EMPLOYMENT SERVICE AGREEMENT (ESA) – ACADEMIC ESA #:Employment Service Agreement • September 20th, 2017
Contract Type FiledSeptember 20th, 2017EMPLOYEE TO COMPLETE:#1. Retirement Question (Employee to complete with each ESA):Are you a member of (have funds on deposit): CalPERS CalSTRS Neither If a member of CalPERS or CalSTRS, check one of the following: Active Retired* #2. Are you related to anyone employed by Los Rios? No Yes If “Yes,” provide name, relationship, department AND campus: NEW HIRES ONLY: Telephone ( ) Street Address City / Zip (Address/Phone changes must be made for returning hires by submitting a Name/Address Change form to Human Resources.) ESA TERMS - TO BE COMPLETED BY HIRING DEPARTMENT:Payment Type: Hourly Rate: $ _ Class: Step: Longevity: LRCFT Stipend: $ _ (Head Coaching Stipends ONLY – Step: ) Are the duties creditable* towards: #1) 67% Lawǂ (Answer if employee is adjunct faculty / ESA-only employee (Fall/Spring)): Yes No #2) 60% Rule (Answer if employee is full-time / LTT Faculty or a summer assignment): Yes No If the answer is “no” to #1 or #2 above, complete Box A below: If summ