All Fields Are Mandatory - Incomplete Forms Will Be Returned to Hos/Unit

UCD HR Tutor Demonstrator Set-Up Authorisation Form

Please complete Sections A & B by typing into the form. Print off, sign section B & send to Head of school/unit
for authorisation. All forms must be returned to HR Compensation & Benefits, Roebuck Offices, Belfield.

ALL FIELDS ARE MANDATORY - INCOMPLETE FORMS WILL BE RETURNED TO HOS/UNIT.

(A) Hourly Paid Claimant Details (To be completed by claimant)
First Name: / Middle Initial: / Surname: / Title: / Gender: / MF
Date of Birth: /
/ Contact Address:
e-Mail address:
Next of Kin Name:
Next of Kin Tel: / Contact Telephone:
Next of Kin Address: / PPS Number:
Nationality:
Are you required to have a work permit? No Yes If ‘Yes’ please provide a copy of your GNIB (Garda National Immigration Bureau)Card andattach a separate sheet specifying the grounds under which you are eligible to work in the Republic of Ireland.
Have you ever previously worked in the Public Sector?No Yes If ‘No’your rate of pay will be subject to the ‘2011 New Entrant’ rates
Do you currently or have you ever been in receipt of payment from UCD?No Yes
If ‘Yes’ please specify type of payment(s):
Hourly Salary/Wage  Scholarship Other  / If ‘Yes’ please specify UCD Personnel / Payroll number:
P
Are you registered as a student for the current academic year?No  Yes / If ‘Yes’ you mustspecify UCD student number:
(B) Payment Details (To be completed by claimant)
Pension Related Deduction
Are you a member of a Public Service Pension Scheme, entitled to a benefit under a public service pension scheme or receive a payment or allowance in lieu of membership of a public service pension scheme (other than a UCD Pension Scheme)?
Please tick as appropriate: / No  Yes / NOTE: If Yes, please complete & return the Pension Related Deduction Declaration Form available for download on
Direct Payment Mandate
Please send all my future wage / salary payments directly to my account:
Sort Code: /
Bank Account Number:
Bank Branch Name & Address:
I declare that all particulars stated in Sections A & B are complete and correct
Claimant Signature: / Date:
(C) Authorisation (To be completed by Head of School / Unit)
School / Unit: / Cost Centre / Grant Code: /
Description of Work:
Start Date: /
/ End Date: /
If claimant has indicated that he / she has no previous Public Sector experience, 2011 New Entrant rates will apply
Position: / Point: / Rate:
If Claimant will be claiming on-line (ESS) please specify approver details: (for more information see
Approver1 Name: / *Approver 2 Name:
Signed (HOS/Unit): / Date:
Name (BLOCKS): / Tel Ext:
(D) Exception & Additional Duties Approval (To be completed by Head of School / Unit)
Exception Approval by Head of School / Unit is required if:

• The Tutor / Demonstrator is not a registered student
• The Tutor / Demonstrator intends to work more than the maximum 9 hours allowed by this contract

Reason for exception:
Authorised by:Print Name:
Head of School / Unit
Additional Duties Approval:
If you work elsewhere in UCD and are tutoring in addition to your regular hours then you will need the approval of your primary Head of School to ensure that this appointment does not interfere with your primary post in the University.
Approval granted for working additional duties by primary Head of School / Unit:
Authorised by:Print Name:
Head of School / Unit
(E) Terms & Conditions of Appointment (To be completed by claimant)
I am pleased to offer you a temporary appointment from 1st September 2012 to 31st August 2013.
You will be required to work up to a maximum number of 9 hours as agreed with the Head of the School / Unit. There may be weeks where you will not be involved in tutorials. You will be paid at the rate indicated on this contract for hours worked. You will pay PRSI at Class A and the appointment is non-pensionable.
Persons employed as Tutors/Demonstrators are entitled to holiday pay in accordance with the terms of the Worker Protection (Regular Part-time Employees) Act 1991 and the Organisation of Working Time Act, 1997. Holiday entitlement is calculated on the basis of 8% of hours worked. In the event paid annual leave is not taken, a once-off payment will be made on a date to be agreed.
The Unfair Dismissals Acts 1977- 2001 will not apply to the ending of this contract by reason only of the expiry of the fixed term.
The terms of the contract are as set forth herein and any alteration thereto shall be in writing signed by the College and you. No representation, warranty or commitment not expressly contained herein (or altered in writing and signed by both parties) shall form any part of this contract.
An appointment of Tutor / Demonstrator is a temporary one and no warranty or representation regarding further or other employment is hereby given. It is current University policy that Tutors / Demonstrators may be renewed for up to four years providing there is sufficient demand in the School concerned. You should not commence giving tutorials until this contract is returned duly signed.
In accordance with the Universities Act, 1997, the objects and function of UCD include the following:
a) To advance knowledge through teaching, scholarly research and scientific investigation
b) To support and contribute to the realisation of national economic and social development
Currently, the university sector is charged with delivering on the Government’s Strategy for Science Technology and Innovation (SSTI) 2007-2013 which has outlined the requirement to double the number of PhDs. This requires the development of generations of PhD students. An internationally accepted element of MA and PhD studentship is to facilitate the student for a period of their MA or PhD studies in the generation of some income through undertaking part-time work in the university environment and related to their field of study while at the same time allowing UCD to retain the freedom to provide similar income opportunities to future students.
The objective grounds for issuing this fixed term contract rather than a permanent contract is to enable the development of generations of MA/PhD students in line with the above. The fixed term nature of this contract underpins the fulfilment of this legitimate objective of the university. The contract will commence on 01 September 2012 and end on 31 August 2013.
If, prior to the expiry of the fixed-term, you cease for any reason to be a registered MA/PhD student, your employment hereunder will cease automatically on the date that you cease to be so registered.
Please note: You cannot be set up on the Payroll system until you have signed and returned one copy of this contract to: UCD HR, Roebuck Offices, Belfield, Dublin 4.
A copy of this contract will be sent out to the address provided once this original has been processed and authorised by UCD Human Resources. This contract is only valid once authorised by UCD HR.
For information on claims and pay-related matters please contact Compensation & Benefits, UCD HR.
For Information on contractual matters please contact the Staffing Unit, UCD Human Resources.
I accept and understand the terms and conditions outlined above.
Tutor / Demonstrator Signature:Date:
(Please note that Payment may be withheld if a PPS number has not been supplied with your contract)
(F) Processing (HR & Payroll Office Use Only)
Input & Checked HR  / Signed: / Date:
Checked Payroll  / Signed: / Date: