EMPLOYMENT SERVICE AGREEMENT, SENATE COLLEGE SERVICE (ESA-SCS)Employment Service Agreement • October 15th, 2018
Contract Type FiledOctober 15th, 2018EMPLOYEE TO COMPLETE:#1. Retirement Question (Employee to complete with each ESA-SCS):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, campus AND department: _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-SCS TERMS - TO BE COMPLETED BY HIRING DEPARTMENT: Position #: ARC - 00081508 Budget # 1408 – / / / / / $ 0.00 Account Fund Org/GL Dept. ID Program Proj/Grant Distribution Amount DETAILED DESCRIPTION OF SERVICES TO BE RENDERED:ESA-SCS for duties performed through the “Adjunct Faculty Academic Senate College Service Program”. Adjunct faculty member will be serving on the following committee (check ONE):Academic Senate Curriculum CommitteeMatr