Supplemental Work Request
Use this form for all time to be paid outside regular contract or assignment (Not used for Substitutes). This Form must be Approved prior to starting supplemental work.
Employee Name
*
First Name (Type 'Group' if a one time training)
Last Name
Employee ID
*
(Type 'Group' if a one time training)
Employee Email Address
*
example@example.com
School
*
Please Select
Aliso
Canalino/CFS
Summerland
CHS
CMS
Pupil Services
Other
Funding Source
Please Select
Title 1
After School
Grant
Site Funds
Other
Grant Name
Only if 'Grant' option was selected above as Funding Source
Employment Type
*
Please Select
Certificated
Classified
SUPPLEMENTAL WORK INFORMATION
Number of hours EXTRA per day
(outside of regular contract or assignment)
Number of total days requested
Assignment Date From
-
Month
-
Day
Year
Date
Assignment Date To
-
Month
-
Day
Year
Date
Assignment Description
Pay Rate
Please Select
Certificated Hourly Rate
Classified Hourly
Classified OT
Other
Submit
Workflow: Office Manager Submits - Principal Approves - Business Approves - Superintendent Approves - Employee Approves - Approval Report Sent to Office Manager and Employee
Budget Code
School Site Manager
example@example.com
Should be Empty: