personnel Information Master File /
Complete, print and attach to employment packet
☐ / Req. for Exemption of Personal Info /
Complete and attach toemployment packet
☐ / I-9 Form – Employment Eligibility Verification / Print pages 7 & 8 and attach with this packet. You will be asked to provide documents that establish identity and employment authorization (see the list of acceptable documents on page 9). .
☐ / W-4 – Employee’s Withholding Allowance Certificate / Print page 1, complete and attach with this packet. If needed, use the worksheet on page 2.
☐ / Oath of Loyalty / Print and submit with this packet.
DO NOT sign until you are in the presence ofSCF Notary Republic.
☐ / Authorization for Direct Deposit /
Complete and sign the form. Attach a voided check and attach to employment packet.
☐ / Florida Retirement System (FRS) Certification Form / Print, complete, sign and attach form to packet
☐ / BENCOR 401(a) FICA AltPay Plan /
Print, Sign and submit the FICA Alternative Plan Acknowledgement Form below with employment packet.
☐ / Drug Free Campus Program / Read the Program and Appendix(a). Print, sign(in both places) and attach theacknowledgement form belowto employment packet
☐ / Rules and Procedures Receipt / Access/read the 8 Rules/Procedures below. Sign and attach the receipt to employment packet.
After reviewing the 8 rules/procedures above, print, sign and attach the below acknowledgement for to your packet
☐ / The Americans With Disabilities Act / Once the American with Disabilities Act document has been reviewed, print, sign and attach the below verifying statement to this packet.
☐ / *Emergency College Closure Pay
*Identity Theft Prevention Procedure
*4 – Department of Public Safety
Emergency Guides
*Equity Contact List
*Campus Maps / Read and familiarize yourself withbelow informational hyperlinked documents:
This information is informational only, acknowledgement is not required.
☐ / Volunteer & Employee Criminal History Waiver Agreement/Statement / You must print and complete 2 copies of this document to take with you to the Department of Public Safety for fingerprinting prior to your first day of work. Contact Department of Public Safety for office hours: Bradenton (941)408-1550 or Venice (941)408-1550 to schedule your appointment
☐ / Release for Photograph/Video/Voice /
Print, complete, sign and attach the release to employment packet.
☐ / On-line Prohibited Harassment Training / Select “Faculty and Staff”. When completed with the training,print, sign and attach the certificate of completion with this packet.
☐ / Family Educational Rights and Privacy (FERPA) Training / Select “Faculty and Staff”. When completed with the training, print, sign and attach the certificate of completion withthispacket.
SCF to Complete / ☐ Reference Checks ☐ Faculty Certification
Adjunct Coordinator signoff: ______Date: ______