Part-time Salary Advancement Approval Form
Hutchinson Community College
Please submit this form to your Department Chair or Site Coordinator for approval to move on the Part-time salary scale. This form will be forwarded to the Dean of Instruction for a recommendation. Following action by the Dean, a copy will be given to you and the original will be filed in your personnel file.
Part-Time Faculty Member:_____________________________________________________________
# of load hours completed:______ # of Staff Development hour completed:______
Current Level of pay:_____________ Proposed Level of pay:_____________
Signature:____________________________________________Date:_____________
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Department Chair/ Site Coordinator recommendation and verification of hours:
Load hours verified:__________ Staff Development hours verified:__________________
Recommendation:_______________________________________________________
Signature:____________________________________________Date:_____________
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Dean of Instruction recommendation:
Approved:____________ Not Approved:_____________
Signature:____________________________________________Date:_____________
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Office use only:
Copy to:
Department Chair/ Site Coordinator_______
Human Resources:_______
Part-time Faculty Member________