student workers/tutors...fiscal year of work: assignment: ~2013114 1\'otes: during the...

$: STUDENT WORKERS/TUTORS...Fiscal Year of Work: Assignment: ~2013114 1\'otes: During the FALUSPR!I'\IG Semesters, the student rmst be ervof.ed In at Jeast 6 to 12 units and work no more$
STUDENT WORKERS/TUTORS

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM{'""'·"")

last Name: Solis First Name: Gianigna Student Email: · n

Department: CaiWORKs Supervisor/Title: Racquel Schoenfeld, CaiWORKs Coordinator & Counselor

IZI Student Worker D Tutor (all funds at 100%) D other: Define "Other" Fiscal Year: Select Year

Active Student Status? 1Z1 Yes D No Verified by: Ivy Torres

Is this person currently employed at COD, or was employed in the last 24 months? IZI Yes D No

Start Date: 2/10/14 End Date: 6/30/14 Hourly Rate: $8.50

Max Hours/Day: Enter Hours Max Hours/Week: 20

Comments for Human Resources and/or Payroll Teams:

Correction on funding codes

Funding for Assignment:

Please select 1-6 of the pre-designated codes below and indicate the percentage- most requests will only include 1 codes, codes 2-6 are used

primarily for Tutoring. All percentages must add up to 100 (except Tutors). If you do not see your funding code(s}, manually enter up to two

codes and percentages In the grid below. To add a commonly used code to the drop-down choices- contact Human Resources.

Funding Code 1: Choose an item.

Percentage 1: Enter%


Percentage 2: Enter%%









Pre-designated Financial Aid Codes:

Federal Wk Study ( 12-526-0108-0-7090-0000-2301)

Alumni (12-526-0103-0-6460-0000-2301)

Ca/WORKs (12-488-0101-0-0801-0000-2301)

Ca/WORKs (12-488-0101-0-0801-0000-2304)

Funding%: Enter% Dollar Amount: $Enter$

Funding%: Enter% Dollar Amount: $Enter$

Funding%: SO Dollar Amount: $Enter $ Funding%: Enter% Dollar Amount: $Enter$

Description Fund School Resource PR Goal Function Object EOPS 12 586 0101 0 6430 0000 2301 Description Fund School Resource 0 Goal Function Object

Percent

so Percent

"""""" ,;,c;r ;;;;;"'~ ~<(__ ~!t>{!f Executive Dir of Human Resources Date

Red Carpet- Student Worker https://col]egeofthedesert-redcarpet.silkroad.com/eprise/main/RedCa ...

RedCarpet

1~\iBl!j COLLEGE Lif.:iJ ,t!D ESERT Student Workerffutor Authorization Form

astName: foma~~~ first Name ~-gh ~Iiddle r SN: I ]r:epartment IChM Development Center

Asslgrwnent Type: >t Student Worker r_, Tutor (·Other:

Fiscal Year of Work: Assignment: ~2013114 1\'otes: During the FALUSPR!I'\IG Semesters, the student rmst be ervof.ed In at Jeast 6 to 12 units and work no more 20 hours per week.

@Student L-Not aStudent !Verified By: Ivy Torres s this person currently errqXoyed, or has been previous~ enwloyed by Cof.ege of the Desert? ,:'Yes ~No

Start Date: 0810912014 End Date:ps!3Ch'2014

Hourty Pay Rate: 8.5 Max Hours Per Week: 20 Hoocs Per Day: Varies

P,mments: I

Additional options available for Supervisor: ''May have possible SalfSun assignments. (Not to exceed weekly max) ;:'When School is NOT in session, student may work adc!itional hours. (Max40 hours/Contingent on Funds) VWhen School IS In session, student may work additional hours. (Special Circumstances Only)

Notes: A request for additional hours must be·submilled to the H.Jman Resources Office by the Supervisor one roonth prior to proposed schedule change. International Students may NOT work roore than 20 hours per week when school is in session.

Pre-defined Account Codes: ?.ASC: 11-562-000-0-611 0-0000-2304 •)ASC: 11-582-0000-0-611.0-0000-2301 DAGES: 12-575--0101-0-6300-0000-2304 (_-DSPS: 12-545-0101-0-6420-0000-2304 &MESA: 12-745--0101-0-1901-0000-2304 ~TSD: 12-547-0101-0-6300-0000-2304 ·OlETRIO: 12-573-0101--0-6300-0000-2304 '-''Financial Aid: 12- 0 1 08-0-7090-0000-230 1 '='Financial Aid: 12~ 0 103-0-6460-000-'=~Financial Aid: 12-488--0101-0-0801-0000-2301 ;;,Fed Work Study%: Dollar Ami::

---<O:'J\Iumn! %: Dollar AAt:

--- ---~'CaiWORKs %: Oolar Alrt:

The foklwing budget account codes voiD be used to flrolsh at wages associated with this assignment.

FUND SCHOOL RESOURCE GOAL FUfi.'CTION OBJECT ERCENTAG 12 88 101 1305 0000 12301 50

fl3 1726 p:l31 6920 000 f2;lo1 50

TOTAL PERCENTAG 00

NOTES: Students must re-port to the Human Resources Office to complete the necessary personnel forms prior to begiming lhelr assignment. 1he student win 1\lQT receive payrol vrarrants ootil al necessary paperwork Is filed with 1-R and Payrol.

l.""""lliillil

1 of! 5/27/2014 3:01PM

RedCarpet- Student Worker https://collegeoflhedesert-redcarpet.silkroad.comleprise/main/RedCa ...

RedCarpet

rr~~ COLLEGE 'H:iJ,f!DESERT Student WorkerfTutor Authorization Form

--~Aendez First Name porge . ~Uddle r astName: SNo I jDepartment ~''"

Ass!grvnent Type: ~Student Worker <';Tutor -~-Other. rmbllty aid

Fiscal Year of Work Assignment:! 2014!15

Notes: During the FAI...USPRING Semesters, the student must be e.voled In at least 6 to 12 units aod work oo more 20 hours per week. ~student '·Not aShKJent jVerified By: sherrywein:zer

s this person currently errrpklyed, or has been pre'liously employed by Colege of !he Desert? ~Yes .:-No

Start Date:071011201_4 Eod Date:~2015

Hourly Pay Rate: $9.00 Max Hours Per Week: 20 Hours Per Day: 5

por : robility aid for ~ebecca Vineyard mmenls:

Additional options avaDable for Supervisor: 'J.May have poss!hle SaVSun assignments. (Not to exceed weekly max) <-'When Schoo\ Is 1\'0T In session, student may \'IOrk additional hours. (Max 40 hours/Contingent on Fund~) VWhen School IS in session, student may \'IOrk additional hours. (Special Circumstances Only)

f..'<ltes: A request for additional hours rrust be submitted to the f-bnan Resources Office by the Supervisor one month prior to proposed schedu}e change. International Students may NOT work more than 20 hours perweek\•.tlen school is in session.

The fo!<~wlng budget account codes wit be used to furnish alwages associated with this assignment

FUND SCHOOL RESOURCE fR GOAL FUNCTION OBJECT ERCENTAG 12 545 101 8<20-0000 2301 0000 100

TOTAL PERCENTAG 100

Pre·defined Account Codes: ''Fed Work Study%: Dolar lvnt: €:'Aiutm %: Dolar lvnt: oca!\rVORKs %: Do!ar Prot:

l\'OTES: Students must report to the Human Resources Office to comp!ete the necessary personnel fonrn prior to begiMing their assignment. The student \•.il NOT receive payrot warrants until at necessary paper.rork Is fHed with 1-R and Payrol.

L""""llliill

1 of1 6/9/2014 9:22AM

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM t"''""'"i

last Name: Romero-Pierson First Name: Teodulo Student Email: · ·Department: DSPS Supervisor/Title: leslie Yang

181 Student Worker 0 Tutor (all funds at 100%) 181 Other: Mobility Aid Fiscal Year: Select Year

Active Student Status? 181 Yes 0 No Verified by: Sherry Welnzer

Is this person currenrly employed at COD, or was employed In the last 24 months? 181 Yes 0 No


Max Hours/Day: 5 Max Hours/Week: 20

Comments for Human Resources and/or Payroll Teams: Mobility Aid

Funding for Assignment: Please select 1·6 of the pre-designated codes below and Indicate the percentage- most requests will only Include 1 codes, codes 2-6 are used primarily for Tutoring. All percentages must add up to ;100 (except Tutors), If you do not see your funding code(s), manually enter up to two codes and percentages In the grid below. To odd a commonly used code to the drop-down choices- contact Human Resources.

Funding Code 1: Choose an Item. Percentage 1: Enter%

Funding Code 2: Choose an item. Percentage 2: Enter%% Funding Code 3: DSPS: 12·545·0101-0-6420-0000·2304 Percentage 3: 100% Funding Code 4: Choose an item. Percentage 4: Enter%%

Funding Code 5: Choose an item. Percentage 5: Enter%% Funding Code 6: Choose an Item. Percentage 6: Enter%%

Pre-designated Financial Aid Codes: Fed Wk Study: Select Fund Funding%: Enter% Dollar Amount: $Enter$ Alumni: Select Fund Funding%: Enter% Dollar Amount: $Enter$ CW/TASCStud (12-488-0101·0·0801-0000·2301) Funding%: Enter% Dollar Amount: $Enter$ CW/TASC Tutor(12·488·0101·0·0801-0000-2304) Funding%: Enter% Dollar Amount: $Enter$

Description Fund School Resource PR Goal Function Object Description Fund School Resource 0 Goal Function Object Description Fund School Resource 0 Goal Function Object

Please send signed form to HR for processing.

Percent Percent Percent

Red Carpet- Student Worker https://collegeofthedesert-redcarpetsilkroad.com'eprise/main!RedCa ...

RedCarpet

1~\'iill! COLLEGE iili: it!D ESERT Student Worker/Tutor Authorization Form

fOrrasko ....

first Name ~-"" ~.tiddle I ast Name: SN: I apartment !Ch&:l Dave!opment Center

Asslgrvnent Type: >?Student Worker f;Tutor (•Qtl)er.

Fiscal Year of Work Assignment:! 2013/14

Notes: During the FALUSPRING Semesters, the student rrrust be ecvoled In at least 6 to 12 units and work no more 20 holKs per week. ~Student Ll\\)1 aStudent t'lerified By: l>o;'Torres

s this person CIJITently erqroyed, or has been previously errployed by Cofege of the Desert? .. ·yes ~No

Start Date: 0610912014 End Date::00,.3a'2014

Hourly Pay Rate: 8.5 Max Hours Per Week: 20 Hours Per Day: Varies

Commool" I Additional options available for Supervisor. "''May have possible SaVSun assignments. (Not to exceed weekly max) •'-•When School Is NOT in session, student may work additional h<lurs. (Max 40 hours/Contingent on Funds} ,:-;When Schoo! IS In session, student may work additional hours. (Speclal Circumstances Only}

Notes: A request for additional hours must oo·submitted to the I-Uman ResO!Kces Office by the Supervisor one month prior to proposed schedule change. International Students may NOT work more than 20 hours per week vlhen school Is In session.

Pre-defined Account Codes: ''ASC: 11-562..000-0-6110-0000-2304 ":0ASC: 11-562-0000..Q-6110-0000-2301 ~ACES: 12-575-0101-0-630Q...0()()0...2304 ,:,OSPS: 12-545-0101..Q-6420-0000-2304 "-~MESk 12-745-0101-0-1901-0000-2304 BTSD: 12-54 7-01 01-0-6300-0000-2304 ') ETRIO: 12-573-0101-0-6300-0000-2304 "'Financial Ald: 12- 0108-0-7090-0000-2301 ""'flnanclal Aid: 12- 0103-0-6460-000-(-financial Ald: 12-488-0101-0-0801-0000-2301 Ofed Work Study%: Dol.ar Am!.: ---,;_; JIJumnl %: Do!ar Ami.:

--- -----<:•Cal'vVORKs %: Do!ar .Ami:

The folowlng budget account codes wil be used to furnish al wages associated with this assignment

FUND 112 f!8S 0101

~ ~ ~ 50

l3 726 0331 50

HAL

fK>TES: Students m.Jst re·port to the 1-kJma.n Resources Office to complete the necessary personnel forms prior to beginning their assignment. The student wil NOT receive payrol warrants until ai necessary paperwork is filed with HR. and Payrol.

LC>i<tllliiiil

I of! 5/27/2014 3:01PM

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM 1'""'L1'}

Last Name: Li First Name: Mengyang Student Email:

Department: International Education Supervisor: Christina Delgado

lSI Student Worker D Tutor D Other Define "Other". Fiscal Year: 2014-15

Active Student Status? lSI Yes D No Verified by: Christina Delgado

Is this person currently employed at COD, or was employed in the last 24 months? lSI Yes D No

Start Date: 7/1/14 End Date: 6/30/15 Hourly Rate: 9.00 Max Hrs/Day: Enter Hours. Max Hrs/Wk: 20


Add your comments here.


Please select 1-3 of the pre-designated codes below and indicate the percentage. All percentages must add up to 100. If you

do not see your funding code(s), enter your codes in the grid below.


Percentage_: Enter %.


Percentage: Enter%


Percentage: Enter%.


Federal Wk Study ( 12-526-0108-0-7090-0000-2301) Funding%: Enter% Dollar Amount: Enter$

Alumni (12-526-0103-0-6460-0000-2301) Funding%: 100% Dollar Amount: Enter$

CalWORKs (12-526-0108-0-7090-0000-2301) Funding%: Enter% Dollar Amount: Enter$

Description Fund School Resource PR Goal Function Object International Education Fund School Resource 0 Goal 0000 Object Description Fund School Resource 0 Goal Function Object

Percent

Percent

Executive Dir of Human Resources Date

I COD STUDENT WORKER-TUTOR AUTHORIZATION FORM i'""-'""l

Last Name: Islas First Name: Celeste Student Email: l.us Department: TASC Supervisor/Title: TASC Mgr

181 Student Worker 0 Tutor (all funds at 100%) 0 Other: Define "other" Fiscal Year: 2014-15

Active Student Status? 181 Y~s 0 No Verified by: tf

Is this person wrrently employed at COD, or was employed In the last 24 months?', 181 Yes 0 No




May work up to 32 hours per week when school is not in session

Funding for Assignm-ent:

Please snh:!ct 1-6 of the pre-designated codes below and Indicate the percentage- most requests will only !nc!ude 1 codes, codes 2-6 are used primarily for Tutoring. All percentages must add up to 100 (except Tutors), If you do not see your funding code{s), manually enter up to two codes and percentages in the grid below. To add a commonly used code to the drop-down choices- contact Human Resources.

Funding Code 1: ASC: 11-561-0000·0·6110·0000-2301

Percentage 1: 100


Percentage 2~ Enter%%



Funding Code 4! Choose an item.






Pre-designated Financial Aid Cotles:

Fed Wk Study: Select Fund Funding%: Enter% Dollar Amount: $Enter$

Alumni: Select Fund Funding%: Enter% Dollar Amount: $Enter$

CW/TASC Stud (12-488-0101-0·0801·0000-2301) Funding%: Enter% Dollar Amount: $Enter$

CW/TASC Tutor (12-488·0101-0-080HJ000-2304) Funding%: Enter% Dollar Amount: $Enter$



Approver/Hirlng Manager


Red Carpet- Student Worker https://collegeofthedesert-redcarpetsilkroad.comleprise/rnain/RedCa:c

RedCarpet

irt!j COLLEGE ' ilt.l'tDESERT Student Worker!Tutor Authorization Form

f,Ceves first Name ~fael ' ,.fiddle I ast Name: SN: ' !Department lTASC

Assig001enl Type: "Student Wolter ,-·Tutor \-Other:

Fiscal Year of Work Assignment: !2014115 Notes: During the FN...USPRING Semesters, the student rrust be e(l{o!ed In at least 6 to 12 units and worto; no more 20 hours per week.

g Student ::-Not aStudent N'erified By: tfFALLSTUDENT s this person currently errployed, or has been previously errployed by Co!ege of the Desert? ,;Yes %No

Start Date: 06/11f2014 End Date:;ost:»2015

Hourly Pay Rate: 8.50/9.0 Max Hours Per Week: 20 Hours Per Day: 8

:rune 11, 2014 - June 30, 2015 Comments:

Additional options available for Supervisor: -""-May have possible SaUSoo assignments. (Not to exceed weekty max) ;.When School is NOT in session, student may work additional hours. (Max:40 hours/Contingent on Funds) "When School IS in session, student may work additional hours. (Special Circumstances Only)

r..~otes: A request for additional hours must be submitted to the Human Resources Office by the Supervisor one month prior to proposed schedtrle change. International Students may r..1QT work more than 20 hours per week when school is in session.

The fotowing budget aCCQunt codes wil be used to furnish al wages associated \'•ith this assignment.

FUND SCHOOL RESOURCE GOAL FUNCTION OBJECT ERCENTAG 11 561 10 Oooo 2301 100

TOTAL PERCENTAG

Pre-defined Account Codes: (;Fed Work Study%: Dof.ar/>.rnl: ""Alumni%: Dolar Ami: ''CalWORKs %: Dolar l'lnl:

NOTES: Students must report to the H:tman Resources Office to cO!llJ>!ele fue necessary personnel forms prior to beglmlng their assignment. The student will NOT receive payrol warrants until an necessary papei\YOrk: Is filed with rR and PayroD.

~lli!i:ll

1 of 1 6/4/2014 8:03AM

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM{"'""")

Last Name: Braz Silva First Name: Karina Student Email:


ISJ Student Worker 0 Tutor 0 Other Define "Other". Fiscal Year: 2014-15

Active Student Status? ISJ Yes 0 No Verified by: Christina Delgado

Is this person currently employed at COD, or was employed in the last 24 months? 0 Yes ISJ No





Please select 1-3 of the pre-designated codes below and indicate the percenta~e. All percentages must add up to 100. If you

do not see your funding code(s), enter your codes in the grid below.


Percentage: Enter%.


Percentage: Enter%


Percentage: Enter%.



Alumni (12-526-0103-0-6460-0000-2301) Funding%: Enter% Dollar Amount: Enter$

Co/WORKs (12-526-0108-0-7090-0000-2301) Funding%: Enter% Dollar Amount: Enter$

Description Fund School Resource PR Goal Function Object

International Education 12 583 0101 0 2299 0000 2301

Description Fund School Resource 0 Goal Function Object

Approver/Hiring ~ nager a e Executive Dir of Human Resources

Percent

100% Percent

Date

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM (,.,o,.1!.14)

Last Name: Braz Silva First Name: Karina Student Email:'


ISl Student Worker 0 Tutor 0 Other Define "Other". Fiscal Year: 2013-14

Active Student Status? ISl Yes 0 No Verified by: Christina Delgado

Is this person currently employed at COD, or was employed in the last 24 months? 0 Yes ISl No





Please select 1-3 of the pre-designated codes below and indicate the percentage. All percentages must add up to 100. If you do not see your funding code(s), enter your codes in the grid below.


Percentage: Enter%.


Percentage: Enter %


Percentage: Enter%.



Alumni (12-526-0103-0-6460-0000-2301) Funding%: Enter% Dollar Amount: Enter$

Co/WORKs (12-526-0108-0-7090-0000-2301) Funding%: Enter% Dollar Amount: Enter$


International Education 12 583 0101 0 2299 0000 2301


Percent

100% Percent

Student Worker/Tutor Authorization Form

Last Name: I Demeere I First Name I Margarita I Middle I SSN: I I Department I CDC Assignment Type: 1Z1 Student Worker 0Tutor OOther: Fiscal Year of Work Assignment: 2014/15

Notes:· During the FALUSPRING Semesters, the student must be enrolled in at least 6 to 12 units and work no more 20 hours per week.

0 Student D Not a Student I Verified By: Christine Nickoli

Is this person currently employed, or has been previously employed by College of the Desert?

[{]Yes 0No

Start Date: 07/01/2014 I End Date: 06/30/2015

Hourly Pay Rate: 8.50 I Max Hours Per Week: 20 I Hours Per Day: 8

Comments: Currently works at the CDC.

Additional options available for Supervisor: May have possible Sat/Sun assignments. (Not to exceed weekly max) When School is NOT in session, student may work additional hours. (Max 40 hours/Contingent on Funds) When School IS in session, student may work additional hours. (Special Circumstances Only)

Notes: A request for additional hours must be submitted to the Human Resources Office by the Supervisor one month prior to proposed schedule change. International Students may NOT work more than 20 hours per week when school is in

session.

The following budget account codes will be used to furnish all wages associated with this assignment.

FUND SCHOOL RESOURCE PR GOAL FUNCTION OBJECT PERCENTAGE · 33 726 0331 0 6920 0000 2301 100

0 0 0

TOTAL PERCENTAGE

Pre-defined Account Codes:

§ Fed Work Study %: Alumni%: CaiWORKs%:

Dollar Am!: Dollar Am!: Dollar Am!:


Last Name: I Zamora I First Name I Aleiandra I Middle I SSN: I I Department I TASC Assignment Type: 0 Student Worker DTutor OOther: Fiscal Year of Work Assionment: 2014/15

Notes: During the FALUSPRING Semesters, the student must be enrolled in at least 6 to 12 units and work no more 20 hours per week ..

0 Student 0 Not a Student I Verified By: If


DYes 0No



Comments:

Additional options available for Supervisor: May have possible SaUSun assignments. (Not to exceed weekly max)

.f When School is NOT in session, student may work additional hours. (Max 40 hours/Contingent on Funds) When School IS in session, student may work additional hours. (Special Circumstances Only)



181 ASC: 11-562-000-0-6110-0000-2304 0 ASC: 11-562-0000-0-6110-0000-2301 0 ACES: 12-575-0101-0-6300-0000-2304 0 DSPS: 12-545-0101-0-6420-0000-2304 D MESA: 12-7 45-0101-0-1901-0000-2304 0 TSD: 12-547-0101-0-6300-0000-2304 0 ETRIO: 12-573-0101-0-6300-0000-2304

00 Financial Aid: 12- -0108-0-7090-0000-2301

Financial Aid: 12- -0103-0-6460-000-0 Financial Aid: 12-488-0101-0-0801-0000-2301 O Fed Work Study %: Dollar Amt:

El Alumni %: Dollar Amt: CaiWORKs %: Dollar Amt:

session.


FUND SCHOOL RESOURCE PR GOAL FUNCTION OBJECT PERCENTAGE 0 0 0 0

~OTAL PERCENTAGE

Human Resources, Executive Director:

(7\J/~ /_(/JA~~~- ~tf?-/tc{


0 Student D Not a Student Verified By: If


DYes [{]No



Comments:


.( When School is NOT in session, student may work additional hours. (Max 40 hours/Contingent on Funds) When School IS in session, student may work additional hours. (Special Circumstances Only)



D ASC: 11-562-000-0-6110-0000-2304 1810

ASC: 11-562-0000-0-6110-0000-2301 ACES: 12-575-0101-0-6300-0000-2304

D DSPS: 12-545-0101-0-6420-0000-2304 D MESA: 12-745-0101-0-1901-0000-2304

8 TSD: 12-547-0101-0-6300-0000-2304 ETRIO: 12-573-0101-0-6300-0000-2304

DO Financial Aid: 12- -0108-0-7090-0000-2301

Financial Aid: 12- -0103-0-6460-000-D Financial Aid: 12-488-0101-0-0801-0000-2301

BD Fed Work Study %: Dollar Amt:

Alumni %: Dollar Am!: CaiWORKs %: Dollar Am!:

session.



.--?TOTAL PERCENTAGE

Human Resources, Executive Director: cxr ~)') ,(a ;')2fo <;<!__ 0~ II I~


Last Name: I Oi!imar.hi I First Name I Diane I Middle I SSN: I I Deoartment I TASC Assiqnment Tvoe: 0 Student Worker DTutor DOther: Fiscal Year ofWorkAssiqnment: 2014/15

Notes: During the FALUSPRING Semesters, the student must be enrolled in at least 6 to 12 units and work no more 20 hours per week.

IZI Student D Not a Student I Verified By: tf


DYes IZ]No


Hourly Pay Rate: 8.50 I Max Hours Per Week: 20 I Hours Per Day: a

Comments:


.( When School is NOT in session, student may work additional hours. (Max 40 hours/Contingent on Funds) When School IS in session, student may work additional hours. (Special Circumstances Onlvl

Notes:. A request for additional hours must be submitted to the Human Resources Office by the Supervisor one month prior to proposed schedule change. International Students may NOT work more than 20 hours per week when school is in


f1 D D D

8 8 D

§

ASC: 11-562-000-0-6110-0000-2304 ASC: 11-562-0000-0-611 Oc0000-2301 ACES: 12-575-0101-0-6300-0000-2304 DSPS: 12-545-0101-0-6420-0000-2304 MESA: 12-7 45-01 01-0-1901-0000-2304 TSD: 12-547-0101-0-6300-0000-2304 ETRI0:12-573-01 01-0-6300-0000-2304 Financial Aid: 12- -0108-0-7090-0000-2301 Financial Aid: 12- -01 03-0-6460-000-Financial Aid: 12-488-0101-0-0801-0000-2301 Fed Work Study %: Dollar Amt: Alumni %: Dollar Amt: CaiWORKs %: Dollar Amt:

session.



JOTAL PERCENTAGE

Human Resources, Executive Director: rAAyn l'r2 ?~<;;:! M)l dr4 '/ 1/ v - I


Last Name: I Gann I First Name I Anna I Middle I SSN: I I Department I TASC Assi~nment Type: 0 Student Worker 0Tutor OOther: c

Fiscal Year of Work Assi~nment: 2014/15 Notes: During the FALUSPRING Semesters, the student must be enrolled in at least 6 to 12 units and work no more 20

hours per week.

0 Student D Not a Student I Verified By: tf


DYes 0No



Comments:

Additional options available for Supervisor: May have possible SaUSun assianments. (Not to exceed weeklv max)

.( When School is NOT in session, student mav work additional hours. (Max 40 hours/Continaent on FundS\ When School IS in session, student mav work additional hours. (Special Circumstances Onlvl



~ ASC: 11-562-000-0-6110-0000-2304

00 ASC: 11-562-0000-0-6110-0000-2301

ACES: 12-575-0101-0-6300-0000-2304 D DSPS: 12-545-0101-0-6420-0000-2304 D MESA: 12-7 45-0101-0-1901-0000-2304 D TSD: 12-547-0101-0-6300-0000-2304 D ETRI0:12-573-01 01-0-6300-0000-2304

00 Financial Aid: 12- -0108-0-7090-0000-2301


§ Fed Work Study %: Dollar Amt: Alumni %: Dollar Amt: CaiWORKs %: Dollar Amt:

session.



ATOTALPERCENTAGE

r A~ La~--1/~~<t... 0~ 1\\\14 Human Resources, Executive Director: -, r r \


Last Name: FAcAv"o I First Name I Rafael I Middle I SSN: I I Department I TASC Assianment Tvpe: 0 Student Worker DTutor DOther: Fiscal Year ofWorkAssinnment: 2014/15


0 Student D Not a Student I Verified By: tf FALL STUDENT


DYes [l]No


Hourly Pay Rate: 8.501 9.00 1 Max Hours Per Week: 20 I Hours Per Day: 8

Comments: June 11,2014 -June 30,2015

Additional ODtions available for Suoervisor: Mav haveoossible SaUSun assTclnments:INot to exceed weeklv max)

.( When School is NOT in session, student mav work additional hours. IMax 40 hours/Continaent on Funds) When School IS in session, student mav work additional hours. I Special Circumstances Onlv)


session.


FUND SCHOOL RESOURCE PR GOAL FUNCTION OBJECT PERCENTAGE 11 561 0000 0 6110 0000 2301 100

0 0 0

TOTAL PERCENTAGE


Fed Work Study %: Dollar Amt: Alumni%: Dollar Amt: CaiWORKs%: Dollar Amt:


Last Name: I Daniels I First Name I Melissa I Middle I SSN: I I Department I CDC Assignment Type: 0 Student Worker 0Tutor OOther: Fiscal Year of Work Assignment: 2013/14


0 Student 0 Not a Student I Verified By: Christine Nickoli

Is this person currently employed, or has· been previously employed by College of the Desert?

DYes [{]No


Hourly Pay Rate: 8.50 I Max Hours Per Week: 20 / Hours Per Day: 8

Comments: Currently volunteer's at the CDC. Dianne Russom want's her to start a:s.a.p.

Additional options available for Supervisor: Mav have possible SaUSun assiqnments. (Not to exceed weekly max) When School is NOT in session, student mav work additional hours. (Max 40 hours/Contingent on Funds) When School IS in session, student mav work additional hours. (Special Circumstances Only)


session.


FUND SCHOOL RESOURCE PR GOAL FUNCTION OBJECT PERCENTAGE 33 726 0;J31 0 6920 0000 2301 100

0 0 0

TOTAL PERCENTAGE


§ Fed Work Study%: Alumni%: CaiWORKs%:

Dollar Amt: Dollar Amt: Dollar Amt:

Student Workerrrutor Authorization Form

Last Name: 1 Gerardo I First Name I Melina I Middle L SSN: I 1 Department I Child Development Ctr. Assignment Type: 0 Student Worker 0Tutor OOther: Fiscal Year of Work Assignment: 201314

Notes: During the FALUSPRING Semesters, the student must be enrolled in at least 6to 12 units and work no more 20 hours per week.

0 Student 0 Not a Student I Verified By:


JEves [l]No

Start Date: 0212412014 I End Date: 0613012014


Comments:

Additional options available for Supervisor: May have possible SaVSun assiQnments. (Not to exceed weekly max) When School is NOT in session, student may work additional hours. (Max 40 hours/ContinQent on Funds) When School IS in session, student may work additional hours. (Special Circumstances Only)



§ ASC: 11-562-000-0-6110-0000-2304 ASC: 11-562-0000-0-6110-0000-2301 ACES: 12-575-0101-0-6300-0000-2304

D DSPS: 12-545-0101-0-6420-0000-2304 D MESA: 12-745-0101-0-1901-0000-2304

8 TSD: 12-547-0101-0-6300-0000-2304

B ETRIO: 12-573-0101-0-6300-0000-2304 Financial Aid: 12- -0108-0-7090-0000-2301 Financial Aid: 12- -01 03-0-6460-000-

D Financial Aid: 12-488-0101-0-0801-0000-2301

§ Fed Work Study %: Dollar Amt: Alumni %: Dollar Amt: CaiWORKs %: Dollar Amt:

session.



0 0 0

JOTAL PERCENTAGE

Human Resources, Executive Director: o<fAyJJ jjJA.A£17/G ~<:(_ ~~t?/;f

I


Last Name: I Hegazy I First Name I Karim I Middle I SSN: I oendina aoolication I Department I TASC AssiQnment Type: 0 Student Worker 0Tutor OOther: Fiscal Year of Work AssiQnment: 2014/15


0 Student D Not a Student I Verified By: tf .


DYes IZ]No



Comments: June 2014- June 2015

.


,( When School is NOT in session, student may work additional hours. (Max 40 hours/Continaent on Funds) When School IS in session, student may work additional hours. (Special Circumstances Only)



D ASC: 11-562-000-0-6110-0000-2304

D

O ASC: 11-562-0000-0-6110-0000-2301 ACES: 12-575-0101-0-6300-0000-2304

D DSPS: 12-545-0101-0-6420-0000-2304 D MESA: 12-745-0101-0-1901-0000-2304 D TSD: 12-547-0101-0-6300-0000-2304 D ETRI0:12-573-0101-0-6300-0000-2304

D

O Financial Aid: 12- -0108-0-7090-0000-2301 Financial Aid: 12- -0103-0-6460-000-

D Financial Aid: 12-488-0101-0-0801-0000-2301 D Fed Work Study%: Dollar Amt:

B Alumni %: Dollar Amt: CaiWORKs %: Dollar Amt:

session.


FUND SCHOOL RESOURCE PR GOAL FUNCTION OBJECT PERCENTAGE 0 0 0

.o TOTAL PERCENTAGE

dAy/1· .~a -;~~<:( ~ f I ~II* Human Resources, Executive Director: '/ 1/


Last Name: I Torrez I First Name I Jessica I Middle I SSN: I I Department I Child Development Center

·Assignment Type: 0 Student Worker OTutor OOther: Fiscal Year of Work Assignment: 2013/14

Notes: During the FALUSPRING Semesters, the student must be enrolled in at least 6 to 12 units and work no more 20 · hours per week.

0 Student D Not a Student I Verified By: Ivy Torres


DYes [{]No


Hourly Pay Rate: 8.5 I Max Hours Per Week: 20 I Hours Per Day: Varies

Comments:

Additional options available for Supervisor: Mav have possible SaUSun assiQnments. (Not to exceed weekly max) When School is NOT in session, student may work additional hours. (Max 40 hours/ContinQent on Funds) When School IS in session, student may work additional hours. (Special Circumstances Only)



B ASC: 11-562-000-0-6110-0000-2304

D ASC: 11-562-0000-0-611 0-0000-2301 ACES: 12-575-0101-0-6300-0000-2304

D DSPS: 12-545-0101-0-6420-0000-2304 D MESA: 12-745-0101-0-1901-0000-2304

B TSD: 12-547-0101-0-6300-0000-2304 ETRIO: 12-573-01 01-0-6300-0000-2304

B Financial Aid: 12- -0108-0-7090-0000-2301 Financial Aid: 12- -0103-0-6460-000-

D Financial Aid: 12-488-0101-0-0801-0000-2301 D Fed Work Study %: Dollar Amt: D Alumni %: Dollar Amt: [{] CaiWORKs %: 50 Dollar Amt:

session.



0 0 0

TOTAL PERCENTAGE 100

Human Resources, Executive Director: -jv('-,,L-l'"'-::-r-jw-ff-L..:.....!,__~.::....:c...=:.."#M-""'=--<r"-"l-.~=::-.l.il;ru.JII~UL'i!;2_.4r-·-+~~·.~;i;'cf/flii·C.::'fF---


Last Name: .I Luna I First Name I Esther I Middle I SSN: I I Department I TASC Assignment Type: ILl Student Worker 0Tutor OOther: Fiscal Year of Work Assignment: 2014/15


0 Student D Not a Student I Verified By: tf


DYes [Z]No


Hourly Pay Rate: &w- "J ,If}) I Max Hours Per Week: 20 I Hours Per Day: 8

Comments:

Additional options available for Supervisor: May have possible Sat/Sun assiQnments. (Not to exceed weekly max)

.( When School is NOT in session, student may work additional hours. (Max 40 hours/ContinQent on Funds) When School IS in session, student may work additional hours. (Special Circumstances Only)



~ D D D a a D

§

ASC: 11-562-000-0-6110-0000-2304 ASC: 11-562-0000-0-6110-0000-2301 ACES: 12-575-0101-0-6300-0000-2304 DSPS: 12-545-0101-0-6420-0000-2304 MESA: 12-7 45-0101-0-1901-0000-2304 TSD: 12-547-0101-0-6300-0000-2304 ETRI0:12-573-01 01-0-6300-0000-2304 Financial Aid: 12- -0108-0-7090-0000-2301 Financial Aid: 12- -0103-0-6460-000-Financial Aid: 12-488-0101-0-0801-0000-2301 Fed Work Study %: Dollar Amt: Alumni%: Dollar Amt: CaiWORKs %: Dollar Amt:

session.



TOTAL PERCENTAGE

Human Resources, Executive Director: d AyYJ ,(r2A!M~Z. & /;o/; t1 '/ (/

,._.


Last Name: I Mendez I First Name I JorQe I Middle I SSN: I I Department I dsps Assignment Type: 0 Student Worker DTutor DOther: mobility aid Fiscal Year of Work Assignment: 2014/15

Notes: During the FALL/SPRING Semesters, the student must be enrolled in at least 6 to 12 units and work no more 20 hours per week.

Ill Student D Not a Student I Verified By: sherry weinzer


[{]Yes 0No


Hourly Pay Rate: $9.00 I Max Hours Per Week: 20 I Hours Per Day: 5

Comments: mobility aid for Rebecca Vineyard

Additional options available for Supervisor: Mav have possible Sat/Sun assiQnments. (Not to exceed weekly max) When School is NOT in session, student may work additional hours. (Max 40 hours/ContinQent on Funds) When School IS in session, student may work additional hours. (Special Circumstances Only)

Notes: A request for additional hours must be submitted to the Human Resources Office by the Supervisor one month prior .to proposed schedule change. International Students may NOT work more than 20 hours per week when school is in

session.


FUND SCHOOL RESOURCE PR GOAL FUNCTION OBJECT PERCENTAGE 12 545 0101 0 6420-0000 2301 0000 100

0 0 0






Last Name: I Stenson I First Name I Breezv I Middle I SSN: I I Department I CDC Assignment Type: 0 Student Worker DTutor DOther: Fiscal Year of Work Assignment: 2014/15


0 Student 0 Not a Student I Verified By: Christine Nickoli


[Z]Yes 0No




Additional options available for Supervisor: Mav have possible SaUSun assiqnments. (Not to exceed weeklv max) When School is NOT in session, student may work additional hours. (Max 40 hours/Continqent on Funds) When School IS in session, student may work additional hours. (Special Circumstances Only)


session.



0 0 0

TOTAL PERCENTAGE


Fed Work Study%: Dollar Amt: Alumni%: Dollar Amt: CaiWORKs%: Dollar Amt:


Last Name: I Reyes I First Name I StephanY I Middle I SSN: I I Department I CDC Assignment Type: 1Z1 Student Worker DTutor OOther: Fiscal Year of Work Assignment: 2014/15


·0 Student D Not a Student I Verified By: Christine Nickoli


[Z]Yes ·DNa



Comments: Currently works at the CDC. Employed at the CDC before Red Carpet was in use.

Additional options available for Supervisor: May have possible Sat/Sun assiQnments. (Not to exceed weekly max) When School is NOT in session, student may work additional hours. (Max 40 hours/Contingent on Funds) When School IS in session, student may work additional hours. (Special Circumstances Only)


session.



0 0 0

TOTAL PERCENTAGE





D Student D Not a Student Verified By: Christine Nickoli


Yes· DNa




Additional options available for Supervisor: May have possible SaUSun assignments. (Not to exceed weekly max) When School is NOT in session, student may work additional hours. (Max 40 hours/Contingent on Funds) When School IS in session, student may work additional hours. (Special Circumstances Only)


session.


FUND SCHOOL RESOURCE PR GOAL FUNCTION OBJECT PERCENTAGE 33 726 0331 0 6920 0000 .• 2301 100

0 0 0

TOTAL PERCENTAGE


§ Fed Work Study %: Alumni%: CaiWORKs%:

Dollar Ami: Dollar Ami: Dollar Ami:

Student Workerrrutor Authorization Form

Last Name: 1 Gonzalez I First Name I Gina I Middle I SSN: I I Department I CDC Assignment Type: 0 Student Worker DTutor DOther: Fiscal Year of Work Assignment: 2014/15


0 Student D Not a Student J Verified By: Christine Nickoli


[{]Yes 0No



Comments: Currently employed at the CDC.



session.


FUND SCHOOL RESOURCE PR GOAL FUNCTION OBJECT PERCENTAGE .j.j fLt;J U.jJIJ_ 0 _O>,!LU uuuu L.jU.I "IUU

0 0 0

TOTAL PERCENTAGE

.Pre-defined Account Codes:



Last Name: 1 Lopez-Nieves I First Name I Vanessa I Middle I SSN: l I Department I·Vf>v- COr Assignment Type: 1Z1 Student Worker 0Tutor OOther: Fiscal Year of Work Assignment: 2014/15

Notes: During the FALL/SPRING Semesters, the student must be enrolled in at least 6 to 12 units and work no more 20 hours per week .

0 Student D Not a Student . I Verified By: Christine Nickoli


II! Yes 0No .



Comments: Employed at the CDC before RedCarpet was in use.



session.

The following budget account codes will be used to furnish all wages associated with this assignment

FUND SCHOOL RESOURCE PR GOAL FUNCTION OBJECT PERCENTAGE ~~ {;t.tj u~~u 0 Ol:J"L.U uuuu "L~u·1 lUU

0 0 0

TOTAL PERCENTAGE

Pre-defined Account Codes:·



Last Name: I Hardy I First Name I Linda I Middle I Anne SSN: I 1 Department JDSPS Assiqnment T vpe: w :student Worker DTutor OOther: Mobility Worker Fiscal Year ofWorkAssiqnment: 2013/14


0 student D Not a Student I Verified By: Sherry Weinzer


[l]Yes 0No


Hourly Pay Rate: $ 9.00 I Max Hours Per Week: 20 I Hours Per Day: 5

Comments: mobility aid for Rebecca Vineyard



session.


FUND SCHOOL RESOURCE PR GOAL FUNCTION OBJECT PERCENTAGE ..

12 545 0101 0 6420-0000 2301 100

0 0 0





• .. :.:: ... .--.----.·.-.. -----·- ···::::---,_-.

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM c.,06.11.14}

Last Name: Garcia

Department: A & R

First Name: Myra Student Email:

Supervisor/Title: Barbara Garza

f8l Student Worker D Tutor (all funds at 100%) 0 Other: Define "Other" Fiscal Year: 2014·15

Active Student Status? [8l Yes 0 No Verified by: Diedre Sharpe

Is this person currently employed at COD, or was employed In the last 24 months?\ f8l-Yes· 0 No


Max Hours/Day: 15 Max Hours/Week: varies


Type comments here. Examples include umay work weekends'', upermlssion to work up to 32 hours-'{, etc.:


Please select 1--6 of the pre-designated codes below and indicate the percentage-most requests will only include 1 codes, codes 2-6 are used primarily for Tutoring. All percentages must add up to 100 {except Tutors). If you do not see your funding code(s), manually enter up to two codes and percentages in the grtd below. To odd a commonly used code to the drop-down choices -contact Human Resources.


Percentage 1: Enter %

Funding Code l: Choose an Item.

Percentage 2: Enter %%







Funding Code 6: Choose an Item.



:fed Wk Study: A&R: 12-520-0108·0·7090.0000-2301 Funding'(',: 100 Dollar Amount: $4200.00

Alumni: Select Fund Funding%: Enter% Dollar Amount: $Enter $ CW/TASCStud (12-488-0101-0.0801-0000·2301) Funding%: Enter% Dollar Amount: $Enter$

CW/TASC futor{12-488.0101·0·0801·0000-2304) Funding%: Enter% Dollar Amount: $Enter$



Executive Dir of Human Resources Date

COD STUDENT WORI<ER-TUTOR AUTHORIZATION FORM 1 .. , .. .1,,.,

Last Name: Castro First Name: Ruth Student Email: r Department: Child Development Center Supervisor/Title: Dianne Russom

IZI Student Worker 0 Tutor (all funds at 100%) 0 Other: Define "Other" Fiscal Year: 2014-15 Active Student StCitus? IZI Yes 0 No Verified by: Dledre Sharpe

Is this person currently employed at COD, or was employed in the last 24 months?' 1Z1 Yes 0 No

Start Date: · 7/1/14 End Date: 6/30/15 Hourly Rate: $9.00 Max Hours/Day: 15 . Max Hours/Week: varies

Comments for Human Resources and/or Payroll Teams: Type comments here. Examples Include "may work weekends", "permission to work up to 32 hours", etc.:


Please select 1·6 of the pre-designated codes below and Indicate the percentage- most requests will only Include 1 codes, codes 2·6 are used primarily for Tutoring. All percentages must add up to 100 (exceptTutors), If you do not see your funding code(s}, manually enter up to two codes and percentages In the grid below. To add it commonly used code to the drop-down choices -contact Human Resources.


Funding Code 2: Choose an item. Percentage 2: Enter%% Funding Code 3: Choose an Item. Percentage 3: Enter%% Funding Code 4: Choose an item. Percentage 4: Enter%% Funding Code 5: Choose an Item. Percentage 5: Enter%% Funding Code 6: Choose an Item. Percentage 6: Enter%%


Fed Wk Study; CDC: 12-726-0108·0-7090·0000-2301 Funding%: 100 Dollar Amount: $4200.00 , Alumni: Select Fund Funding%: Enter% Dollar Amount: $Enter$ CW/TASCStud (12·488·0101-0·0801-0000·2301) Funding%: Enter% Dollar Amount: $Enter$ CWjrASC Tutor(12-488·0101-0·0801·0000-2304) Funding%: Enter% Dollar Amount: $Enter$




Date

·, '•-···

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM 1 .. , .. .,_,.1

Last Name: Estrin First Name: Shannon Student Email: S Department: Child Development Center Supervisor/Title: Dianne Russom

181 Student Worker .0 Tutor {all funds at 100%) 0 Other: Define "Othe•"' Fiscal Year: 2014-15

Active Student Status? !ill Yes 0 No verified by: Dledre Sharpe

Is this person currently employed at COD, or was employed in the last 24 months? 181 Yes 0 No

Start Date: 4/5/14 End Date: 6/30/14 Hourly Rate: $9.00 Max Hours/Day: 15 Max Hours/Week: varies

Comments for Human Resources and/or Payroll Teams: Type comments here. Examples include "may work weekends', ''permission to work up to 32 hours", etc.:

Funding for Assignment: Please select 1-6 of the pre·desigmited codes below and indicate the percentage- most requests will only Include 1 codes, codes ~-6 are used primarily forTutorlng. All percentages must add up to 100 (except Tutors), If you do not see your funding code(s), manually enter up to two codes and percentages In the grid below. To add a commonly used code to the drop-down choices-contact Human Resources.

Funding Code 1: Choose an item. Percentage 1: Enter%

Funding Code 2: Choose an item. Percentage 2: Enter%% Funding Code 3: Choose an item. Percentage 3: Enter%% Funding Code 4: Choose an item. Percentage 4: Enter%% Funding Code 5: Choose an item. Percentage 5: Enter%% Funding Code 6: Choose an item. Percentage 6: Enter%%


Fed Wk Study: CDC: 12-726-0108-0-7090-0000-2301 Funding%: 100 Dollar Amount: $4200.00 Alumni: Select Fund Funding%: Enter% Dollar Amount: $Enter $ CW/TASC Stud (12-488·0101-0-0801-0000-2301) Funding%: Enter% Dollar Amount: $Enter$ CW/TASC Tutor (12-488-0101-0-0801-Q000-2304) Funding%: Enter% Dollar Amount: $Enter$




··· .. ·. • • i'-. ' .. ' ...... ,·;············ ..

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM 1", ... ,,,.1

last Name: Ferro First Name: Paulina Department: Child Development Center

Student Email: s Supervisor/Title: Dianne Russom

IZl Student Worker D Tutor (all funds at 100%) D Other: Define "Othe1J' Fiscal Yean 2014-15

Active Student Status? 1Zl Yes 0 No Verified by: Dledre Sharpe

Is this person currently employed at COD, or was employed in the last 24 months? IZl Yes D No


Comments for Human Resources and/or Payroll Teams: Type comments here. Examples Include "may work weekends", "permission to work up to 32 hours"; etc.:

Funding for Assignment: Please select 1·6 of the pre·deslgnated codes below and Indicate the percentage- most requests will only Include 1 codes, codes 2-6 are used primarily forTutorlng. All percentages must add up to 100 (except Tutors). If you do not see your funding code(s), manually enter up to two codes and percentages in the grid below, To odd a commonly used code to the drop-down choice~- contact Human Resources.


Funding Code 2: Choose an Item. Percentage 2: Enter%% Funding Code 3: Choose an Item. Percentage 3: Enter%% Funding Code 4: Choose an item. Percentage 4: Enter%% Funding Code 5: Choose an item. Percentage 5: Enter%% Funding Code 6: Choose an item. Percentage 6: Enter%%

Pre-designated Financial Aid Codes: Fed Wk Study: CDC: 12-726-0108-0-7090·0000-2301 Funding%: 100 ·Dollar Amount: $4200.00 Alumni: Select Fund Funding%: Enter% Dollar Amount: $Enter $ CW/TASC Stud (12·488-0101-0-0801-0000-2301) Funding%: Enter% Dollar Amount: $Enter$ CW/TASCTutor (12-488-0101-0-0801-0000-2304) Funding%: Enter% Dollar Amount: $Enter$

Description Fund School Resource PR Goal Function Object. Description Fund School Resource 0 Goal Function Object Description Fund School Resource 0 Goal Function Object



COD STUDENT WORKER-TUTOR AUTHORIZATION FORM 1'""·""1

last Name: Galindo ·First Name: Emmanuel Department: Child Development Center

Student Email: 1

Supervisor/Title: Dianne Russom

181 Student Worker 0 Tutor (all funds at 100%) 0 Other: Define "Other" Fiscal Year: 2014-15

Active Student Status? ·181 Yes 0 No Verified by: Dledre Sharpe

Is this person currently employed at COD, or was employed in the last 24 months? 181 Yes D No


Comments for Human Resources and/or Payroll Teams: 'fype comments here. EKamples Include "may work weekends", "permission to work up to 32 hours", etc.:

Funding for Assignment: Please select 1-6 of the pre-designated codes below and Indicate the percentage-mast requests will only include 1 codes, codes 2-6 are used primarily for Tutoring, All perrontages must add up to 100 (except Tutors). lf you do not see your funding code(s), manually enter up to two codes and percentages In the grid below. To add a commonly used code to the drop-down choices- contact Human Resources.

Funding Code 1: Choosa an itam. Percentage 1: Enter%

Funding Code 2: Choose an item. Percentage 2: Enter%% Funding Code 3: Choose an Item. Percentage 3: Enter%% Funding Code 4: Choose an ltam. Percentaga 4: Enter%% Funding Code 5: Choose an Item. Percentage 5: Enter%% Funding Code 6: Choose an Item. Percentage 6: toter%%


Fed Wk Study: CDC: 1Z-726-Q108-0-7090-0000-2301 Funding%: 100 Dollar Amount: $4200.00 Alumni: Select Fund Funding%: Enter% Dollar Amount: $Enter $ CW/TASCStud (12-488-0101-0-0801-0000-2301) Funding%: Enter% Dollar Amount: $Enter$ CW/TASCTutor (12-488-0101-0-0801-0000-2304) Funding%: Enter% Dollar Amount: $Enter$




... ,. • .. ·.. . .. -, ·····-··-·-

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM'~"'·"·")

Last Name: Galindo First Name: lzahy Department:'. Child Development Center

Student Email: 11

Supervisor/Title: Dianne Russom

181 Student Worker D Tutor (all funds at 100%) D Other: DeOne "Other" Fiscal Year: 2014-15 Active Student Stcltus? 181 Yes D No Verified by: Diedre Sharpe

Is this person currently employed at COD, or was employed in the last 24 months? 181 Yes D No


Comments for Human Resources and/or Payroll Teams: Type comments here. Examples Include "may work weekends", "peiT!1lsslon to work up to 32 hours", etc.:

Funding· for Assignment:

Please select 1·6 of the pre-designated codes below and indicate the percentage- most requests will only Include 1 codes, codes 2·6 are used prlmartly for Tutoring. All percentages must add up to 100 (except Tutors). If you do not see yourfundlng code(s), manually enter up to two codes and percentages In the grid below, To add a commonly used code to the drop-down choices- contact Human Resources.


Funding Code 2: Choose an Item. Percentage 2: Enter%% Funding Code 3: Choose an item. Percentage 3: Enter%% Funding Code 4: Choose an item. Percentage 4: Enter%% Funding Code 5: Choose an item. PercentageS; Enter%% Funding Code 6; Choose an item. Per·centage 6: Enter%%


Fed Wk Study: CDC: 12·726-0108-0-7090-0000-2301 Funding%: 100 Dollar Amount: $4200.00 Alumni: select Fund Funding%: Enter% Dollar Amount: $Enter$ CW/TASC Stud (12·488·0101·0-0801·0000·2301) Funding%: Enter% Dollar Amount: $Enter$ CW/rASC Tutor{12·488-0101·0·0801-0000·2304) Funding%: Enter% Dollar Amount: $Enter$

Description Fund School Resource f>R Goal Function Object Description Fund School Resource 0 Goal Function Object Description Fund School Resource 0 Goal Function Object


f>ercent Percent Percent

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM 1""""·"1

last Name: Lopez First Name: Kimberly Student Email• Department: Child Development Center Supervisor/Title: Dianne Russom

IZI Student Worker 0 Tutor (all funds at 100%) 0 Other: Define "Other" Fiscal Year: 2014-15 Active Student Status? IZI Yes 0 No Verified by: Dledre Sharpe

Is this person currently employed at COD, or was employed in the last 24 months? IZI Yes 0 No


Comments for Human Resources and/or Payroll Teams: Type comments here. Examples Include "may work weekends", "permission to work up to 32 hours", etc.:

Funding for Assignment: Please select l-6 of the pre-designated codes below and indicate the percentage~ most requests will only Include 1 codes, codes 2-6 are used primarily forTutorlng. All percentages must add up to 100 (except Tutors), If you do not see your funding code(s), manually enter up to two codes and percentages In the g(ld below. To add a commonly used code to the drop-down choices -contact Human Resources.


Funding Code 2: Choose an item. Per~entage 2: Enter%% Funding Code 3: Choose an Item. Percentage 3: Enter%% Funding Code 4: Choose an Item. Percentage 4: Enter%% Funding Code 5: Choose an item. Percentage 5: Enter%% Funding Code 6: Choose an Item. Percentage 6: Enter%%

Pre-designated Financial Aid Codes: Fed Wk Study: CDC: 12-726-0108-0-7090-000D-2301 Funding%: 100 Dollar Amount: $4200.00 Alumni: Select Fund Funding%: Enter% Dollar Amount: $Enter$ CW/TASC Stud (12-488-0101·0·0801-0000-2301) Funding%: Enter% Dollar Amount: $Enter$ CW/TASCTutor (12·488-0101-0-0801-0000·2304} Funding%: Enter% Dollar Amount: $Enter$

Description Fund School Resource PR Goal Function Object Description Fund School Resource 0 Goal Function Object Description Fund School R~source 0 Goal Function Object

Please send .signed form to HR for processing,


Ex&cutlve Dir of HumarfRe;ources ... ~.---Date

.\""'

.. ·.-·<·--·-······· ,• .. ·

COD STUDENT WORI<ER-TUTOR AUTHORIZATION FORM 1 ...... 1,.,.1

Last Name: Marquez First Name: Felipe Department:· Child Development Center

Student Email: I Supervisor/Title: Dianne Russom

IZl Student Worker 0 Tutor (all funds at 100%) 0 Other: Define "Other" Fiscal Year: 2014~15

Active Student Status? IZl Yes D No Verified by: Dledre Sharpe

Is this person currently employed at COD, or was employed In the last 2.4 months? IZl Yes D No

Start Date: 7/1/14 End Date: 6/30/15 Hourly Rate: $9.00 Max Hours/Day: 15 MaK Hours/Week: varies

comments for Human Resources and/or Payroll Teams: Type comments here. Examples Include "may work weekends", "permission to work up to 32 hours'', etc.:

Funding for Assignment: Please select 1·6 of the pre-designated codes below and Indicate the percentage- most requests will only Include 1 codes, codes 2-6 are used primarily for Tutoring. All percentages must add up to 100 (except Tutors). If you do not see your funding code(s), manually enter up to two codes and percsntages In the grid below. To add a commonly used code to the drop-down choices- contact Human Resources.


Funding Code 2: Cl1oose an item. Percentage 2: Enter%% Funding Code 3: Choose an Item. Percentage 3: Enter%% Funding Code 4: Choose an item. Percentage 4: Enter%% Funding Code 5: Choose an item. Percentage 5: Enter%% Funding Code 61 Choose an item. Percentage 6: Enter%%

Pre-designated Financial Aid Codes: Fed Wk Study: CDC: 12-726-0108-0-7090-0000-2301 Funding%: 100 Dollar Amount: $4200.00 Alumni: Select Fund Funding%: Enter% Dollar Amount: $Enter $ CW/TASC Stud (12-488-0101-0-0801-0000-2301) Funding%: Enter% Dollar Amount: $Enter$ CW/TASC rutor(l2-488-0101·0·0801-0000-2304) Funding%: Enter% Dollar Amount: $Enter$



Executive Dir of HumanvResources ~Dat~

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM~~"'·'~":

Last Name: Martinez First Name: Belen Student Email: I Department: Child Development Center Supervisor/Title: Dianne Russom

IZI Student Worker D Tutor (all funds at 100%) D Other: Define "Other" Fiscal Year: 2014-15

Active Student Status? IZI Yes D No Verified by: Diedre Sharpe

Is this person currently employed at COD, or was employed in the last 2.4 months?, 1Z1 Yes D No


Comments for Human Resources and/or Payroll Teams: Type comn1ents here. Examples Include "mayworl< weeke11ds", "permission to work up to 32 hours", etc.:

Funding for Assignment: Please select 1-6 of the pre-designated codes below and Indicate the percentage -most requests will only include l codes, codes 2-6 are used primarily for Tutoring, Ali percentages must add up to 100 (except Tutors), If you do not see your funding code(s), manually enter up to two codes and percentages in the grid below, To add a commonly used code to the drop-down choices -contact Human Resources,

Funding code 1: choose an item. Percentage 1: Enter%

Funding Code 2: Choose an Item. Percentage 2: Enter %% Funding Code 3: Choose an Item. Percentage 3: Enter%% Funding Code 4: Choose an item. Percentage 4: Enter%% Funding Code 5: Choose an item. Percentage 5: Enter%% Funding Code 6: Choose an item. Percentage 6: Enter%%

Pre-designated Financial Aid Codes: Fed Wk Study: CDC: 12-726-0108-0-7090-0000-2301 Funding%: 100 Dollar Amount: $4200.00 Alumni: select Fund Funding%: Enter% Dollar Amount: $Enter$ CW/TASCStud (12-488-0101·0-0801-0000-2301) Funding%: Enter% Dollar Amount: $Enter$ CW/TASCTutor (12·488-0101-0-0801-0000-2304) Funding%: Enter% Dollar Amount: $Enter$

Description Fund School Resource PR Goal Function Object Description Fund School Resource 0 Goal Function Object Desniptlon Fund School Resource 0 Goal Function Object

Please send signed form to HR for processing,


iring Manager Executive DirofHuman Resources ~ate

:·: ·,,

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM l•w•<.12.1<l

Last Name: Reynolds First Name: Emily Student Email: Department: Child Development Center Supervisor/Title: Dianne Russom

Active Student Status? 181 Yes 0 No Verified by: Diedre Sharpe

Fiscal Year: <I;M1 Ul ...., .,~ 1 u "'::!.0\ ~-- ..... ~ \

181 Student Worker 0 Tutor (all funds at 100%) 0 Other: Define "other"

Is this person currently employed at COD, or was employed In the last 24 months? l8l Yes 0 No


Max Hours/Day: 15 Max Hours/Week: varies


Type comments here. l:xamples lnd\lde 11may work weekends"1 "permission to work u·p to 32 hour~', etc.:


Please select 1-6 of the pre-designated codes below and indicate the percentage- most requests will only Include 1 codes, codes 2-6 are used primarily forTutorlng. All percentages must add up to 100 (except Tutors). If you do not see your funding code(s), manually enter up to two codes and percentages In the grid below. To add a commonly used code to the drop·down choices -contact Human Resources.





Funding C<ide 3: Choose an Item.








Pre:designated Financial Aid Codes:

Fed Wk Study: CDC: 12-726-0108-0-7090-0000-2301 Funding%: 100 Dollar Amount: $2000.00

Alumni: Select Fund Funding%: Enter% Dollar Amount: $J:nter $ CW/TASCStud (12-488-0101-0-0801-0000-2301) Funding%: Enter% Dollar Amount: $Enter$

CW/TASCTutor (12-488-0101-0-0801-0000-2304) Funding%: Enter% Dollar Amount: $Enter$



Percent

Percent Percent

COD STUDENT WORKER-TUTOR 1:\UTHQRIZATION FORM ~~'"'w'

Last Name: Garcia First Name: Abril Student Em all:. agirrda2554S@myco(tus Department: CDC Supervisor/Title: Dianne Russom- Progtam'Dfre<;tor

E8l StudenfWor.~er 0 tutor {aU funds at 100%) 0 Other:. Deline "Other"

Active Student Status? t2l Yes 0 No Verified by: Christine Nickoli Fiscal Year: 2014c1S

Is this person currentiy·employed ai COD, or was employed l.n the last 24.monliM .. (8J Yes, 0 No

Start Date: 7/1/14 End Date: 6/30/15 Hourly Rate: ~9.00 Max Hours/Day: 8 Max Hi:nirs/Week: 20

·comments for Human Resources and/or Payroll Teams:

760'766-6861 (Abril Garcfa)

Funding for Assignment: Ploase selottl-6 of the.pre-deslgoated codes below and ledicaie the. percentage..-most requests·wlll only incluoel codes, codes 2'6 are usM

· ·· ~ ~ e-··'f"'"·~~-'~ "'"""' ,_!,-; '~>':T.;> ·;_•::1 -::·;:_-_..~~ ,-~;:~_:rc.'. · . . . prln:tarily t<?r lf.!~orJ~g. 1 ~--,> · ';-__ :-~·~·F> ·· -:, ·;·.,~ - ·· - · lfyo':l ~o ~ot se~ yott~-f~ndtng code(?)t man_uaJiy ente~ :Up-to two

_cod~ and p-ercen[ages fn ~h-~_grid:be!Ow. :To_add a COtlJf!J_only f.Jse_d cQge tq the-drQp·s/Qwn choices..- cbhtdct Humqt? Re?.O.Iirces.

Funding Code 1: CDC: 33-726-0330-0-6920,.0000c2301

. Percentage 1: · lOP.

funciing:Code.i: Cl]oose ·an it~m, Percim(ag~ 2': Enter%% Funding.Code 3::Cho0se an item. l'ertentag~ ~~ Enter%% Furia in~:. Code 4: 'boose an item·. Percentage~:. EnW %% Fundtn~ Codes; Choose anltemc re.rc<mtage s: Enter%% ·i'un~ing Code'9( Choose an Item, P.er£e.nt~ge 6: Enter %f,

P~:e,cjeslgnated·Fln<Jndal Ald Codes: Fed Wk Study: selec.t FuM Funding%: En\e[% Dollar Amoynt: $Enter$ Aturi11i!: Select Fund Funding%: Enter% Dolla(Amount: $Enter$ CW/fASCStud (U488-0101-0-0801-0000-2301) Funding%; Enter% Dollar Amount:$E)iter$ cW/TAsC'rutor(l2cA88-0lO.:I.,O-OS01-001)0-2304) Funding ro: Ent~.r% Oj>ller Amount: SEnter$

uescrfption Fund ·Sd\ool Resource PR Goal Function Ollject Description Fund Sd)Ool Re5-9urce 0: Goal' Function Qb]ect Desaijl tion 'FUnd School. Resource 0 Goal FUnction Object

l Percent I ?erc.~nt .I Per~ent

JUN 24 )OI'f


Last Name: I Garcia I First Name I Abril I Middle ·I SSN: I I Department I CDC Assignment Type: 0 Student Worker DTutor DOther: Fiscal Year of Work Assignment: 2013/14

Notes: During the FALUSPRING. Semesters, the student must be enrolled in at least 6 to 12 units and work no more 20 hours per week.

0 Student D Not a Student I Verified By: Christine Nickoli


DYes [ZJNo

Start Date: C./!o/t~ I End Date: 06/30/2014

Hourly Pay Rate ~ '6,50 : Max Hours Per Week: 20 I Hours Per Day: 8

Comments:

Additional options available for Supervisor: May have possible SaUSun assignments._ (Not to exceed weekly max)_ When School is NOT in session, student may work additional hours. (Max 40 hours/Continoent on Funds) When School IS in session, student may work additional hours. (Special Circumstances Only)

Notes: A request for additional hours must be submitted to the Human Resources Office by the Supervisor one month prior to proposed schedule change. International Students may NOT, work more than 20 hours per week when school is in

session.


D ASC: 11-562-000-0-6110-0000-2304

00 ASC: 11-562-0000-0-6110-0000-2301

ACES: 12-575-0101-0-6300-0000-2304 D DSPS: 12-545-0101-0-6420-0000-2304 D MESA: 12-7 45-01 01-0-1901-0000-2304 D TSD: 12-547-0101-0-6300-0000-2304 D ETRIO: 12-573-0101-0-6300-0000-2304

00 Financial Aid: 12- -0108-0-7090-0000-2301


BD Fed Work Study%: Dollar Amt:

Alumni %: Dollar Amt: CaiWORKs %: Dollar Amt:



0 0 0

d TOTAL PERCENJAGE

o<S_~ £(hA?/ <;<!___ (; /;uftLj Human Resources, Executive Director:

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM •~"'""'

Last Name: Pllilmue First Name; Katherine Student Email: . Department: CDC Supervlsor/fiile: Di;mne Russom- Program Director

[g) Student Worker 0 Tutor (all funds at 100%) 0 Other: Define "Other"

Active Student Status? 0 Yes 0 No Verified by: Christine Nickoli

FlscaiYear: 2014-15

' Is this person currently employed at COD, or was employed In the last 24 months? .[g) Yes 0 No

Start Date: 7/1/14 End Date: 6/30/15 Hourly Rate: $9.00 Max Hours/Day: 8 Max Hours/Week: 20


Student lOll 0412612

Funding for Assignment: Plea~e select 1-6 of the pre-deslgnated codes below· and Indicate t_Qe percentage- most requests \~IH only lnclude 1 codes{ _codes 2·6 are used primartly for Tutotlng. ' ' "-· · . · . If vo.u do not see your fundil\g code(s), manually enter up tptwo

Codes and percentages· i"n the gtid below. To ·add a comrilOnfy used code:tQ the cfrop-do\vn·ChoiCes- conta·i:t Human RfsOuiceS.

Funding Code 1: CDC: 33-726·0330·0·6920·0000·2301 Percentag~ 1: 100

Funding Code 2: Choose an item. Pe"entage 2: Enter%% Funding Code 3: Choose an item.

Percentage 3: Enter%% Funding Code 4': Choose on Item. Percentage 4: Enter%% Funillng CodeS.: Choose an item. Percenta·ge S: Enter%%

Funding Code 6: Choose an item. Percentage 6: Enter%%

Pre-designated Financial Aid Codes: Fe(! Wk Study: Select rund Funding%: Enter% Dollar Amount: $Enter$ Alumni: Select Fund Funding%: Enter% Dollar Amount: $Enter$ CW/TASCStud(12·488·0101·0-0801·0000-2301) Funding%: Enter% Dollar Amount: $Eriter $ CW/TASC Tutor(l2-488·0101-0·0801-0000,2304) Funding%: Enter% Dollar Amount: $Enter$

Descr(ptlon Fund School Resource PR Goal Function Object Description Fund School Resource 0 Goal Ftinction: O~ject

DeSCriptiOn Fund School ReSourCe 0 Goal fundion Obj8ct

Percent Perc~nt

Per-cent

-i

COD STUDENT WORKER~TUTOR AUTHORIZJ\TIOril FORM''«""''-"'

Last Name: <:ortez First Name: Amanda . Student Email: oepartmeh\: cot supei'VIsorfiitle: Dianne. Russom- Program Diredoi

[8J Student Worker 0 Tutor {all funds at 100%) 0 Othim Denne "Other" Flspl Year: 2014-15

Active StudentStatus? J8l Yes 0 No Verified by: thdstlrie Nltkoli

Is thls person currelitljiimiployed atcoD, or was employed hHhe last24 month~? !8! Yes 0 No

~tart Date: 7/lil4 en~ Date: ~/30/lS Hourly Rate: $9.00

Max Hours/Pay: ·a (Viax Hou.rs/Week: io

Comments for Hum.an Res.ouroes and/or PayrolfTeams:

Student tb #0496380

Funding for Assignment Pleas .. seiect 1'~ of the pre-designated codes below andln.dl<;ate the .. perce_ntage- mort requestsviiil only Include 1 codes, codes 2·6 are.used -- ·

.... .,_ !" "": .". ~ ... _,,_ -.- '~ - .'" :., ... -:-· . . _,- _,__;-_ '1-"': . . . . - - .

pr_imarlly- for Tutoring.'::_' r-f.. ~'! . ~-~. ; ' - If you do not see your fundlng_code(s), mah_ually enter up to f:\VCI

codes and pertentag•sln tile grid below. To add a commonly used corfe to thedrop·down choice< -con/oct HumariResoiJtces.

Fin\dlnifCode l: coc, 33,726-0330-0-6920-0000-2301

c Percentage 1: ~oo

Fundfngto~e2:.i:h~o;e a~ite~. _-Percentage~:- Ent~r %~ Fundlng·code >: ChOC>se an !feme .PercentageS: Enter%% ·Fuh~rng Code 4: choose an Item; Percentage4: .Enter%%

.funding Code!>; thoosean item,

Perc~ntage 5: E!'lier %% . Funding code§: C!ioo.se,ai\ltem. Per~entage 6: Enter~~~·

Pre,iiesignated Financial Aid Codes: tea WkStudy: ~•!ect fund Funding%: .Entecr% Dollar Amount: $Enter$ Aiumni: SelectF9nd Funding%: .Enter<;(, bolfarAmount: $~nt<>r $ CW/TASC Stlid (1Z·488-0101;0-0891-0000·2.301) Fun\ling'(o: Enl~'% Dollar Amount:.SEnfer S CW/TASC Tufot (12.,488'0101-0-0801-0000-2304) Fundiri~S': Enter%. Dollar An\ount: $Enter$

Description ~und. .School. Re$oUrc¢: Pll ·Goal Function Object Descrlptlon rund 'School Reso·urce:. 0 Goal F·uru:tion Object Description Fund ·school R~o-~ra! 0 Goal Fvnc\lon Object

·&·· .. . -·

Appro

Percent Pe-r-f:ent PErce:nt

l '

j ~

COD STUDENT WORKER-ll)JOR AUTHORIZATION FORM,,.,,.;,.,.)

Last Namei .. M~ndez First N:ame: ~amarytba student Email:· Department: CDC supervlsor{ntle: Dla~ne R~~som.- Pro&ram Director

0 Student Worker tJ Tutor (all funds at 100%) 0 Other: Define "other" Flsca[Year: 2014'15

Active Stf1dent Starns? 0 Yes 0 No Verified by:' Enter Name.

Is this person wlrently employed at COD, or was employe<! in the laSt 24 months?\ 0 Yes 0 No . . . ·,

St.art Date: 7/1/14 End Date.: 6/3.0/1_5 Hourly Rat.e: $9.QO

Max H9tirs/Day: '8 Max H9uis/WeeR: Enter Hours

corn111entsJorHum:an Resources and/or payroll Teams: Student IDU 0490419

Funding for ASsignment: .Pleas_esefect 1-6 of the pr_e-deslgnated codes below and lndic.ate the percentage -mp_st requests wlli only Include lcodes, cod~s 2·6_,are uS.ed primarily fortuto'ring. · 1 ·;:" ., •:'<i· · · If you do not s.eewurfundlng code(s),_manuaUy enter up to tw.<> . . .Codes and percentages In· the gMbelow.· To odd o commonly used-cOde tii tiie·iJrop:iJowri tholces- contaetHumatiResoiitces.

Funding Code 1: CDC: 33-726..03'30-0-6920'0000-2301 Percehta&e 1: 100. ~~~~'-"' .,. ·""---~· .. ;.;.~·-. -~,..---,C.---.-----~--. ----.,----..---.-.---------. F~-ndlngCod~ i::Choqse an item. Pemintage 2: Enter%% Funding Code 3:' Clwose an ite·m. Percentage 3: Enter%%

Funding Code 4: .Choo>e an item. Percentage 4: fritet %%

· i'undingi:ode s: choose. an item. Pi!rceniaie s: Enter%% Fundlng.code 6: Clioose an item. Percen\ag<: 6: Enter %%

Pre-deslg_riafed Financial Ald Codes: .Fed Wk'Study_; Select fund Funding%: .Enter% Dollar Amount: $Enter$ Alumni: Seiec\ Ft;nd Fun,ding.%: EMer% Dollar Ahl<;>unt; $Enter$ CW/Ti>Scsiud (1.2-488~0i01·0·080l-0000-2301) FundinJ> %:~Enitii% Dollar Amount; $Enter$ CW/rASC Tutor (12-48&-0101-0.-0801,-0000-2304) F~ndlng %:En\"':% .. Doilat Amount-:.$EntEr $

Description Fund School Resource PR <io~l Function Object Description Fund Stboo,f Resource 0 Goal Function Qbj:ect Descrip-tion Fund .School ReSou-rCe 0 Goal fuhction Ob)e:i.t


._; .;

·.:• .

. .. ~.Date-

ii/ I JUN 2 4 )l;/tf

-· : :0.-"' - • ~ .·ce-. -

COD STUDENTWORKER-TUTOR AUTHORIZATION FORM t"'"'t'<t

Last Name:. Jimenet First Name: .·Marla de Jesus Student Email: Department: CDC Supervisor/Title: ora nne Russom -Program Director

IZl Student Worker 0 Tutor {all funds atlOO%) 0 O.ther: befine "Olller" Fiscal Year! 2QiH5

Aqive Student Statusl 1Zl Yes 0 "lo Verified by: Christine Nltkoii

Is this p~rson currently ell)ployed. at too; or was employed In the la,;t 24 O)Onths? IZl Yes 0 No·

Start Date: 7/1/14 End Date:6/30/15 Hourfy Rate: $9.00

ty1ax Hoursj£iay: l\ .Max Hours/Week: 26

Comments for Human_-Resources and/or PaYroll Team_s: Phone 117G0-40844!i1

FuJi sling for ASsignment' Plea~e· ~elect 1·6 of_ the pi'e"·destgnate!d-code-~ below ~od-!ndlc;ate ~hli_p-~r~_e.ntage=-.mp-st requests wil_l.o_nly indude lt:ode--s, .cod)~s-~·.6_are;qsed pnmarilyforTutcirlng, ; .. !: ·:;• ·,·,·u . . . ' ' , , . . . , . . 'tf you do not see yourltindlngcode[s}, manualiy entefup to iwo

code~ ~l)d per~~ntag~s)n the-crJ(fbelp~. TO add o CO{nmOf!IY u.s-~d c_QQ!!-tC} the drop..tfo~vn ch~_i~e~~-co:nta~i-Jt{mo~ R.e$'Ollrc~_S-.-.

Fund!ng·code 1: CDC: 33-726'0330,0-69ZQ.:000()-2301

P~rc~tita!ie 1: roo

Funding Code 2: Chrfose;an ii<!m.

rercentage 2: Enter%%. Funding Code 3: Choose an !\em. Percentage 3l Enter%% Funding Cod~ <r: ~noose. an !ten1. !'ercentag<>4: ~nter 9§% Furidlngtode s: Choose'an ttern. PercentageS: Enter%% fundlng,coae.s: c.ho.ose an item. ·percerita~e:G:: Brn:e·r %%

Pre-i:!~slgoated Fln;mclal Aid Copes: Fed Wk Study: !ieiect Fund Funding%! Enter% Dollar Amount: $Enter_$ Alumni: Select Fund .Funding%: Enter% DollarAniount: $Enter$ CW/TASCS(ud (12-4.88·0Wl-O·Q801·0000'23(ll\ F(lnding %: Enter% D.ol!ar Amount: SEnter$ i:W/TASC Tutor (i2'4~8-0101-0-0801-0000-2304) Fun(jlng%: Enter% Dollar Amo~nt:.~Enier $

Description Fund Scho'ol Resource PR Goal Function Object D.escdption Fund School 'ResotJrce. 0 Goql Function Object

DescriptiOn. .Fund School B:es-ourte 0 Goal Ftmctlot\ .Object

,,

'Executive D r ofHtiman Re~ources

Percent -Per<-ent Percent

. !

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM •·~*-'""'

La>t Name: Garda Tostado First I'Jame: Adll¢rie· ·student Email. Department: CDC stipervisor/ntle: Dianne Russom- Program .Director

!8l·Stui!ent Worker D Tutol (all funds'at i.OO%) D Other: Define "Other" Fiscil Year: 2014-15

:1\c!ive Student Statu$7 !8l Yes .D No VerifiO<:i by: Christine Nickoli

lsthi~ person currently employed at coo, or wa~ el)1ployed in the last 24 months? 1 ~ Yes D No

Start Date! 7/1/14 End Date: 6/30/15 Hourly Rate: $9.00

Max Hours/Day: 8 MaxHouts/Week; 20

Comments for Fluni0ri .Resources and/or Payroil Te<\tns:

Student iD # 0468590

Fllnd.ing for Assignment;· Plea~Efselect 1·6·Pf the p!'e·9esfgfla_ted codes be1_0\V:<ind_lii_dltat_e ~he~p.i~.r~gntage:"=" mosuequestS:wlll only Include l Codes, codes 2~. are-u·sed j>rirhilrliY fot TUtOriri~t-./':H.P~~F£_~~':0 l!l'~~:\ ~~,c~ ~stu l_L~ ;;>" •·p;: L._:;v·;,_j Jf you· dO nOi:-see-your funding Code(s-), ri'l<ii'\Ually enter_ up tO:t\-<JO

co.~.es ~~d percentaS~s_ln -~h~ fP:lq ~elo~_; to ad~ a_~;orn.mo~_iy used c~.~e to the drofH!ow_n 9_u)ces_ .... ~orgO(J"I:fUmO'n-fie~owqq._

Fil!ldlng Colfe 1:. CD(:: 3Fi6.033Q-0-6920-Q000-23.01 fiercen~age 1: 100

----------~~--~~--------- -~----· ------:----'~ _ __..,_.

Funding Coda2.~Choose:an lte·m.

·Funding Code;~, Choose an.item. Percentage 3: Entef%% f_unding Code:4: choose an Item. Percentage 4: Ente(%% ·Funding Codes: Choose: an item. P_E~J:t;entage S: Ehter %% F!iridii\g'Code 6: (:hoose an item.

Perce·ntage 6: Enter%%

~re-design~ted Financial Aid C6~es: Fed Wk Study! Select fund Funding%:. Entef% Dollar 1\mouut: $Enter:$ Alumni: setectFurid Funding%: Enter% Dollar Amount:$Enter$· CW/TASCS!ud (12-488-010l-Q-OS01~0000-2361) Funding}~: Enter% DollarAmount: $Enter$ (',Y/TASC Tutor(lf"-4~8-0iOt'O:o~Ol-0000"2304) Funding%: Enter% Dollar Amount: $£nter $

Description Fund School Reso<.~rce l PR Goal function Object Pes(;fiptioo ·Fund School Resource I 0 Goat FunC:Uc-n Object De>crlptlon Fund School Resource lo Goal Functi-on Object

P<;>r~ent

Percer.t

Percent

--L.).4.f4.:_ _ ___1~,t...!..._,l_jj_.L'--__f_~J..__.a'E~.::=~iJ__f~~~~s(__JUN 2 4 J D'lf Approver Date Date

COD STUDENT WORKER-TUTOR AUTHORIZATION FORIVI 1,,,,.,,1

Last Nam~:i~Jm:efa'61~j~i)~r~. First Name)zUH~I'!~(Jl ?tudent Email: J'nter;mail DepartmeJt:· toe·- · . Supervlsor/l'ltle: Dianne Russom- Program Dir~ctor

l8l Student Worker 0 Tutor.tailfunds at 100%) 0 Other: Oefine. "Other"

,i.,ctlve Student Status? £8l Yes 0 No . Verlfled by: Christin.e Nic~oli

Flscai:Veao. 2014-15

is. this Person currently employed at c;oo, or \'las emp(oyed In the hiSt 24 inonth~t,~,;W 0 No

Start Date: 7fl/M End Date: 6/30/15 Hourly Rafe: $9.00

MaKHours/Day: S. Max Hours/Week: 20

Com·ments.for Human Resources arid/or PayroiiJeail,IS:

SMient ldll042i346 Phone: 702~289-6066

Funding for Assignment: PleaSe Select~-E Of _the pre~designated codes- belOw and ln~Hcate tfiep~:rc~ntage- rriost re·quiists will o'fily--lndu'de·l coi:li!S.-coCie.S 2~6 are !JSed

. . ·"-' t~--~'''"'-""::. i"•-'>~· ~--·-; ,.,, :", '. ,-, ·:-.:-·;~; !~'lill'-_' .. - . . - . - . . -. priffiarUy for. Ttrt:Oringo' :~' ?:"_,:-,._ ~ :' ~-:-~·_;_ ~.~---- . · -- - - · - lfyou do not se-e y'ouf-fundlng ~qd~(s},-manually enter up~ t\Yo

<;qd~s ~nd perc~n~ages I!). the gild_ b~fow. T~ add-CJ common~)' u~ed co~e to the drop:.ciown c~glce~- ra_ntoct f!~fn~n-R_espurces: .

. Funding Colfe l: CDC:33-726-0:i30"0-6§20-00o0'i301. . .. . . -

Percentage a: 100

.Funding·code 2: Choos" ~n item, Percentage 2.: Enter%% Eundihg Code.3: ·choose an item.

· Per~entage 3: ·Enter%%·

FUh~ing Co.de 4; choo>e en .item, Percentage 4: Enter%% Fu.ndlng· Code SrCMose an Item.

-. Percentages: .Ent~( %% ·Funding Code 6;.'Cl10ose an item. P~rcentage 6: Enter%%

pre-designated FinanCial Afd Codes: F!fdWk SWdy:. Select Fund. Funding%: Enter% Dollar An10unt: $Enter$ Alumni: Select Fund Funding%: Enter% Dollar Am6uht: $Erit<o;'r $ CW/TASC swd {i£-4S8-0101,0-0S01-0000'2~01) Ful\ding %:Enter% ooilar Am·ount: $Enter$

CW/TASC Tuf6r(12-488-0loi-o-b801-000\):2304t Fundl.~g %:Enter% Doii;Jr.l\moun1< $Enter$

Description· . fund Scho.ol Resource PR Goal Function Cib)ect Description Funil School ~~sourc;e 0 Goal Function Object Description Fund Sch0ol .Reso·urce o, (i01il FU:nctitHi Object

Percent Percent P:e·rcent

COD STUDENT WORkE~-TUTOR AUTHORIZATION FOB.M t,,,,.,~,l

Last Nam~: Mlfarez Department: coc·

First Natt\~1 _Elena Student Email: Supervisor/Title; Iii anne Russo(n :- Ptbgr~m bkector

. IZ!.Student Worker 0 Tutor (all funds ;it 100%) D Other: Define "Other" Fiscal Year~ 2014·15

Active Student .Siotusl l8l Yes 0 No verified by: .Christine Nick61i

Is this j:iersori currently employed at COD, or was emploYed Iii the lasf24'months? !8J Yes 0 No

SWt Date: 7/l}M. End: Date: 9/~0/15 Hourly Rate: $9.00 Max )'lours/Day: 8 Max fiours/Weeki 20

Comments ~or·Human Resources and/or Payroll Teams:

Student IDti 0457622

Funding for Assignment: Please s'e.l_~ct 1-$ of the pfe~deslgnated codes below--and tn.dicate the perc~ntage-most r~quest-s-wl!l only iot;:.h,tde 1 tpde$1 co~e~ 2~ ~reusedprlmarllyforrutorlng, c•i;,rcfrn''"f'· ·. . .•, .c c ' • • . _, lfv.ou a~ not see.y~urf~ndlng ;~d·~{~t man~ally~nter.up t'a twd :cOdeS andp·ercentageS lrl~he·~rld belovi . . TO Odd a cOmmonly Us.ed cOdidCitlie:drqp•doiVn·chOlces- CdntaCf Uutnall ResourEes.

Funding Code 1: CDC:.33-726-0330.0-6920-0000'2301

perc~ntage.l: 10_0 ·-..:....-·---~.

Funding Code 2; Choo.se an Item. PercentageZ; Enter%%. Funding Code'3:Choosean t;em. p~·rcerltage 3: Enter%%· .funding Code 4: Choosa·an item. perc;eniage,4: _Enter%!i.. fuil~ing Code sf Choose im item. Percentages: Enter%% Funding.Cpde.6: ¢hoose an item. percentage 6: Enter%%

Pre-design<~ted ·Financial Aid Codes: fed W.k Study; 5electFun~ FUnding%: Enter% Dollar Amount: $Enter$

Alumni: .Select Fund Funding%: 'Enter% Dollar Amount: $Enter$" Cw!rASC Stud (12-4&8-010Hl.0801'0000'2301) . funding%: E'~ter% • DollaMmouhb$E!iter $

CW/TASC Tutqr{12·48s,61o~;0;080l·OOOQc2?04) Funding%: E~W% D<iilflrAmount:$Ent<:r $

Description Furid School Resource PR Goal function Object Desnlption Fund School ResOufc~ 0 Goa1 Function Ol?iect Description Fund Sch·ool RE-soutc:e 0 Goal FuildiOil Object

~ APprover/~ ~4/v Date.

Percent Percent Petc~nt

'i

COD STUDENT WORI<ER-TUTOR AUTHORIZATION FORM r'""-""l

L Y ''Y '' last Name: enO First Name: a nee ane Student Email:~

Oepartment: TASC Supervisor/Title: TI\SC Mgr

1Z1 Student Worker D Tutor (all funds at 100%) D Other: DeHne "Other" Fiscal Year: 2014-15

Active Student Status? IZI Yes D No Verified by: tf

Is this person currently employed at COO, or was employed In the last 24 months?- IZI Yes D No




May work up to 32 hours per week when school is not In session

Funding for Assignment: Please select 1-6 of the pre-designated codes below and Indicate the percentage- most requests wlll only Include 1 codes1 codes 2-6 are used primarily for Tutoring. A!l percentages_nmst add up to 100 (except Tutors). If you do not see your funding code(s), manually enter up to two

codes and percentages In the grid below. To odd o commonly used code to the drop-down choices- contact Human Resources.

Funding Code 1: ASC: 11-561-0000-D-6110-0000-2301

Percentage 1: 100








Per<:entage 5: Enter%%




Fed Wk Study: Select fund Funding%: Enter % Dollar Amount: $Enter$


CW/TASC Stud (12-488-0101-0-0801-0000-2301) funding%: Enter% Dollar Amount: $Enter$

CW(TASCTutor (12-488-0101-0-0801-0000-2304) Funding%: Enter% Dollar Amount: $Enter$




~ 1~/rtf d~ ~~~_J{(z5/IY Approver/Hirlng Manager Date Executive Dir of Human Resources Date

COD STUDENT WORI<ER-TUTOR AUTHORIZATION FORM r'""'"'i

Last Name: So to First Name: cl ClBfcl Student Email. --~

Department: TASC Supervisor/Title: TASC Mgr

18! Student Worker 0 Tutor (all funds at 100%) 0 Other: Define "Other" Fiscal Year: 2014-15

Active Stlident Status?' 18! Yes 0 No Verified by: tf

Is this person wrrently employed at COD, or was employed In the last 24 months? .18! Yes 0 No




May work up to 32 hours per week when school is not In session


Please select 1-6 of the pre:deslgnated codes below and Indicate the percentage- most requests will only loclude 1 codes, codes 2-6 are used primarily for Tutoring. All percentages must add up to 100 !except Tutors). If you do not s~e your funding code{s), manually enter up to two codes and percentages ln the grid below. To odd a commonly used code to t/Je drop-down choices- contact Human Resources,

Funding Code 1: 1\SC: 11-561·0000-0-6110·0000-2301

Percentage 1: 100






Perccnt<lge 4: Enter%%






Fed Wk Study: S•lw Fund Funding%: Enter% Dollar Amount: $Ente( $ Alumni: Select Fund Funding%: Enter% Dollar Amount: $Enter$

CW/TASC Stud (12-488·0101-0-0801-0000-2301) Funding%: Enter% Dollar Amount: $Enter$

CW/TASC Tutor (12-488-0101-0-0801-0000-2304) Funding%: Enter% Dollar Amount: $Enter$




h ,(.0_ c:: _(' G-/~~/1'1 so~rces. '----uate

COD STUDENT WORI<ER-TUTOR AUTHORIZATION FORIVI '""'"·"I

Last Name: Salama First Name: /\bclolh:.1lirn Student Email:

\ Department: TASC Supervisor/Title: TASC Mgr

181 Student Worker 0 Tutor (all funds at 100%) 0 Other: Deline "Other" Fiscal Year: 2014-15

Active Student Status?. 181 Yes 0 No Verified by: tf




Comments for Human Resources and/ or Payroll Teams:

May work up to 32 hours per week when school Is not In session

Funding for Assignment: Please select 1·6 of the pre-designated codes below and Indicate the percentage- most requests will only include 1 codes, codes 2-6 are used

primarily for Tutoring. All percentages rnust add up to 100 (except Tutors}. If you do not see your funding code(s), manually enter up to two

codes and percentages ln the grid below. To add a commonly used code to tl1e drop-down choices- contact Human Resources.

Funding Code 1: ASC: 11-561-0000-0-6110·0000-2301

Percentage 1: 100







Funding CodeS: Choose an item.

Percentages: E.nter %%




Fed Wk Study: Select fund Funding%: Enter% Dollar Amount: $Enter $

Alumni: Select FtJnd Funding%: Enter % Dollar Amount: $Enter$

CW/TA5C Stud {12-488-0101-0-0801-0000-2301) Funding%: Enter% Dollar Amount: $Enter$

CW/TA5C Tutor (12-488-0101-0-0801-0000-2304) Funding%: Enter% Dollar Amount: $Enter$

Description Fund School Resource PR Goal Ftmction Object Description Fund School Resource 0 Goal Function Object Description Fund School Resource 0 Goal Function Object


Approver/Hiring Manager

Percent Percent

Percent

COD STUDENT WORI<ER-TUTOR AUTHORIZATION FORM r'"''"""r

Last Name: Ouinh::tTr--l"r)Orl First Name: ,Junei-. Student Email:

Department: -TASC Supervisor/Title: TASC Msr


Active Student Status? 181 Yes 0 No Verified by: tf

Is this person currently employed at COD, or was employed In the last 24_months? 181 Yes 0 No




May work up to 32 hours per week when school Is not in session


Pleas~ sclect1~6 of the pre-designated codes below and indicate the percentage- most requests will only include 1 codes, codes 2-6 are used primarily for Tutoring. All percentages must add up to 100 (except Tutors). lf you do not see your funding code(s), manually enter up to two codes and percentages in the grid below. To add o commonly used code to the drop-down choices~ contact Human Resources,

F\mdlng Code 1: ASC: 11-561-0000-0-6110-0000-2301

Percentage 1: 100












Fed Wk Study: Select fund Funding%: Enter% Dollar Amount: $Enter$

Alumni: Select fund Funding%: Enter% Dollar Amount: $Enter$

CW/TASC Stud (12-488-0101-0-0801-0000·2301) Funding%: Enter% Dollar Amount: $Enter$

CW/TASC Tutor (12·488-0101-0-0801-0000-2304) Funding%: Enter% Dollar Amount: $Enter$




Resources ~ate

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM''""·"·"'

LastNmne: Paz-Alvarez FlrstName: Valentina Student Email:


!2l Student Worker 0 Tutor (all funds at 100%) 0 other: Define "Other" Fiscal Year: 2014-15

Active Student Status?. !2l Yes 0 No Verified by: tf

Is this person wrrenfly employed at COD, or was employed In the last 24 months7 i !2l Yes 0 No






Please select 1-6 of the pre-designated codes below and Indicate the percentage- most requests will only Include 1 codes1 codes 2·6 are used primarily for Tutoring. All percent<tges must add up to 100 (except Tutors), If you do not see your funding code(s}, manually enter up to two codes and percentages In the grid below. To add a commonly used code to tl1e drop-dowll c!Jolces- contact Human Resources.

Funding Code 1: ASC: 11-561-0000-0-6110-0000-2301

Percentage 1: 100

Funding Code 2: crwose an item.






Funding Codes: Choose an item.





Fed Wk Study: Select Fund Funding %: Enter% Dollar Amount: $EntCI' $ Alumni: Select Fund Funding%: Enter% Dotlar Amount: $Enter$

CW/TASC Stud (12-488-0101-0-0801-0000-2301) Funding%: Enter% Dollar Amount: $Enter$

CW/TASC T!itor (12-488-0101-0-0801-0000-2304) Funding%: Enter% Dollar Amount: $Enter$





COD STUDENT WORI<ER-TUTOR AUTHORIZATION FORM'"'"-'"')

Last Name: Martinez First Name: Stephanie Student Email:

1 Department: TASC Supervisor/Title: TASC Mgr


Active Student Status? 0 Yes 0 No Verified by: tl

Is this person wrrently employed at COD, or was employed In the last 24 months? 0 Yes 0 No






Please select 1·6 of the p(e-deslgnated codes below and Indicate tha percentage- most requests will only lriclude 1 codes, codes 2-6 are used primarily for Tutoring. All percentages must add up to 100 (except Tutors}. If you do not see your funding code{s)1 manually enter up to two codes and percentages In the grid below. ro add a commonly used code to the drop-down choices -contact Human Resources.

Funding Code 1: ASC: 11-561-0000-0-6110-0000-2301

Percentage 1: 100













Alumni: Select Fund Funding%: Enter% Dollar Amount: $Enter $ CW/TASC Stud (12-488-0101-0-0801-0000-2301) Funding%: Enter% Dollar Amount: $Enter$

CW/TASC Tutor {12-488-0101-0-0801-0000-2304) F\mding %:Enter% Dollar Amount: $Enter$

Description Fund School Resource PR Goal Function Object Descfiption Fund School Resource 0 Goal Function Object Description Fund School Resource 0 Goal Function Object



'/?~ '!;/ &/2~/1'1 ---Da1e

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM{"'"""'

last Name: lopez First Name: Jose Luis student Em oil: :s Department: TASC Supervisor/Title: TASC Mgr

ig] Student Worker 0 Tutor (all funds at 100%) 0 Other: Define "other" Fiscal Year: 2014-15

Active Student Status? ,!g] Yes 0 No Verified by: tf --·

Is this person currently employed at COD, or was employed In the last 24 months? ig] Yes 0 No





Funding for Assignment: Please solcct 1-6 of the pre-designated cod(!S below and Indicate the percentage- most requests will only include 1 codes1 codes 2-6 are used primarily for Tutoring. All pen:entages must add up to 100 {except Tutors). If you do not see your funding code(s), manually enter up to two codes and percentages ln the grid below. To odd a commonly used code to the drop-down choices -contact Human Resources.

Funding Code 1: ASC: 11-561-0000-0-6110-0000-2301

Percentage 1: 100








Percentilge 6: Enter%%


Fed Wk Study: Select Fund Funding%: Enter% Dollar Amount: $Enter$ Alumni: Select Fund Funding%: Enter% Dollar Amount: $Enter$

CW/TASC Stud (12-488·0101-0·0801-0000-2301) Funding%: Enter% Dollar Amount: $Enter$ CW/TASCTutor (12-488-0101-Q-0801-0000-2304) Funding%: Enter% Dollar Amount: $Enter$





COD STUDENT WORKER-TUTOR AUTHORIZATION FORM'""'"·"!

Last Name: Johnson First Name: Janice "Zal(ia" Student Email: ··


!8l Student Worker 0 Tutor (all funds at 100%) 0 other: Define "Other" Fiscal Year: 2014-15

Active Student Status?, !8l Yes 0 No Verified by: tf

Is this person currently employed at COD, or was employed In the last Z4 months?: !8l Yes 0 No



Comments for Humcm Resources and/or Payroll Teams:

May worl< up to 32 hours per week when school is not in session


... s

Please select 1*6 of the pre-designated codes below and Indicate the percentage- most requests wlll only Include 1 codes, codes 2-6 are used primarily for Tutoring. All percentages must add up to 100 (except Tutors}. If you do not see your funding code{s)1 manually enter up to two codes and percentages in the grid below. To odd a commonly used code to the drop·down choices- contact Human Resources.

Funding Code 1: fiSC: 11-561-0000-0-6110-0000-2301

Percentage 1: 100



Fundfng Code 3: Choose an item.









Fed Wk Study: S•lect Fund Funding%: Enter% Dollar Amount: $Enter$

· Alumni: Select Fund Funding%: Enter% Dollar Amount: $Enter$

CW/TASCStud (12-488-0101-0-0801-0000-2301) Funding%: Enter% Dollar Amount: $Enter$

CW/TIISC Tutor (12-488-0101-0-0801-0000·2304) Funding%: Enter% Dollar Amount: $Enter$




COD STUDENT WORKER-TUTOR AUTHORIZATION FORM<"'"''-'''

Last Name: Housden First Name: Anthony student Email:

_Department: TASC Supervisor/Title: TASC Mgr


Active Student Status? 1:8) Yes 0 No Verified by: tf

Is this person wrrently employed at COD, or was employed in the lost 24 months? 1:8) Yes 0 No






Please snlect 1-6 of the pre-desl.gnated codes below and indicate the percentage- most requests will only include 1 codes, codes 2-6 are used primarily for Tutoring. All percentages must add up to 100 {except Tutors). If you do not see your funding code{s), manually enter up to two codes and percentages in the grid below. To add a commonly U5ed code lo the drop-down choices -contact Human Resources.

Funding Code 1: ASC: 11-561-0000-0-6110-0000-2301

Percentage 1: 100




Percentilge 3: Enter%%



Funding CodeS: Choose an item.


Funding Code 6: Choose an item. Percentage 6: Enter %%





CW/TASC Tutor (12-488·0101-0-0801-0000-2304) Funding%: Enter% Dollar Amount: $Enter$

Description Fund School Resource PR Goal Function Object Description Fund School Resource 0 Goal Fl!nction Object Description Fund School Resource 0 Goal Function Object



COD STUDENT WORKER-TUTOR AUTHORIZATION FORM '"'"'w'

G L "L " Lost Name: Omez First Name: UZ UCY Student Email:



Active Stlldent Status? 18)· Yes 0 No Verified by: tf

Is this person currently employed at COD, or was employed in the last24 months? l8l Yes 0 No




Funding for Assignment: Please select 1-6 of the pre-designated codes below and ihdicate the percentage- most requests will only include 1 codes, codes 2-6 are used primarily for Tutoring. All percentages must add up to 100 [except Tutors). If you do not see your funding code(s), manually enter up to two codes and percent<1ges In the grld below. To add a commonly used code to the drop-down choices- contact Human Resources.

Funding Code 1: ASC: 11-561-0000-0-6110-0000-2301 Percentage 1: 100




Funding Code 5: Choose an item. Percentage 5: Enter%% Funding Code 6: Choose an Item. Percentage 6: Enter%%


Fed Wk Study: Select Fund Funding%: Enter% Dollar Amount: $Enter$ Alumni: Select Funcl Funding%: Enter% Dollar Amount: $Enter$ CW/TASC Stud (12-488-0101-0-0801-0000-2301) Funding%: Enter% Dollar Amount: $Enter$ CW/TASC Tutor (12-488-0101-0·0801-0000-2304) Funding%: Enter% Dollar Amount: $Enter$





COD STUDENT WORKER-TUTOR AUTHORIZATION FORM c~06.12.10}

Last Name: Zepeda First Name: Marissa Student Email: Department: CDC Supervisor/Title: Dianne Russom- Program Director

181 Student Worker D Tutor (all funds at 100%) D Other: Define "Other"

Active Student Status? 181 Yes D No Verified by: Christine Nlckoll

Fiscal Year: 2014·15

Is this person currently employed at COO, or was employed In the last 24 months? 181 Yes D No


Comments for Human Resources and/or Payroll Teams: Phone# 760-406·3602

Funding for Assignment: Please select 1-6 of the pre·deslgnated codes below and Indicate the percentage- most requests will only Include 1 codes, codes 2-6 are used primarily for Tutoring. All percentages must add up to 100 (except Tutors). If you do not see your funding code(s), manually enter up to two codes and perc:entages In the grid below. To add a commonly used code to the drop-down choices- contact Human Resources.

· Funding Code 1: CDC: 33·726·0330-0-6920.0000·2301 · Percentage 1: 100

Funding Code 2: Choose an item. Percentage 2: Enter%% Funding Code 3: Choose an item. Percentage 3: Enter%% Funding Code 4: Choose an Item. Percentage 4: Enter%% Funding Code 5: Choose an Item. Percentage 5: Enter%% Funding Code 6: Choose an item. Percentage 6: Enter%%

Pre-designated Financial Aid Codes: Fed Wk Study: Select Fund Funding%: Ent~r % Dollar Amount: $Enter$ Alumni: Select Fund Funding%: Enter % Dollar Amount: $Enter$ CW/TASC Stud (12·488·0101·0·0801·0000·2301) Funding%: Enter% Dollar Amount: $Enter$ CW/TASC Tutor {12-488-0101·0·0801·0000·2304) Funding%: Enter% Dollar Amount: $Enter$



Percent - Percent

Percent

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM ''""·'w'

Last Name: Williams First Name: Blake Student Email:· Department: CDC Supervisor/Title: Dianne Russom~ Program Director

l8l Student Worker 0 Tutor (all funds at 100%) 0 Other: Deline "Other"

Active Student Status? .. l8l Yes 0 No Verified by: Christine Nickoii

Fiscal Year: 2014-15

Is this person currently employed at COD, or was employed In the last 24 months? l8l Yes 0 No



Student IDII 0485341

Funding for Assignment: Please select 1·6 of the pre·deslgnated codes below and Indicate the percentage- most requests wlll only Include 1 codes, codes 2·6 are used primarily for Tutoring. All percentages must add up to 100 (except Tutors). If you de not see your funding code(s}, manually enter up to two codes and percentages In the grid below. To add a commonly used code to the drop·down choices- contact Human Resources.

· Funding Code 1: CDC: 33·726·0330-0·6920-0000-2301 Percentage 1: 100

Funding Code 2: Choose an item. Percentage 2: Enter%% Funding Code 3: Choose an item. Percentage 3: Enter%%

Funding Code 4: Choose an item. Percentage 4: Enter%% Funding Code 5: Choose an item. Percentage 5: Enter%% Funding Code 6: Choose an item. Percentage 6: Enter%%

Pre-designated Financial Aid Codes: Fed Wk Study: select Fund Funding%: Enter% Dollar Amount: $Enter$ Alumni: Select Fund Funding%: Enter% Dollar Amount: $Enter$ CW/TASC Stud (12-488·0101·0.0801..Q000·2301) Funding%: Enter % Dollar Amount: $Enter $ CW/TASCTutor(12-488.Q101·0-0801.Q000·2304) · Funding%: Enter% Dollar Amount: $Enter$




COD STUDENT WORl<ER~lt,JTQR AUTHORIZATION FORM l''c"'u'f

Last Name:. Perrotte Department: ~tic

First Name:. Suzanne studeqtEmall: Supervis.or/Title: Dianii·e Russom., Program Iii reCtor

t81StudentWorker P Tutor(all funds at 1009',). 0 Other: Denne ,;Other' Fiscal Ye-ar: 20l4-1S

1\ciiveStqder)t~tatus? [81. Yes 0 No Verified by: Christine Nftkoii

Is this persO!\C~rrentlyemployedatcoti, or was emP.Ioye.d in tlt.e last ~4mol\ths?. C8l Yes 0 No

StartDate·: 7/1/14 End Date: 6/30/15 Hourly Ratei $9.00

Max.Hours/Day: S Ma~ Hou·rs/Week: 20·

comments for Human Resouiru and/or Payroll Teams:

Student IDII 0437499

Fundil)g ~or AsSignment: · Pl~ase seted -lea Of the pre~desi&nated 'odes bel_ow arid Indicate the perCentage- mcist requestS \v1U Only lricluOe 1 cOdeS, cOdeS 2-6 are _use·d primarily_ for Tu-toring~"-'~~ r.t,otf~t-·g~ :.c ~:::I: ~~~:-, 11 i~ Ll ~?? -·::·-:_· i' ; :_,;:_,- <.~ If you ~9. nots.e-e yqur ft,.~n~lng c~e(s), manUally e-f!t!,WUp t~ two

todes:an~J.per~en~ges·in·t~e gr19 b~1~w: fo.qdd a cortu:nqnly l{sec{cqdeto the -dr9[J~d.m'!Iftho.{t~~ -.to:ntact.Humart Re~ourc~s ..

fU~ding Cp~e),, :CO~; .3:!-725;0330-Qc692Q~0000-230i i'er_2~ntage i.: 100

Fundfii~ Code 2: Ghoose ari item. Pe(Ceh.t.age.2: Ent.er.%%

fUnding Code~: Chom;e ~Q item. Percimtage 3< Enter %% Funding Code4:: Choose an Item. Percentage* E,fl~er·%~ Fundhig CodeS: Choose ~n Item. Percen.tag~ 5: I;nt~r%%

.Fu.~dfng code ~:.Chpo_se an )tem. Percentage GiEnter %%

Pre'ilesigna~ecl Financial Aid Coc!es: fed Wk Srudy: Select Fund Funding%: Enter% Dollar Amount: $Enter$. Alun'ini: Select Furid Funding %:.Enter% Dollar Amount: $Eriter $ cW/rASCStud (12'48B-0101-o-ililoi-Ooogc23()1) ~undlng %:Enter% Dollar Amount:.$Entef $

0V/TASCTg,tor(12-488-Q101-0,o&01-{)000'23o4) Funding%: Ent;;r% boJiarAmo~n\: $Enter$

Description Fuhd School Resource. PR Goal Function Object Description Fund SchooJ Re-sout{e- 0 Goal ·Function Object Dese.riPtioR Pond Scilool Resource 0 Goal ft,~ncti.mr Object

f'ercent Perce:nt

Pere~nt

' ..

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM'"'"""'

Last Name: Hernandez-Galavlc First Name: Carolina Student Email:'

·Department: CDC Supervisor/Title: Dianne Russom- Program Director

18! Student Worker 0 Tutor (all funds at 100%} 0 Other: Define "Other"

Active Student Status? 18! Yes· 0 No Verified by: Christine Nlckoli

Fiscal Year: 2014-15

Is this person currently employed at COD, or was employed In the last 24 months? 18! Yes 0 No

Start Date: 7/1/14 End Date: 6/30/15 Hourly Rate: $9.00 MaK Hours/Day: 8 MaK Hours/Week: 20


Student IDU 0356178


Please select 1-6 of the pre-designated codes below and Indicate the percentage- most requests will only Include 1 codes, codes 2·6 are used primarily for Tutoring. All percentages must add up to 100 (except Tutors). If you do not see your funding code(s), manually enter up to two codes and percentages In the grid below. To add a commonly used code to the drop·down choices- contact Human Resources.

Funding Code 1: CDC: 33·726.0330-Q-6920·0000·2301

Percentage 1: 100.




Percentage 3: Enter%% Funding Code 4: Choose an item.

Percentage 4: Enter%% Funding Code 5: Choose an item. Percentage 5: Enter%% Funding Code 6: Choose an item.



Fed Wk Study: Select Fund Funding%: Enter% Dollar Amount: $Enter$ Alumni: Select Fund Funding%: Enter% Dollar Amount: $Enter $ CW/iASCStud (12-488-0101·0·0801-000D-2301} Funding%: Enter% Dollar Amount: $Enter$

CW/iASC Tutor (12·488·0101·0-0801.0000-2304} Funding%: Enter% Dollar Amount: $Enter$

Description Fund School Resource PR Goal Function Object Description Fund School Resource 0 Goal Function Objecl Description Fund School Resource 0 Goal Function Object


Approver

Percent Percent Perct>nt

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM 1..,ouw1

Last Name: Gonzalez First Name: Letty Student Email: Department: CDC Supervisor/Title: Dianne Russom- Program Director

181 Student Worker 0 Tutor {all funds at 100%) 0 Other: Define "Other"

Active Student Status? 181 Yes D No Verlfled by: Christine Nlckoli Fiscal Year: 2014-15

Is this person currently employed 9t COD, or was employed In the last 24 months? 181 Yes D No


Comments for Human Resources and/or Payroll Teams: Student 10 110427821

Funding for Assignment: Please select 1-6 of the pre-designated codes below and Indicate the percentage- most requests will only Include 1 codes, codes 2·6 are used primarily for Tutoring, All percentages must add up to 100 (exceptTutors). If you do not see your funding code(s), manually enter up to two codes and percentages In the grid below. To odd o commonly used code to the drop-down choices -contact Human Resources.

Funding Code 1.: CDC: 33-726·0330.()-6920·0000·2301 Percentage 1; 100

Funding Code 2: Choose an item. Percentage 2: Enter%% Funding Code 3: Choose an item. Percentage 3: Enter%%

Funding Code 4: Choose an item. Percentage 4: Enter%% Funding Code 5: Choose an item. Percentage 5: Enter%% Funding Code 6: Choose an Item. Percentage 6: Enter%%

Pre-designated Financial Aid Codes: Fed Wk Study: Select Fund Funding %:Enter% Dollar Amount: $Enter$ Alumni: Select Fund Funding%: Enter% Dollar Amount: $Enter$ CW/TASC Stud (12-488-0101·0·0801-0000·2301) Funding%: Enter% Dollar Amount: $Enter$ CW/TASC Tutor{12-488.()101·0·0801.()000·2304) Funding%: Enter% Dollar Amount: $Enter$

Description Fund School Resource PR Goal Function Object Description Fund School Resource- 0 Goal Function Object Description Fund School Resource 0 Goal Function Oblect



COD STUDENT WORI<ER-TUTOR AUTHORIZATION FORIVI '""~""'

lnst Nam~:::SFHNA Department:' fX~-2'

I "'

First Nanre:--~oi'arii1a-~~, Student Email: --. -- -- c

Su}Jervisor/Titl_e: Asst. 1\ftorial Coordinator

0 Student Worker IZI Tulor (all fyl)ds at 100%) 0 Other: Define "Other" HscaiYeac 2014-15

Actfve Student Status? 0 Yet .181 .. 1'1.<> Verified !Jy: ss

ls this person curren(/y eilljlloye<J at coo, or Was employe din the last 24.nwnthF IZI Yes 0 No

StartDa.te: 7/J/14 End Oate; 6/~0/15 Hourly nate: $9.50

Max flours{Oay: 8 Max Hours/Week: 20

CPmrilehts for 1-hfnian R~Sou-rces ilnd/Or P-ayroll TCan1S:

~ c6ntlhtlh1gNON•Sttidentitatus ~-, . - . -- - - - -".

Fl!nding for Assignment: Please select"l-6- of th~ pre_,designaled codes be.low and lnPicale the percentage -mgstrequests will only Indo de 1 cpdes,-cpdes-2-·6-are used pdmarily for Tutoring. -An percentages mttst a·dd up to 100 {€Xcepl Tutors·). If you dO hot.se!:! your funding code(s)1 manually enter up to two !:;Odes and percentage~ in ttw grid belo_\•t. fo a_dd 0 common.IY uSed Cpde to the drQ[i-cfowi'i cl1oiCe_s.~ cO_ntOct HuiljO(I Resour:c.es.

ftmding Code ii. AS(: :11-SGi-0000-0-611,0-0000-2304

p~rc_etlJag-~ l: EiRer%

Funding Code 2:-ACES: 12-575-0101-0-6300-0000-2304

P~rce-ntnge--z: Entet%%

Funding Code 3: DSPS: 12-545-010l,0-542o-ooooc23ot!

Percentag-e 3: Enter-%% Funding Code 4·: EVT\U(J: 1?-S73-0101-0-6300-0000c2304

Perc_enlage 4: E!ih~r"-o/do

Ftindfng Colle 5: MESA: 1.;&74S'0101-Q-190t:GOQQ-2304

p·e~cent~ge-_S; Eoter %% F~nding code 6: T$0; 12-541-0101-0-6300-0000-2304

P~r~~_ntage· 6: _Enter~%%



Alumni: -'Si:-lect Fund Fi.tndil~g %-: Enter% Dollar Amount:.$Ente:r $

CW/TA$C Stud (12-488-0191,0-0801-Q000-230'1) Funding%: Enter% Oollar Amount:'$Enter $ CW/TASC Tufor (1?:-48&-0ldl-Q-0801-0000-2304) f(m~rng %:En tel% bailor A1i1ouot: $Eo fer$

oe·scription Hmd School ResoUrce PR Go<~ I function Object

Description flll1d School ·Resource 0 Goal rundlon ObJect Description Flll'id ScKool -R.~source 0 GQal F_unctioi1 ObJect


Approv(lr/H_irillg Man~ger

Percent Percent PerCent

COD STUDENT WORI<ER-TUTOR AUTHORIZATION FORM'"'""'·"'

last Nnm~1?;~~:~-~~~F~~;A,Y~N -, First Namg_; __ " l!_~~P'Jt Student Email;

Departmenli TASC' ·· Supervisor{Titlo: /\sst Tutorial Coordinator

0 Student Worker i3l Tutor (all fqnds al190%) 0 Other: [)efine "Qther"

AcliveS!uclen! S!a!(ls? 0 Yes\ !Zi.('lo Verified by: 55

ts this l'~rson currenlly en]ploye(l at coo, oi was employed in the last 24 rn0nths?' ·[8] Yes 0 No

Start Date: 7/1/14 End Date: 6/30/15 Ho(lrlyRa!e:.$9.50

Max HoUrs/Day: 8 Max Hours/Week: 20

Co-rilm.ent~ fp(Hum_ml Resol~l'ces a·nd/or Payroll T~ams:

'c;Ci>liJin\IJriiNON::s([,dent status-

funding for Assignment: Please select .1.-G:ohh_e pre-designated cqde_s-be-low an_d-indkate the percentage.- most_requests_ will onlyJnclude :1-cod_es, codes 2-6 :are used prlrYi.arily for-TUtoring. -All percentages must.add up to 100 (exceptT-utots}. If yoti do_hotsee-)iour funding code{s}, mant1ally Ctl1Cr tip to two

_codes and perc~iibge,s )_il the Rri9 belO\V. To odd 0 cOmUipni{I{Sed cod~ tQ th~ diop-do\\in_clloite.s- contact lluman ReSource~.

Funding Code 1:, i\Sc; 11-561,-00Q0-0-6110-0000-2304

P~.rC~nt~ge 1:· Enter%

FUilding Cqde 2:ACES; 12-575·0101-0-63Q0-QOQ0-2304

per~·er~t~e.e 2: Enter%%

Fui1<1ing code 3: DSPS: li-54S·OHil-0-6420,00d0-2304

P(m:enta~e.3: Enter%% Funding code 4: EVn110: 12-513-0.101 :a-ii300-000D-23o4

Percentage tl: Enter-%% Funding Co!le 5: MESA:l2-14S,Ol<il-0-19Ql-OO()Q·2304

r.erc-~nt<.lgc __ s: Etl_t.er %%

l'ttndiog code s;rsp: 12-547-010l-0-6300·0o00-2304

P~:ftCeilt~g·e .6: ~Jlter %%

Pre-designated Financial Aid Codes: ted Wli Study: Select fund Funding%: Enter% Dollar /\mount: $·Enter$

Alumnt Selec:t Fllhd tundi_ng %: Eoter·% Dollar Amount: $"EnterS CW/Ti\SC Stud (12,488-010l'0'0801-000!h1301) Funding%: Enter% Dollar Amo\lnt: $Enter$

CW/0\SC T11tor (i:H.88.-0101,0-0801·0000:1304) .Funding%; fnler %: Dollar Amo\mt: $Enter$

Description Fund S~hool Resource PR Goal Function Object oescri,Jtion Fund Sd10ol HesOHrce 0 Goal Function Object oe·s!=fipllo~i fup:d School Res-ource 0 Gaol Ftltldion Object



Percent Percent Pen;:.e,nt

COD STUDENT WORKER·TUTOR AUTHORIZATION FORM''''''""'

last Name[.::-R_QEDEH_ ·Deportment: YR?c" ··

First Name~ tl1ctil~~NikkVA~' student EmaJr; Supervisor/Title: 1\sst. TutorlaLCoordinator

0 Stt!dent Worker 0 Tt!tor (all funds at 100%) d Other: Define "Other" Fiscal Year: 2014-15

A clive Sl!ldei!t S(qtus? 0 Yel 181 N(). Verified by: ss

Is this-person cvrrentfy employed at (:00,-or wr.s employed _in the last 2.4-months? ,~ "''cs 0 No

Start Dote: 7/1/1~ En_d Date: 6}30/l5 Hourly Rate~$9.50

rylax Holns/Day: 8 Max Hours/Week: _20

Comrnei1ts, for Htwn-tln ReSources <lnd/or Payroll TimmS:

- 'eoiltintiii)lltlfoN-sttidehf sWtis

Funding for Assignment~ Plea~e select 1-,.(; a( the pm:designated co,des below and indfcate.the percentage~most requests wlil only include-~ codes, codes 2-6 are used prlmatlly. for Tutdrin&". -All percentages ti1uSt add up to 100 {exc"ept Tutors}. If yo\.1 ~o ~ot see ybuf'flmdlfig Code{s}~ ffi;lJ1uaj(y ~n~e(up ttil\Vo

codes_ar~d percen~ages i.n the grid below. To. odd q commonly used code to th~ drop·down cbolces ...... contact Human Resources.

Funding Code 1: AS(: 11-561-0000·0-6'110-0000'230.4

percejlt_ag~ 1: I;:nt.er%

Fui)<jlng CO<je 2: ACES: 12-575,0101-Q-6300-0000-2301

P~tccentage 2: EntN %% Ft1i1dlng Code 3: D5PS: i2~S4S.0101:0:6420-0000c2301

Percentage 3; Enter%% funding Code 4: EVTRIO: 12c573-010l-0-6300·0000-2304

·f'erc~rltag_e.4: .Enfer %% Ftindlng tocle S:MESA:12-745•0101-0-1901-0dOd'230il

.Pe~C-~otag_e_ S.:' ~nter.%% F4n~ing Code 6: TSD_:12-~47-0101-0-6300-0000•2304.

Pe~centag·e 6: .En_let %%

Pre-designated Financial Aid Codes: Fed WkStudy: Select Funcf Funding%: Enler% Doiiar 1\rilount: $E1Her$ Alcmmi: S.elect Ft111d Fund.ing %~Enter% Dol.lar Amount:·$Enter$

cW/TASCStud (12-48"8:010l'O-d801-000.0-2301}_ Funding%: Enter% DollarAmotlnt: $Enter$

CW/TASC Tatar (12-4.88-0101-d,08Qi,0000•230~) Funding%: Enter% Do liar Amount: $Enter$

Description f4nd School ReSource PR Go.al Function Object OesdipHon Fund School Resource 0 Goal Funt~lon. ObJect -Oe_sctjp}i.Pil Fund School Hesource 0 ·(ia_al Function Object

Please send.sl_gned for111 to HR for processing,

_Percent re:n:;ent P.erce.nl

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM ''"'""I''

0 Student Worker 0 Tutor (all funds at.lUO%) 0 Other: Define "Other" Fiscal Year: · 2014-15

Activo Student Status? 0 Yes l8l NQ

Is this person currently employed at COD, or was employed In the last 24 months? . I@ Yes 0 No

Sttir\ Date.: 7/1/14 EndDate,: 6/30/15 fjourly Rate: $S.SO

Max.Hours/Day: 8 Max Hours/Week: 20

_Comm_erlts fot_Human Resources and/or Payroll TeiJms: , - coi]til11i;r11UWJoJ-.:stuaent st<!tll.s_ - ----- -- --" ____ _


Please seiect 1-G·of the pre·deslgnated todes below and Indicate the percentage- most requests will only lnciude-i cotleS,.codes-2-6 are used primarily forTuto·rlrig. All percent_ages .l)lUst add up to 100 (ex"c-ept Tu~_ors). If you (_]o flo_t se;e your fu'_ndlcyg cOde_(s}~ m&nuallyenter_ uj:lto h•/d codes and percentages~_o the grid below. To odd a commonty used code io the-cfrop·_down-clwices- contpctHuman Resources,

Funding Code 1:: ASC: li-561-0tioo-'0-6110-00dO;zao4

Pe_rcentage_l: ~nter%

f~ndlng Code 2:ACES: 12-575'0101-0-6390-0000-2304

_P_er¢tmtage"2.: f!1tef%% F~ndlng Co do 3;DSPS: 12c>4S:OHJ1,0·6420,0000-2304

P{Ar~C-il.tag~ ?.~ ~ntef %% Funcllng Code 4: EVTRIO: 12-573-0101-0-6300-0000-2304

P8rcentage 4: E-hter %% Funding CodeS: MESA: -12-745-Dl01-0-1CJOi-Ob00-2304

~ercentage -S; Enter%:% Fumllng Code 6: TSD: 12-:S47-0101:0-6300'000IH304

P_e(Celltilg_e_~: Eht!"!r%%

Prll-designated F!n~ncia! Aid Cqaes:

·Fed Wk Stllcfy: Selett.Fund Funding%: Enter% Dol!ar.Amowit: $Enter$

Alumni: select-Fund Fun-ding~ Enter% DOllar Amount~ $Enter$

CW/TASCSiud (12-488-0101-0·0801-otiooc2301) Funding%: Enter% Dollar Amount: $Enter$

CW/TASC Ttttor(12-488,010i-0-080i•OOOO·i304) funding%: Enter% Doilar Amount: $Enter$

Description Fund School Resource PR Goal Function Object DescriptiOn Fund School Reso_urce 0 Goal FUn(;tioO Object Descrii)tion fun.d School f3es.ource 0 Goal Fun~Uon cibje't

Plea~e send signet! form to HR for pro~es>lng.


Percerit Pertehi r·e.rcenl

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM 1"'''"'"'1

Last NamKQI'l)§SI!>OM :'· First Nvm~:'~!\lm!i~rly<l'student Emni!I _,.,-..;-:'-:?-~='='____::_::'--'-~' --·-- ~

DC)mrtm-ent_t: TI\S~ Supcrvisor/.Title:· Asst. T~tro~llll C66rdin_at(jr

0 Stud~nt WorRer i;Q Tutor (all funds at ·100%) 0 Other: Define .;Other" FlscaiYear: 2014-15

Active Student Siatus? 0 Yes\ 181 No Verified by: ss

Is this perso1\ currently employed at too, or was employed In the last 24 months? .. 181 Yes' 0 No

Start Date: 7/l/14 Eod Daie: 6/30/15 Hourly Rate: $9.50

Max Hours/Di!y: 8 Max Hours/Week! 2b

Comments for Human Resources and/or -Payroll teams:

'tbl1tfiit,f.1e J-roril-sltideilt :'ta tus:;. ~;

Funding (or Assignment;

'

Ple-?se st:!l11ct 1-?-0f ~he. pre-cfCslgnatea COdeS l:ielow and-Indicate tlie pE!:rcentage- mosttequcsts will onl'{iriclude-1 codes~-:codes 2-6_are used prim<Jrlly for tutoring, AILperc;entagcs m~st-add up \q 100 (~~ce:pfTlltocs}~ 'If y_oti dO !)cit :Se.~ yOur fundJng code{s), m~_nllaliY ~pter-up to lw9 ·code-s' <Yn·d percentages ii' the grid beiow; To add a commonly used code to the drop~diwtn-choices---edntOct tiuman Resources.

Fui1dihg Code 1: ASC: i1"561-0DOQ-0-6110·b000-2304

Percentage· 1: Enter%

Funding Code 2: ACES: 12-575'0101-d-()300-0000-2304

P-erceotaga -z: -Enter%:%

Funding CoM 3: D~PS: 12'545:-0101"0-6420-0000-2304

:P~ercetl_tage 3: -EDt~·r tto%: Fuhqing Cpde 4: EVTRIO: 14·573·0101-0-~300-0000-2304

pe_t'C¢ritag~ 4; Eotcl' %% funding CodeS: MESA: 1Z-74S-0101;0,1901-ob'oo-2304.

Percentage 5: En1er %% Fundinr, Code 6: TSD:-12-547·010.1-0-G'l00cOOQ0,2304

Pcrcent~gc !).: Entef %%

Pre.·desigmited Financial Aid Codes:

Fe<fWk Stacly:: S~le<t Fund funding%: EnW% ooii<Jr A_mount: $Enter$

A~umnl: SeleCt Fun(! Funding%: E1Her% Dollar Amo1,1nt: $Ente'r $ CW/TAS(; Stud (12·4~S·0101-0-0801-0000.23i'Jl) Fui1dlng %:Enter% DollarAniount; $Enter$

CW/TASC rutor (12-_4H8-010l·O·Oil01-0000~2304) Funding%; Enter% Dollar Amount: $Enter$

Description Fund ·School ll_esonrce PR Goal Function Object DeSGcipU_oJt Fund School l~esOlirC.e: 0 Goal Fwt~tion Object Desuipfiotl Ftmd Schoo) Reso\..lrce _Q Goal Fut;~ctlon Object

Percent Pef"cei1t Percent

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM''""·'"'' - - - ' - .

last Name:. Johnson-~ _J}Fst Name::-=~lillllf{[f1l0dt~ Student Email: d ~&-;""it£1-l; ;:·c:"k<'

Departmcntf TASC · S<<pervisor/Title: Asst. Tutorial coordlna.tor

0 Student Wor!<er !8J Tutor (all funds at 100%) 0. Otl.ier:· Define "Other" FiscaiYear: 20.14-15

Active Stlii/ent Status? D Yes\.~5t('lo Verified by: ss

IS this person currenify emjJioyed at COD, or was mnployed in the ii]st24 months? :'181 Yes. [) No

start Date: 7/1/14 End Date: 6no/15 Hourly Rate: $9.50

Max HodrsjDay: 8 Max Hours/Weel<: 20

Comnieilts fOr_H_liman ReSOurces ai1d/or Pay'roll Teams:

··:· <:&tllil1\!mil NON'Sttldentstaws ·


Please se(ec_t 1-Erot the,pre-designated codes below aod indkate-the perc~otpge -·most requests wlll only include_! codes, code_s-2·6 are ~sed primarily for Tutoring. All percentages rnust t\dd up to 100 {except Tutors). If you do not see your fundin~ code(s}, n'tanually enter up to two

cOde"s-and perci:mt~geS in \he grid below. To odd Q commonty used code tO the flrdp-dpwn choices- cdntuCt ffimutn nesqtifces.

f\m~ii'~ Co~e 1: Asc: 1i-S&1·0boo-!l-6110·0000-2304

P~r~ent~ge 1:: t;nter -%,

Funding Code 2: ACES: 12-5 75·0~01·0·6300-0000-2304

Pe-rcentage 2! E-ntet-%%

Funding Code 3: DSPS: 12-545-0101-0-6420,0000-2304

Percentage 3: En~ter %% Fundio1g Code 4~ EVTRIO: i2-573·0101-0,6300·0000-;l304

Perteotage 4: Enter%% Funding Codes: MESA: 12-74S·0101'0-190t-0000-2304

Percet)ta_ge_ 5; Erjter -~%.

FundlngCode 6: TSD: 12-547-0101-0-.6300·0000-2304

~e(c"(!nt~ge 6: Ehter%%


Fed Wk Study: .Select Funo Funding%: Enter% Dollar Amount:$Enter $

Alumni: Select Fu~d F'undlng %: Enter% Dollar Amount: $Enter$

CW/TASCStud (12-488.0101-0'0801,0000-23.01) Funding%: Enter% Dollar Amount: $Enter$

CW/TASC T<ttoi (12-488.-Ci101-0-08Q1-0Q00-2304) Fi1ridh1g %:Enter% Dollar Amount: $Enter$

Description Fund School Resource PR <>oar Function Object Description Fund School Resource 0 Goal . Ftuwitlon Object DestdpliOn Fttnd School R~S.d_urce 0 Goal Fqhc;ti60 Ob)~c\

Please send sfgnecf form to HR for processing.

PerGent e.ercent rerce1H

COD STUDENT WORI<ERcTUTOR AUTHORIZATION FORM c"'"·""''

Last Name:-Homcc First Name:!Enlr: • Student Ema'

Departmenlfti\·s~ Supervisor/Title: Asst; Tutorial Coordinator

0 Student Woyker l8l Tutor (all funds <!1.100%) 0 Qther: Define "Other" Fisc~! Year: 2Ql4-15

Active Studeilt SlaM? 0 Y€1 131' ~.il Veri(Jed by: ss

Is this j5erson ccmently employed at COD, or wa.s e_llii>loyed h\ the last24 months? \. (81 '(~~- 0 {'lo



Cofnri':u:nts for Human R~sources _nJ1d/or PayroU Te3rl)s:

;-_~gl\~li)Jii!JI: ~;ON,St@eni§tah1S ··- ·

F\inding for Assignment: PleaSe .$elect 1*·5· of th~ J.lfe-designated codes.below and ln~icate_the p~rcent~ge- _mo_st reql!_ests_ wili only indud_e .i codes, ~;o-Pes 2-6.are used primarilY for Tutoring. All percent<lges must add up to 100 {ex:ceptTutors). Jfyou do not see· your fundinlfcode{s), manually enter up to two <;:odeS and percentage-s ln tl~e gdd below~ Td add a comrpohly u$ed cocje tO t11e drop·down ci~Oice_s -ccir1lact Human ResourceS.

funding Code 1: ASC:ll-561-0QP0-0-6110-P000-2304

P~r~_e~t~ge 1: l;nter%

Funding Code 2: ACES: i2:57S-0101-0-6300-0000-2304

Percentage -2: Enter%%

Funding Code 3: DSI'S:12-545-0101-0-6420-0000-2304

P_ercentage-.3: Enter%%

Funding Code 4: EVTRIO:l2'Sn-0101-0-6300-000Q-2304

Pert:Emtage-4: Enter'%%

Fur\ding C:ode 5! MESA: 12-745-0101-0'1901'0000,2304

Pef'ce_il~~geS_: ~.nter .%% Funding Code 6:TSD: 12-S47·010l.-0·6300·0000"2304

Pe_rc-ent~fg·e (?_: Enter·-%%

Pie'designated FinanCial Aid Codes: Fed Wk Study: ~olectf~n_d funding%: Enter% DoJiar Amount: $EnterS

Alufi)ni: ~~l_ect}und _Funding%.: Enter-% DOllar_Amount: $Enter$ _._

CW/TA.SC Stu<! (12'488'0101c0:0801-0000.-2301) FundJng %: En_ter% Dollar Anwunt: $Enter$

CW/TASC Tutor (12-488-0101-0-0801-00Q0,2304) Funding%: Enter% Dollai AiJ\Ourit: $Enter$

Description FUnd School Resource PR Goal Function Object Description Fund Scliool Resource 0 Goai Function Objeo\ Description Fund £chool Resolirte 0 :Goal FUrl~ticin Object

Please s.end signed form ro liR for processing,

Percent Percent P~rcent

COD STUDENT WOR[(ER-TUTOR AUTHORIZATION FOR lVI t,.,,.,.,t

lost Name~',Slti'Biff=~- first Name:· flndmw- Student EmaiJ:~--~~---- cc-_ Dripartmen\: 1~S:(; S<•p'e;~lsor/Tilie: Asst. Tt!19ri~l Cot)idina\or

_0 Student Worker !8l Tutor (all funds at 100%) 0 other; Define "Other" Fiscal Year: 2014-lS

ActiveSWdent.Status? 0 Yes\(81 No Verified by: ss

Is this i>rirson wrrent/y employed at COD, or was emj>loye:d-ln the: iast 24 months?', 181- y~s 0: No

Start Datm 7/1/14 End Date: 6/30/1S Hourly Rate: $9.50

Max Hours/Day: 8 Ma_x Hours/Week: 2.0

Comnle-nts-for Huthan Res·ources.and/or Payroll Teams~

tt5fDiTI1tiir-rFrii0J-Jist"u<fuiit tt;tqf }

Huidfng for Assigrunent: Please s~l_ed 1:~6 Of the p(C:-~feS!g•iated c;odes below-and i_ndica:te the percentage -most requeStS \•1\U m)ly ind_u9e 1_ cod~.S, codg~ 2~6 are_ used primarily forTutoring. All perce11tage$ must add up -to ~00 {except ·Tutors}. If Y0\.1 do not see your funding co_de{s), maoua-Uy e:nter up-to_ b.vo cOde~ and pCrcent~i~~ iri the grid-b~low. To add ii ~ommoriiy used code't~ the drOtHjf?l'l"n choiceS -coilto~t HUm9n Rr;souite_s.

Fundi11g Co<!g 1; ASC: ll-561-0000"0-6110-0000-2304

_Pe_rc~ntag-e ~:_ ~nter%

Funding Code 2: ACES: 1Z-57sc()1Ql:o.6300-0000,2304

~ercentage 2-:- ·E'nter %% Funding Code 3: DSPS: 12'545-0!0FD-6420"0000-2301-

P~rcent~g_~-3: .l;ntcr %~

Funding CoM 4! i;VTR.IO: i2·573·01Q1·0'6300-000Q-2304

Percehttice 4:- -~t1let.%%

Funding Code~: MESA: 12·74S.(J1Q1-0-1901·Q000-2304

Pertent~ge 5:_ ~E1_1~er %~

Funding Code 6: TSD: 12'547-0lOH-6300,0000-2304

Percerttage 6:, 'Enter%%

Pie-designated Fhiancial Aid Codes:

Fed WkSlitdy: Select ftond funding%'; EnWr% Dollar Ali1ount: '$Enter-$

Aflimn}: S_el_ec_t Fund Fondiri8.%:. f.nl~f% Dollar Arilo~mt: ~En~er'$. CW/TASCS!vd (12-488-010lc0-0801-000Q-2301) Fon<ling%: En fer% Dollar Amount: $En1er$ ·

CW/TJ\SCT!ilor [12-488-0101c0-0801-0000-2304) Funding%: Enter% Dollar A_lnount: $Enter$

Description Fund School Reso.urce PH Goal Function Object

Description Fund School ·Resource ·a· Goal Function Object Descriptiofl ·Fund School Resource- 0 Goal Functiofl Object


Percent _Percent Pertent

COD STUDENT WORKERcTUTOR AUTHORIZATION FORM'"'"''"'

lnst Nnrne:e:J!l\LOWlN ~.~:fitst Name: fflcVe.in=----· Student Emaif· ,,-.~~~G--:c':_--:_-~_c- ~~-'"<;._,_•-,- . oz,

beportmenl,: TI\SC~ ~- Supervisor/Ti\fe; Assl. Tutorial Coordinator

0 Sllrrlent Wor~er l8l Tutor (all funds at100%) 0 Other: Define "Other" Fiscal Year: 2014,15

Ac!ivq Stttclcnt Status? 0 Yi!$. i8fN9 Verified by: 55

IS thiS perSQn c_turently employ~q at CbDz o_r W<IS empl_oyed in the l_ast -24_ n)(lnths? l8J Yes D No

Start Date: 7/1/lA End Date; 6/30/15 Hourly~nate:•$9.50

Max Hours/Day: 8 Max HoUrs/W~ck: 20

CtjmOlen_t~ for Huri1a_n RC_soi1rceS a0d/6r PayrOJ!_ TeamS: ,, €ciiitil1tiifrgl'i oi~~Stnd cnt 5tatus ·· -~ ~

lunding for Assignment:

Please-seicc.l1-6 of the pre-desl~nated codes be_low and indicat_ethe percentage_:-' moSt req~1ests wlil_only lndude-1 codes,_ codes-2-6 are Used ·prlmi.1rily for TUtoring. Allpen:ehtages must add up to 100 {except lutcrs}. tf you do no~ see your funding ·cad~_(s}; manually _e_nter l!P to t\V(} ·to_d_es_and p_ercerllagcS io_ the grid 9e1ow, Yo add a comf!lOnly used code to tile dfop-dQwn clwicgs -cpntact Human Uesources.

fundilili Code 1:. ASC. il-561-0000-0-GH0-0000-2304

.Pe_i'cent~g_e 1;- E_nter%

Funding Code 2: ACES: 12c575c01-01-0-630G~OOQ.0-2304

P~i'cCtiHlge-2: ·Enter%% Fu11din~ Code 3: DSPS: 12-S45-0101-0-6420-0000,2304

Percennrge<3: Enter%% Fundin~ Code q; EVTRIO; 12-573-0101-0-630-0~0000-2304

Percent~ge _4~ Enter%% FUndi!lg Code 5: MESA: 12-745-0JOi-0-1901-0000-2304

_percent~ge_s: EAt~-r%%

Fll!\dlt\g Code 6:TSD: 12-547-Q10l-0-6300-0000-2304

Petc~'ntage~G: Ente-r%~

rre-desi~nated Financial Aid Codes:

Fed-WkSiudy: Sel&t-fthtd- -Funding:%: Enter% Dollar Amourtt:-$Enter-$

Alt~mnf:- Select fUnd Funding-%: Entet% bollar Amount:.$.Enrer $ CV\1/TASCStud (12"488·0101-0~0801-0000-2301) Funding%: Enter% Dollar Amount: $Enter$

CW/[Ascr~tof(l2~488-0Illl-d"OS01-0-000-231i4) Funding%: Enter% Dollar Amount: $Enter$

Description Fund School Resource PR Goal l'u~nction Object pescription Fu!1d SchbOI RCsburce 0 GOal FuiKtitii1 Object OeSCrjp_Uon Ht_nd School Reso~rce 0 Goal Furict1on Object

Please send ·si,gned forin to t-iR for ptocesS_ing.

Approv~r/fllring Manager

Percent rerC(!:nt_ PO'rcent

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM''""""'

last Name: KOENIG First Name: Shoilo Student Emoil:.

Department: TASC Supervisor/Title: Asst. Tutorial Coordinator


Ac!lve Student Status? 181 Yes 0 No Verified by: ss

Is this person currently employed at COD, or was employed In the last 24 months? 181 Yes 0 No

Start Date: 7/1/14 End Date: 6/30/1S Hourly Rate: $9.50



Funding for Assignment: Please select 1-6 of the pre-designated codes below and indicate the percentage- most requests will only lnclude 1 codes, codes 2-6 are used primarily for Tutoring. All percentages must add up to 100 {except Tutors}. If you do not see your funding code(sJ, rnunua!ly enter up to two

codes and percentages in the grid below. To add a commonly used code to the drop-down choices -contact Human Resources,

Funding Code 1: ASC: 11-S61·0000-0-6110-0000-2304


Funding Code 2: ACES: 12-575-0101-0-6300-0000-2304


Funding Code 3: OSPS: 12-545-0101-0-6420-0000-2304


Funding Code 4: EVfRIO: 12-573-0101-0-6300-0000-2304

Pcrc:entagC 4: Enter%%

Funding Code 5: MESA: 12-745-0101-0-1901-0000-2304


Funding Code 6: TSD: 12-547-0101-0-6300-0000-2304




Alumni: Select Fund Funding%: Enter % Dollar Amount: $Enter$

CW/TASC Stud (12-488-0101-0-0801-0000-2301) Funding%: Enter% Dolbr Amount: $Enter$

CW/TASC Tutor (12-488·0101-0-0801-0000-2304) Funding%: Enter% Dollar Amount: $Enter$




Percent

Percent Percent

COD STUDENT WORI<EHcTUTOR AUTHORIZATION FORIVJ ,,,,,.,,.,

.Department: TJ\SC Supervisor/litle: Asst. Tutoriql Cot;ndinator

C) Slt1dent Worker IZl Tutor (all funds atlOO%) C) Q.ther: .Define "other" Fiscal Yeilr: 2014-15

Active student $latus~; .(g). Y.~s 0 No Verified hy: ss

'Js this person wtrently emJHoyed a! COD, or was employed In tHe last 24iilonths?, IZl Y~s 0 No

Start Date: 7/1/14 End Date: 6/30/15 11ourly Rate: $9.50


CoilmiC!lts fo·r I Iuman He~Ources m}d/o~ P"ayr'o!l Tea!ns:

:t;!SijJN:<\r,~lic:at~s'wifi !);, striMhiJi1 (~II also)

Funding for Assignment: Please-select t-6 o_f the-pre-designated codes betow and in9icale_ the percentage- mqst r~qvests. wlll only lnclude.i codes, codes ·2-6-are use_d primarily for Tulofine·. Alf p:ercentages must add Up to tOO (except Tutors). If vou do not see your fundlng-code(St manually enter up·to two codes aOd pctc~ntage~ in the grid b_glow. To a_cld-{1-commoafy ilsed cor!_¢ to the cfroP·flo.\Vn 'i:/loices~pmtoi;t Hum(m RespU_rces.

Funding Coqe 1: 1\SC; 11-$61-Q000-0-6110-Qn00-2304

rerC!.!.ilta_·ge_.l: ~n~er%

fui1ding Code 2:ACE~: 12-575-0101-0-6300-0009-2304

Percentage 2-: Enter%% F\11\ding Code 3: DSPS: '12-545-0ibl.-0-642.0-0000-2304

Pe-rcenta·ge 3: Enter%-%

Funding Code 4: EVTRIO: 12-SJ:)-010l'O-G300-0b00-230i1

Percent_age 4: E.ntN %% h1i1ding Code 5.:' MESA' 12-74S'0101-0'1901-Q000-2'l04

perceq~~ge_·s: En~er %%

Fundli1g Code 6: TSD:l2-547-0101-0-6300-0000-2304


Pre-designated Financial Aid Codes: Fed Wk StuqY: -Select Fund Funding%: Enter% Dollar /\mount: $_Enter:$

Alumni_:· selettFuod Funding%: Enter% Dollar Amotmt $Enter$ CW/TASCSiu.d (12-488;0lOl-0-080h0000_-2301) Funding%: En\er% [)ollar 1\mount: $Enter$ CW/TASCTutor (12-41l8-d101-0-08Ql-0QQQ-2304) Funding%: Eilter% Dollar Amotml: $Enter$

-Description Fund School JleSO\lrCe Pll .Goal F.unction Object OesGriptfon Fund S_chooi Resource 0 Goai Fur1c'tioi1 'Object Des~ription. Fl_llld School ReSQurc~ 0 Goal FlifYC_Uqn, Ol>ject

Please send signed form .to HR for processing.

Approvcr/Hiring Manager

Percent Percent Pen;:e:nt

COD STUDENT WORI<EH-TUTOR AUTHORIZ/-\TION FORNI t"'"''"'t

''"lasfNann):~ i\VoH ~c'FirsfNaJill!t-)l;ne~ Studec11t -El)i~iJ' Department; TA.S<; SujJervisor /Title: M~t: Tqt'arial Coordinator

D Stlrdelll Worker ®Tutor (all futids at 100%) D Other: Define "Other" Fiscarvear: zoi4-15

Active Sllldent Status? D Yes !21No Verified by: ss

Is thlsperson currently employed at COD, or was employed ln tire last 24 months? i® Yes D No


Max Hours/Day: 8 Max Hotrrs/Week: 20


-~, Confirfui rig NON':StugeJ)i §_tatus,-- -' • -'to~

Funding for Assignment: Please ·select 1-6 Of the iJ(e~Ch~·sigililtC'd cdcfeS_~·ero\Y and indiCate the percentage-- most- requests \viii OO!y inClude-! (odes, ~Odes ·2-_6 are-used

primarily for-Tutoring. All p_ercentil.ges must add up to.i_OQ {e_xcept Titiors). If you do not see your funding code(s}, manuaily e_nter ~1p to two

codes-and percentages ln tile_ grid below. To a·dd o wnm1only-used toCJe-to the drop·cio\vri_choices ~contact Human Resatrrces;

fl1Jiding Code 1: ASC: 11-SGHiOGO-O,Gii0-0000-2304

Pcrceiltage i: Enter %

Funding Code 2: ACES: 12-575-0101-0-6300-0000'230.4

Percent~ge_ 2: Enter%%

F\rnding Code 3: [jSPS; 12;545-0101-0-6420-0000,2304

p_~r~¢0tti(id:3: E1)ter -)~%

f(rnding Code 4: EVTRIQ: 12c573-0101-0-6;300-0000-23Q4

P¢i'ce-nt"Dge-4: Ent~~ %% Fluiding CodeS: MESA: 12""T45-0101-0,190lc0000-2304

Pcrcernaee 5! Ei1ter %%

funding Code 6:TSD:12-547-0101'0'6300-bOOb-il04

Percen-ta~e-6: Eilter·%%

Pr~-rlesi(lhatedFinal1clal Aid Codes:

fed Wk Stltdy: S~lpctFund Ftrnding %i Enter% Dollar An]ount: $Enter$

Alrl(lini: :>eled fimd Funding%: Enter% Dollar AniO:trtll: $Erllh $

CW/TASCstud [12-48.8-01lll,O-Q80leOOOG-2301) Funding%: EiHer% DollarAmriunt: $Enter$

CW/TASC Tutor (12-488-0101-Q-OBOl-0000-2304) Furding %:Enter% Dollat{\nlounl; $Enter$


£?_t;SG:cipl1Qtl Firr1d School R£SO:ur"ce 0 Goal Fi!ndio·11 Objett Qescri"j)(lo-n . Fund School Resource b Goal Ftmdioq Object

Please send slglied form to HR (or Jlrocessing:

Percent Peri:e11t

Percent

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM ,,,,.,u•J

last N-anw::---_Ops::_sa-n_to-s~RQss;-_ First Nam~:::if3~i-o_-= Student_ Emaif;: cc __ -----·o,;,:.~,n:;;.,-,_-•-~,_, ___ :-:-_ '~ - - - -

_O~par"tment:~--t('"SC, SuperviSor /Title: A.sst. Tutorial Coo(din()t6t

0 $ludent Wor~er lZI Tu.lor {ill! f!tnds ~t.100%) 0 Other: Define "Othe1" Flsc'al Year: 2Q14-15

Verjfledby: ss

Is lhls person currently employed at COD, or was employed In the last 24 months?. ~ Yes: 0 No

Start llate: 7/1/14 End Date: G/30/15 Hourly Rate: $9.50


Comnidnts fiJi" Hul'mm Resource-s ti~d{or P<iyrOI_I Teb_nJs:

''~t<liiTl\,\llng.i\Jq'N:st;.,a~~l-status

Funding for Assignnient:

PleaSe_sefec( 1-6 of tlte pre-des-ignated CO-d'es belo_w and IndiCate. the perc_!!nt<Jg~- rnost req(!es_ts will only include l co~les,_coQes 2-·6 are_ us:ed primarily lOr Tutoring, All pcrccnt_uges must add up to.lOO {except Tutors-). If you do ·not SCI:! your funding code{S:}, manually -enter up to_ two

codes 'tlrjd p~rCen_ta&e5 in the edd belpw. To odd o fbinmonfy USed code ta-tlu: drOp-dO\vrl cfwices- cafllOi:;l HumalJ Resources.

Ftiiuling Code l: ASC: 11-561-0000-,0-Gl10-.0000-230~

rercentage ~: En~er%

Fundlnl! Code 2: ACES: l2-S15-010i-<i-630U,gooo-2304

_·rerceiltag-e 2:- Enter%%

Funding Code 3: DSPS: 1L-54S--Ol01-0-G420,0000'2304

P~rc;e_ntilge 3~ Enter%%_

Fumling Code 4! EVTIUO: 12-573-0101-0-G3Q0-()000-2304

PC:rceh~ag--e· 4': Ente-r-%%

Ftit\ding Code S:MESA;12-74S-0101-Q-1901-0000-2304

~e~~~tl\~gc· s:_ En~er %% FUi1tling Code 6.: TSD: 12-547-0101-0,G~OQ-0000-2304

Percenta_ge 6: E-nter%%

J>n'Hiesigbated Fin'!ncial Aid Codes:

Fe_cf Wk Study: Se!ect·FunQ- ,Funding%: Enter% Dollar Amount:_$Ente:r $

A!umnii ·Select-F-und tunding %: Enter% Dollar Amount: $E_nter $

•

CW/TASCStud {12-488-()101-0,0801-0()_00'2301) Funding%: Ei1ter% Pollar 1\mQunt: $Enter$_

CW/TASC Tu(or {12-4B8-0101-0-0801-0000-2304) Funding%: E11ter% Dollar l\n1o-unt::$E•1ter$

Descrlpti~n Fund School Hesource PR Goal Function Object l}escri_j}ti,on Fund School Resource 0 .Goal Function Object Oi~".crlpti6n Fund School ~c$bllrce 0 Goal Function Object

Please s.end signed form to HR [or processing.

A{>prover/~liring Manager

Percent

Percent Percent

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM<'"'"'"')

last Name: ASIRUWA

Department: TASC

First Name: Omozogie Student Email:

Supervisor/Title: Asst. Tutorial Coordinator

0 Student Worker 18! Tutor (all funds at 100%) 0 other: Define "Other" Fiscal Year: 2014-15

Active Student Status?' 18! Yes 0 No Verified by: ss

Is thfs person wrrently employed at COD, or was employed In the last 24 months? .18! Yes 0 No



Comments for Human Resources and/or Payrolt Teams:


Please select 1-6 of the pre-designated codes below and tndicate the percentage- most requests will only include 1 codes, codes 2-6 are used prim1nily for Tutoring. All percentages must add up to 100 {except Tutors}. If you do not see your funding code(s}, manually enter up to two codes and percentages In the gfld below. Yo add a commonly used code to the drop-down choices- contact Human Resources.

Funding Code 1: ASC: 11-561-0000-0-6110-0000-2304




Funding Code 3: DSPS: 12-545-0101-0·6420-0000-2304

Percentage 3: Enter%% Funding Code 4: EVTRIO: 12-573-0101-0-6300-0000-2304




Funding Code 6: TSD: 12-547-0101-0-6300-0000-2304



Feel Wk Study: Select Fund Funding%: Enter% Dollar Amount: $Enter$



CW/TASC Tutor (12-488-0101-0·0801-0000-2304) Funding%: Enter% Dollar Amount: $Enter$



Description fund School Resource 0 Goal Functlon Object


Percent

Percent Percent

COD STUDENT WORI<ER-TUTOR AUTHORIZATION FORM'"'"-"'")

lost Nome: BECKER First Name: Dolores 'lollly' Student Email:

Deportment: TASC Supervisor/Title: Asst. Tutorial Coordinator

0 Student Worker 0 Tutor (all funds at 100%) 0 Other: Define "Other" Fiscof Year: 2014-1S

Active Student Status?,, 0 Yes 0 No Verified by: ss

Is this person currently employ,ed at COD, or was employed In the fast 24 months? 0 Yes 0 No

Start Date: 7/1/14 End Date: 6/30/15 Hourly Rate: $9,50


Comments for Hunum Resources cmd/or Payroll Teams:


Please se!ecl1·6 or the pre-designated codes below and indicate the p~rcentage- most requests will only include 1 codes, codes 2-6 are used prlmarlly for Tutoring. All percentages must add up to 100 {except Tutors). If you do not see your funding code(s}, manually enter up to two

codes and percentages In the grid below. To add o commonly used code to the drop-down choices- contact Human Resources.

Funding Code 1: ASC: 11-561-0000-0-6110-0000-2304

PC!rcentage 1: Enter%



FUnding Code 3: DSPS: 12-545-0101-0-6420-0000-2304

Percent;;~ge 3: Enter%%

Funding Code 4: EVTRIO: 12-573-0101-0-6300-0000-2304

PerCentage 4: Enter%%



Funding Code 6: TSD: 12-547-0101-0-6300-0000-2304











Percent

Percent Percent

COD STUDENT WORKER-TUTOR AUTHORIZATION FORIVI c""'"")

last NameEJ\!ii\.!1Ki) ~ F,frst Name: llonjitii' "Student Emalli

bo!>arlmonii fAst·· SUJlervisor/Title: Asst. Tutorial Coordinator

0 Student Worker 131 Tutor (all funds at 100%) 0 Other: Define "Other" Jispl Veer: 2014-15

Active Stm{ellt Stat!/s? 0 Yes '131' No Verified by: ss

Is this person currently employed at COD,. or was employed in the lUst -24 months?: ~-Yes El NO

Sta.rt.Dato.: 7/1/14. En(l .Date: 6/30/15 Hourly Rate: $9.50

Max HotJrs/Day: 8 Max Hours/Week: 2Q

Commetlts for H_uman Resources and/or Payroli Tcr~ms:

ContinUingNciN'S!uaent status 1

Fun<ling for Assignment:

Please se!ect-1~6 of fhe pre-deslgriated codes belo\v and inHicate·the -percentage- moSt tequests\vill only.ind~:~de ~codes, codes 2-6 a~e used

p'rlmafi!Y for Tutdrln_g. AU pefcer(tag~s n1ust a~d uj1 to-~00 (exc~gfTutOis). If You qo not se·e yovr f1.1ndlng.code_(~)i manually ~nter up to two_ codes and percenfa~es In the-grid below. To add v.commonly used code to. the drop.·down choices- contactHlihfaa ReSo"urces.

fun<!ln~ €ode 1: Asc: li-56lc0000-0-6il0-0000-2304

Per_centa~e 1: E:nter%

Funding Code 2: ACES: 12-575.-Q101-0-6300-0000-2304

P~fce-n(age 2; Ente-r_%% ElmdiQ!i Code 3: DSPS: 12-545-0101-0-6420-0000c2304

~e_rc~ntage ~: E_nt~r-%%

Fuhdil1g Coiie 4: EVTR.IO: l2-573-Q101-0·6:i00-0000-2304

Perceiltal?e 4: Eflter.%%

Funding Code 5: MESA: f2c74S-0101-0-i90i-bobo~23o<\

PercentageS: Enter%% Funding tode 6:. T5D:J2-547-0;101-0-6300·0000-2304

r~rCehtQge:_s: l::nteffJ}.%


Fed. \!\fk Stirdy: sol.e~t:Fund fundi hi;%: Eot.er% Dolla'rAm0unt; $Enter $ AlUmni: Select Fund Futtding %: Ei1ter% Do!iar Amount: $Enter $-CW/TASC Stud (12-488-0101-0-0B01-0000-230i) Funding%: Enter% Dollar Amount: $Enter $ CW/TASC Tutor J12-488-b101,0·080l·0000-2304) Funding%: Enler% Dollar f\f!lOllht $E1\ter' $

Descripiion Fund School Resource PR Goal Function Object D€sdipti6il Fund School Re?ourc·e 0 Goal FtinctiOri ObjeCt Description Fund S.chool Resource .0 Goal Function Object

Pleiise sehd.signed foirn to HR forproc~ssihg.

~ .. t/!tr. It/

Percent Percetit Percent

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM"""""'

Last Name: TIJERINA First Name: Joshua Student Email:



Active Student Status? 0 Yes 0 No Verified by: ss


Stmt Date: 7/1/14 End Date: 6/30/15 Hourly Rate: $9.50




Please select 1-6 of the pre-designated codes below and Indicate the percentage- most requests will only Include 1 codes, codes 2·6 are used primarily for Tutoring. All pertentagcs must add up to 100 {except Tutors). If you do not see your funding code(s), manually enter up to two

codes and percentages In the grid below, To add a commonly used code to the drop-down chofces -contact Human Resources,

Fundinc Code 1: ASC: 11-561-0000-0-6110-0000-2304


Funding Code 2: ACES: 12-575-0101-0-6300·0000-2304


Funding Code 3: DSPS: 12-545-0101-0-6420-{)000-2304


Funding Code 4: EVTRIO: 12-573-0101-0-6300-0000·2304

Percentnge 4: Enter%%

Funding Code 5: MESA: 12-745-0101-0-1901-{)000-2304


Funding Code 6: TSD: 12-547-0101-0-6300·0000·2304

Per<:entage 6: Enter%%



Alumni: Select Fund Funding%: Enter% Dollar Amount: $Enter $ CW/TASC Stud (12-488·0101-0-0801-0000-2301) Funding%: Enter% Dollar Amount: $Enter$

CW/TASC Tutor (12·488-0101-0-0801-0000-2304) Funding%: Enter% Dollar Amount: $Enter$





COD STUDENT WORI<ER-TUTOR AUTHORIZATION FORM"""""'

Last Name: SANCHEZ First Name: Roberto Student Email:·



Active Sfudenf Sfafus? 0 Yes 0 No Verified by: ss

Is this person wrrenfly employed at COD, or was employed In the last 24 months?· 0 Yes 0 No





Please select 1-6 of the pre-designated codes below and Indicate the percentage~ most requests will only Include 1 codes, codes 2-6 are used primarlly for Tutoring. All percentages must add up to 100 {except Tutors). If you do not see your funding cod!:!{s), manually enter up to two

codes and perci!nlages ln the grid below, To odd o commonly used code to tile drop-down choices- contact Hf.lman Resources.

Funding Code 1: ASC: 11-561-0000-0-6110-0000-2304


Funding Code 2: ACES: 12-575-0101-0·6300·0000·2304

Percentugc 2: Enter %%

Funding Code 3: DSPS: 12-545-0101-0-6420-0000-2304


Funding Code 4: EVTRtO: 12-573-0101-0-6300-0000-2304

Pcrcent<:~ge 4: Enter%%



Funding Code 6: TSD: 12-547-0101-0-6300-0000-2304




Alumni: Select Fund Fundfng %:Enter% Dollar Amount: $Enter$

CW/TASC StLid (12-488·0101-0-0801-0000-2301) Funding%: Enter% Dollar Amount: $Enter$

CW/TASC Tutor (12-488-0101-0-0801-0000-2304) Funding%: Enter% Dollar An:wunt: $Enter$


·p(easesend signed form to HR for processing.


C()D _STUDENT WOR((ER··TUTOR AUTHOHIZATION FORM'""'-"")

last N<ul'ic:--Tt)i-\rl.EY First Name: Franklyn ~-s.tudent Email:

tJ_ep~rinlenO. I/\SC SupervisOr /Tit!ei A?st. Tl!t9fiill CoOrdinator

D Sllidenl Worker IZ! Tutor (all fuhds at 100%) D Other: Define "Other" fiscal Year: 2014-15

Active SHtdent Status? -:18J Yes D No Verified by: •ss

I.S this person ~urrc?ntiy employed ~t cop, .or \VilS C!l11jlloyed-1n the l~?:t 24 .mpnths?, l8l Ye~· D. NQ

Start Date: 7/1/14 End Date: 7/31/14 Hourly nate: $9.so· Max Hours/Day: 8 Max Hours/Week: 20

Comments for Human· Resol!rCes and[ or Pa-yroll Te<Jms:

"' ''sTU!)E_N.J'' statns ii_oiiilJi!iesthrougll slllnnl<!i' only [Gilt<iiled sRting];wj[]nilt wo(kafter 1/31/14

Funding for Assignment:. Ple(l·se s_e_l~~t_ l-6 of tlfe__lfre-d_.e_slgnaJEP cpdes below and.t_n~i~atg the percentilge ~mb~t"~eqUesfs i.vJWQnlY-include_l codesr co9es:2-G an:: used prlrnari\y 'fortutOJing. Ail-peJcentages must add up to 160 {ex_cep_t Tufo_rs). lf yoo do no't see your- funding codti(s}, manually enter up to t\'Jo codes and pCrcentagesln the gri~ below. To (ldd a comnionly used tode to th{! drpp.iJowrrcbdlc;es~c.otJt(Jc.t HU_!1.1Qfl Resources.

Funding Co1le 1: ASC: 11-561-0000·0-6110·0000-2304

P¢rce_ntng~J: Ei1ter%

Funding Code 2:•ACES: 12~575·0101-0-6300-0000"2304

Percentage.-2~ Enter%% ·

F\mding Code 3; DSPS: 12-545•0101-0·6420-0000-2304

-PCrCei1tag_e 3:_ Ente-r%%

Funding Code 4: EVTI~IO: 12-573-D101·0·(i3QO-Q000-2304

Pei'c¢nrage tl: E.nter" %%

F\mding Code 5: MESf\: 12'745-0101-0-1901-0000-2304

Percei1lage 5: Ente{%%

Funding Code 6:.YSD: 12-547-0101-0-6300-0000-2304

Percentage-6: Enter%%

Pfe-designate.d FinanciaJ llid Codes:

Ferf. Wk Study: Select funcl Funding%: Enter% Qoll~r.Amount: $Enter $

AlanirJi: S~lect rmuj Fti11diiig %: Enler"% Dolliti- Aihount:$En.ter-$ CW/TASCStud (12·488c0101'0·0801-0000c2301) Funding%: Enter% Dollar 1\motint: $En(e{$

CW/TAS.CTutor (12-488-0101·0c0801-0000-2q04) hthdfng %:Enter% Dollar AillOVt\t: $Enter$

Description Fund School Resource PR Goal Functioil Object D~scdp_tion Fund School Resource 0 Goal Fun_ctio_n Object Description -fund School Resoutce 0 Goal FiJ"nclibti Object

Please send signed'-fo_rrn ~o -HR for process.IO€;·

Perc.ent Percent Percent

COD STUDENT WORI<ER-TUTOR AUTHORIZATION FORIVI r"'"'·""l

last Name: SHIMP First Name: Adam Student Email:;

De;>artment: TASC Supervisor/Title: Asst. Tutorial Coordinator

0 Student Worker 0 Tutor (all funds at100%) 0 Other: Define "Other" Fiscal Year: 2014-15







Please select 1-6 of the pre-designated codes below and indicate the percentage- most requests will only Include 1 codes, codes 2-6 are used primarlly for lutorlng. All p(!rccmtages must add up to 100 {except Tutors). lf you do not see your funding code(s)1 manually enter up to two codes and percentages In the grid below. To odd a commonly used code to the dro_p-down c/Jolces -contact Human Resources.

Funding Code 1: ASC: 11-561-0000-0-6110-0000-2304




Funding Code 3: DSPS: 12·545-0101-0-6420-0000-2304

Percentnge 3: Enter%%

Funding Code 4: EVfRIO: 12-573-0101·0·6300-0000·2304



Percentages: Enter%% Funding Code 6: TSD: 12-547-0191-0-6300·0000-2304





CW/TASC Stud {12·488-0101-0-0801-0000-2301) Funding%: Enter% Dollar Amount: $Enter$

CW/TASC Tutor(12·488·0101·0-0801-0000-2304) Funding%: Enter% Dollar Amount: $Enter$

Description Fund School Resource PR Goal Function Object Description Fund School Resource 0 Goal Function Object Description Fund Scl10ol Resource 0 Goal Function Object



Percent

Percent Percent

COD STUDENT WORI<ER-TUTOR AUTHORIZATION FORM t"'"·"u>

last Name: RUBALCABA First Name: James Student Email:


D Student Worker 181 Tutor (all funds at 100%) D other: Define "Other" Fiscal Year: 2014-15

Active S!lldent Status? 181 Yes D No Verified by: ss

Is this person currently employed at COD, or was employed In the last 24 months? 181 Yes D No





Please select 1·6 of the pre-designated codes below and indicate the percentage- most requests wlll only include 1 codes, codes 2-6 are used primarily for Tutoring. Afl percentages must add up to 100 {except Tutors). If you do not see your funding code(s}, manually enter up to two

codes and percentages In the grld below. ro odd o commonly used code to the drop-down choices- contact Human Resources,

Funding Code 1: ASC: 11-561-0000-0-6110-0000-2304


Funding Code 2: ACES: 12-575-0101-0-6300-0000-230q








Funding Code 6: TSD: 12-547-0101-0-6300-0000-2304







Description Fund School Resource PR Goal Function Object Description Ftmd School Resource 0 Goal Function Object Description Fund · School Resource 0 Goal Function Object



Approver/Hiring Manager Date

/!Jtf ~ &wpve-~z__:!e~/N Exec\ttlve Dir of Human Resources Date

COD STUDENT WORI<ER-TUTOR AUTHORIZATION FORM[""'"")

last Name: LOWEll First Name: Edward Student Email:

Department: TASC supervisor/Title: Asst. Tutorial Coordinator

0 Student Worker 0 Tutor {all funds at 100%) 0 other: Define "Other" Fiscal Year: 2014-15





Comments for Human Resoun:es and/<:r Payroll Teams:


Please select 1-6 of the pre-designated codes below and Indicate the percentage- most requests will only include 1 codes, codes 2-6 am used

prlmarUy for Tutoring. All percentages must add up to 100 (except Tutors). lfyou do not see your funding code(s), manually enter up to two

codes and percentages In the grld below. To add o commonty used code to the drop·down choices- contact Humon Resources.

Funding Code 1: ASC: 11-561-0000~0~6110~0000~2304

Percentage 1: Enter.%

Funding Code 2: ACES: 12-575~0101-0~6300·0000-2304


Funding Code 3: DSPS: 12-545·0101-0~6420~0000-2304


Funding Code 4: EVTRIO: 12-573~0101~0~6300~0000~2304


Funding Code 5: MESA: 12~745~0101~0~1901~0000-2304

Percentuge 5: Enter%%

Funding Code 6: TSD: 12~547-0101~0~6300~0000-2304


Pre~designated Financial Aid Codes:


Alumni: Select fund Funding%: Enter% Dollar Amount: $Enter $ CW/fASC Stud {12~488~0101~0~0801-0000-2301) Funding%: Enter% Dollar Amount: $Enter$

CW/TASC Tutor{12~488~0101~0~0801-0000~2304) Funding%: Enter% Dollar Amount: $Enter$

Description Fund School Resource PR Goal Function Object Description Fund School Resource 0 Goal Function Object Description Fund School Resource 0 Goal F[lllctlon Object


Approver/Hirlng Manager Executive Dlr of Human Resources


COD STUDENT WORI<ER-TUTOR AUTHORIZATION FORM'"'"·'"'}

Last Name: LOPEZ First Nmne: Amanda Student Email:


0 Student Worker l3l Tutor (all funds at 100%) 0 Other: Define "Other" Fiscal Year: 2014-15


Is this person currently employed at COD, or was employed in the last 24 months? 'l3l Yes 0 No




f-unding for Assignment:

Please select 1·6 of the pre-designated codes below and Indicate the percentage- most requests will only lndude 1 codes" codes 2-6 are used

primarily for Tutoring. All percentages must add up to 100 (except Tutors). If you do not sC!e your funding code{s), manually enter up to two

codes and percentages in the grid below. To add a commonly used code to the drop-down choices -contact Human Resources.

Funding Code 1: ASC: 11-561-0000·0-6110·0000-2304


Funding Code 2: /ICES: 12-575-0101-0-6300-0000-2304


Funding Code 3: OSPS: 12-545-0101-0-6420-0000-2304






Funding Code 6: TSD: 12-547-0101-0-6300-0000-2304




Alumni: Se!ect Fund Funding%: Enter% Dollar Amount: $Enter$

CW/TASC Stud (12·488-0101-0·0801-0000-2301) Funding%: Enter% Dollar Amount: $Enter$

CW/TASC Tutor(12-488-0101-0·0801-0000-2304) Funding%: Enter% Dollar Amount: $Enter$

Description Fund School Resource PR Goal Function Object Description fund School Resource 0 Goal Function Object Description Fund School Resource 0 Goal Function Object



Percent

Percent Percent

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM'"'"·""'

last Name: KOOCHEK First Name: Armon Student Email: J


0 Student Worker l8l Tutor (all funds at 100%) 0 Other: Define "Other" Fiscal Year: 2014-15

Active Student Status? l8l Yes 0 No Verified by: ss

Is this person wrrently employed at COD, or was employed in the last 24 months? l8l Yes 0 No



Comments for Human Resour<:es and/or Payroll Teams:


Plt:!ase. select 1·6 or the pre-designated codes below and Indicate the percentage- most requests wlll only include 1 codes, codes 2-6 are used p(lmarlly for Tutoring. All percentages must add up to 100 {except Tutors). lf you do not see your funding code{s), manually enter up to two codes 01nd percantages in the grid below. To add o commonly used code to the drop-down choices- contact Human Resottrces,

Funding Code 1: J\SC: 11-561-0000-0-6110-0000-2304









Percentages: Enter%%

Funding Code 6: TSD: 12-547-0101-0-6300-0000-2304

Percentage 6: Entm %%



Alumni: Selt'!ct Fund Funding%: Enter% Doll(lr Amount: $Enter$

CW/TASC Sltld {12-488-0101-0-0801-0000-2301) Funding%: Enter% Dollar Amount: $Enter$

CW/TASCTutor (12-488-0101-0-0801-0000-2304) Funding%: Enter% Dollar Amount: $Enter$



Approver/Hiring Manager-

Percent PerC<~nt

Percent

COD STUDENT WORKEH-TUTOR AUTHORIZATION FORM '''"''·''·i'' last Namei ACCANTAR Firs; Nani~: Jufiar1 siutiel1t Email:]

Dejlar\inellti T~SG Supervisor/Title~ Asst. Tutorial Coordinator

0 Student Worker !Zl Tutor {all fimds at 100%) 0 Other: Ddine "Other"

Active st.udent SJrltits? ·18) yri{ i::J No Verified by: *ss

Is this person curreJrtly employed at COD, or was employed In the last 24 months?. !Zl Yes: 0 No

start Dat~:. 7/1/14 £nd Date: 7n1/J4 Kouily Rate: $9.50

MaxKours/Day: 8 Max Hours/Week: ;20

Comments for Hur'n~rl ResoUrces and/or Payroll T<>ams:

* "STUDENT" staiuscoi;thitles:throGgl; ~i~mmeronly [enroll~d i;J[r;~g]TvJur n~6t06~k.afterc7/3i/14 -

Funding for Assignment: Please selec-t 1-6 ofthe-pre-deslg_na{ed codes below. and Indicate the percenta_~.e- most:requests will oni_y Include i codes, tocfes 2-G ·are used p-tlmaiily for TutOring. All pfit{etH~fges nmsradd u)> t_0-100 (except Tli~ot.s-). rf yoU tlo not see your fufjdiil_g Co"tte{s)1 m~nually ~n..fer lip to two.

cpdes·and percentag~_s In the gri~l below. TO adrf a commonly us~d c_odr; to the drop-down dwices-contoc;t Human Resources.

Fundil1g Code i~ ASC: 11,561-0000-0-6110-0000-2304

P~-rtenlaf?e 1: Ent~r %_

Funding Code 2: ACES: 12,?75-0101-0~I:>?OO-OOOD-2304

rerq!ntqffe_:2.:_ ~1it~r %% Flrrydh\g Cooe 3:. OSI'S: 12'S45.-0101-0'6420-000Q-2304

Percet1tage 3: En let %o/cl·

Fundil\!1 Code 4: E\tTRIO: 12-573·0101c0c6300·0000,2304

_PCrcerltar,_e_ 4i Enter%% Funding Code 5: rviESA: 12'745,0101Ai-HOi-b000-2304

rercet_ltagQ _s: E.r1if!r %% Funding Code 6: TSD:12-547-0101-0·6.300-Q000-2304

P~rcerit~ge_. 6: En~e_r ~&%

Pre,dcsignated Financial Aid Codes: fad Wk Study: Seloct FmW Fm\ding %: Enter% Dollar Amount: $Enter $ Alim)nl: Select Ftll\ci" Fuhdlng-%~ Enler% Dollan\mount: $Enter$

CW/tASC 5larl(l2-488-0101-0~0801-0000-2301) Funding%: Enter% Dollar An1ouni: $Enter$

CW/TASC Tutor{12~.48B·Oi01-0-d8b1'0000-2304) Funding%: Enter% Dollar Amount: $Enter$

' Description Fund School !lesource PR Goal Function Objeci

-OesC(iptibh Fwid SchoOl Resource 0 GOal Fun(:tioA Object

o~~ctlp_HQ'il flilld School Re·source. 0 ~oal Fundiol) bhjed

Apptove:r/Hirine.Mahager

Please send slgned form to HRlorprocesslng.

ft/Fr}ttO{~ ~~L I Date. I Execl!tille Dir ofHuniah Heso(lrces

Percent re-rcent Percent

Date

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM'""'""'

last Name: AlSHATARI First Name: Hamzah Student Email:



Active Student Status? l8l Yes 0 No Verified by: ss






Please select1~6 of the pre-designated codes below and indicate the percentage~ most requests will only Include 1 codesr codes 2~6 are used pdmarlly for Tutoring. All percentages must a.dd up to 100 (except Tutors}. If you do not see your funding code(st manually enter up to two

codes and percentages In the grid below. To add a commonly used code to tile drop-down choices- contact Humon Resources.

Funding Code 1: ASC: 11-561·0000·0·6110·0000-2304


Funding Code Z: ACES: 12-575-0101-0-6300-0000-2304








Funding Code 6: TSD: 12-547-0101-0·6300-0000-2304





CW/TASC Stud (12-488·0101-0·0801-0000-2301) Funding%: Enter% Dollar Amount: $Enter$

CW/TASC Tutor (12-488-0101-0-0801·0000-2304) Funding%: Enter% Dollar Amount: $Enter$


Description Fund School Resource 0 Goal Function Object Description Fund School Resource 0 Goal Function Object


Percent

Percent Percent

COD STUDENT WORI<ER-TUTOR AUTHORIZATION FORM''""""'

last Name: CONGER

Department: TASC

First Name: John Student Emal'

Supervisor/Title: Asst. Tutorial Coordinator

0 Student Worker 181 Tutor (all funds at 100%) 0 Othe·r: Define "Other" Fiscal Year: 2014-15

Active Student Status?. 0 Yes 0 No Verified by: ss






Please select 1-6 of the pre-designated codes below and indicate the percentage- most requests will only Include 1 codeS1 codes 2-6 are used

primarily for Tutoring. All percentages must add up to 100 (except Tutors). If you do not see your funding code(s)1 manually enter up to two

codes and percentages In the grid below. To odd o commonly used code to the drop-down choices- contact Human Resources.

Funding Code 1: ASC: 11-561-0000-0-6110-0000-2304



Percentage 2~ Enter%%

Funding Code 3: DSPS: 12-545-0101-0-6420·0000-2304


Funding Code .4: EVTRIO: 12-573-0101-0-6300-0000-2304




Funding Code 6: TSD: 12-547-0101-0-6300-0000-2304





CW/TASCStud (12-488-0101-0-0801-0000-2301) Funding%: Enter% Dollar Amount: $Enter$



Description Flmd School Resource 0 Goal Function Object



Percent Percent

Percent

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM<"'""">

Last Name: DEMIRAIAKIAN First Name: James Student Email:



Active Student Status?. 181 Yes 0 No Verified by: ss

Is this person currently employed at COD, or was employed In the last Z4 months1 181 Yes 0 No

Stort Date: 7/1/14 End Date: 6/30/15 Hourly Rate: $9.50


Comments for Hurilan Resources and/or Payroll Teams:


Please select 1-6 of the pre-designated codes below and indicate the percentage- most requests will only Include 1 codes, codes 2-6 are used primarily for Jutorlng. All percentages must add up to 100 (except Tutors]. If you do not see your funding code{s), m;;~nually enter up to two

codes and percentages in the grid below. To odd a commonly used code to the drop-down choices- contact Human Resources.

Funding Code 1: ASC: 11-561-0000-0-6110-0000-2304





Percentage 3: Enter%% Funding Code 4: EVTRIO: U-573-0101-0-6300-0000-2304

Percentage 4: Enter%% Funding Code 5: MESA: 12-745-0101-0-1901-0000-2304


Funding Code 6: TSD: 12-S47-0101-0-6300-0000-2304





CW/TASC Stud {12-488-0101-0-0801-0000-2301) Funding%: Enter% Dollar Amount: $Enter$

CW/TASC Tutor {12-488-0101-0-0801-0000-2304) Funding%: Enter% Dollar Amount: $Enter$

Description Fund School Resource PR Goal Function Object Description Fund School Resource 0 Goal Function Object Descriptlon fund School Resource 0 Goal Function Object



Percent

Percent Percent

COD STUDENT WORI<ER·TUTOR AUTHORIZATION FORM'"~""")

~as! Name: DUNN First Name: April Student Email:


0 Student Worker IZl Tutor (all funds at 100%) 0 Other: Define "Other" Fiscal Year: 2014-15

Active Student Status?· IS) Yes 0 No Verified by: ss

Is this person wrrently employed at COD, or was employed In the last 24 months7 IS) Yes 0 No

Start Date: 7/1/14 End Dale: 6/30/15 Hourly Rate: $9.50


Comments for Humt:~n Resources and/or Payroll Teams:


Please select 1-6 of the pre-designated codes below and indicate the percentage- most requests will only include 1 codes, codes 2-6 are used

prlmarlly for Tutoring. All percentages must add up to 100 {except Tutors). If you do not see your funding code{s), manually enter up to two

codes and percentages In the grid below. To odd a commonly used code to the drap·down choices -contact Human Resource~.

Funding Code 1: ASC: 11-561-0000-0-6110-0000-2304


Funding Code 2: ACES: 12·575·0101-0-6300-0000-2304

Percentage 2: Enler %%

Funding Code 3: DSPS: 12-545·0101-0-6420-0000-2304


Funding Code 4: EVTRIO: 12-573-0101-0-6300·0000-2304


Funding CodeS: MESA: 12-745-0101-0-1901-0000-2304

Percentace 5: Enter%%

Funding Code 6: TSD: 12-547-0101-0-6300-0000-2304



Fed Wk St~dy: Select Fund Funding%: Enter% Dollar Amount: $Enter$

Alumni: select F\md Funding%: Enter% DoHar Amount: $Enter$

CW/rASCStud (12-488-0101-0-0801-0000-2301) Funding%: Enter% Dollar Amount: $Enter$

CW/rASCTutor (12-488-0101-0-0801-0000-2304) Funding%: Enter% Dollar Amount: $Enter$


Description Fund School Resource 0. Goal Ftlnction Object



Percent

Percent

Percent

COD STUDENT WORKER-TUTOR AUTHORIZATION FORM'"'"'·"")

Last Name: FELKER PERKINS First Name: Carol Student Email: '


D Student Worker 181 Tutor (all funds at 100%) D Other: Define "Other" Fiscal Year: 2014-15.

Active Student Status?. 181 Yes D No Verified by: ss


start Date: 7/1/14 End Date: 6/30/15 Hourly Rate: $9.50




Please select 1-6 of the pre-designated codes below and lndlcate the percentage- most requests will only Include 1 codes, codes 2-6 are used primarily for Tutoring. All percentages must add up to 100 {except Tutors}. If you do not see your funding code{s}, manually enter up to two

codes ancl pnrcentages In the grid below. To odd o commonly used code to the drop-dowll chokes- contact Human Resources.

Funding Code 1: A5C: 11-561-0000-0-6110-0000-2304




Funding Code 3: DSPS: 12-545-0101-0·6420-0000-2304

Percentage.3: Enter%%

Funding Code 4: EVTRIO: 12-573-0101-0-6300·0000-2304


funding Code 5: MESA: 12-745-0101-0-1901-0000-2304


Funding Code 6: TSD: 12~547-0101-0-6300-0000-2304



Fed Wk Study: Select Fund Funding%: Enter% Dollar An1ount: $Enter$


CW/TASC Si!ld (12-488-0101-0-0801-0000-2301) Funding%: Enter% Dollar Amount: $Enter$

CW/TASC Tt1tor (12-488-0101-0-0801-0000-2304) Funding%: Enter% Dollar Amount: $Enter$



Percent

Percent Percent

----~~L-----~~~~~~~~~~~~~4#~~~~&~/z~fo/ te-..

COD STUDENT WORI<ER-TUTOR AUTHORIZATION FORM 1"'"·'"''

last Name: GIBSON First Name: ian Student Email:'


D Student Worker 181 Ttl tor (all funds at 100%) D Other: Define "Other" Fiscol Year: 2014-15

Active Student Status?. 181 Yes D No Verified by: ss






Please select 1-6 of the pre-designated codes below and Indicate the percentage- most requests will only include 1 codes, codes 2·6 are used primarily for Tutoring. All percentages must add up to 100 (except Tutors). If you do not see your funding code(s), manually enter up to two

codes and percentages in the grid below. To odd a commonly used code to the drop-down choices- contact Human Resources.

Funding code 1: ASC; 11-561-0000·0-6110-0000-2304


Funding Code 2: ACES; 12-575-0101-0-6300-0000-2304.


Funding Code 3: D5PS; 12-545-0101-0-6420-0000-2304




' Funding Code 5: MESA: 12-745·0101-0-1901-0000-2304


Funding Code 6: TSD; 12-547-0101-0-6300-0000-2304




11/umni: Select fund Funding%: Enter% Dollar Amount: $Enter$

CW/TASC Stud (12-488-0101-0·0801-0000-2301} Funding%: Enter% Dollar Amount: $Enter$

CW/TASC Tutor (12-488-0101-0·0801-0000-2304) Funding%: Enter% Dollar Amount: $Enter$

Description Fund School Resource Pll Goal Function Object Description Fund School Resource 0 Goal Function Object DescripUon Fund School Resource 0 Goal Function Object



.~· tf'ht-;/;t;af~ ~~/ v/6/t<l !fat(; I Executive Dir of Human Resources [);;;--Approver/Hiring Manager

COD STUDENT WORI<EH"TUTOR AUTHORIZATION FORIVI( .. ,o,,u}

Student Emal

oepartmentr'ri\Sc Supervisor/Title: _Asst. Tutorial c·oard_inator

0 Student Worker ~ Tutor {all funds at 100%) 0 Other: O~fine "Other" FlsqiYear: 1014-lS

Acave Student Stnttts? ~ Ye>. 0 i'Jo Verified by: •ss

Is tl\ispers_on wrrimtly e1nployed at COD, or was emJJioyed in the last 24 li>Ont_hs7 \ ~ 'f.e.J. tJ No.

Start Date: 7/1/i4 End Date: 7/31/14 Hm1rly Rate~ $9.50

Max Ho.urs/Day: B Max Hours/Week: 20

Corwne11ts for Hum~n {l_esOurces and/0~ Payro'll TeumS:

. " "§t(JO-ENT''•~tatli~\'Diltfnuest)lrotlgh summer _6nly[eiirolle(rsp)'ingJ;• will I)Ol !i/oikaf\e.~ 7/31/14·

Funding for Assigl)!lle!tt: Pl~<is·e. -s.d~ct i-6 Of Ute pre-designated codes -below and indicate the percentage- most requests will only Include 1 codes, codes 2-6_are. used p_rlmarify fo_rT~toring. AI_ I percentages must add up to 100 (e>:cept Tutorsj. lf you do not see your fvndln& code{s-]! m·anually·enter up to two

cadeS a1\d p~rce_i_H-ages In the grid below; TO odd 0 cOmmonty used cOde lo the d(Op·ddwn_dlo!Ct;'s-- cant oct fiumtm RfisoU(ces,

Funding ~ode 1-: ASC: 11-SGl-Q000-0-6110-0000-2304

_percent<i[~ 1:_ Enter%.

Funding Code i: ACES: 12-575-0101-0-6300-0000-ZOl04

Petcenta_ge -2: Ent-et %%

Funding Code 3: DSPS: 12,S45-010l-0-6420-0000-2304

P_e,rcentnge _3: E.nt.er %% FuMing Cllde 4! EVTRIO: U-573-01dl-O-G300-Q000-230~ PCrce-nt~ffC 4; E_liH:!r %% Ftindh\g Code 5: Ml;SA:·12-745-0l01-0-1901-000Q-2304

Percentage-S: E11ter %% Funding Code 6; TSD:12-547-0101-0-6300'0000-2304:

Perce-ntage 6: EtHer%%

Pre-designated Fiiwticial Aid Codes:

Fed Wk Study: ·sefeclfund Funding%: Enter% Dollar Amount: $Enter$

_Alf.ihmi: 5elt!ct Fund ·f~mding %:Enter~ DOllar Amount:.$ E-nter$

CW/TliSC Stud {12-488'0101-0·0~0l;QQ00-2301) Funding%: Enler% Dollnr Amount: $F.nter $ CW/TASC Tutor (12-488-0101-0-0801-0000-2304) Funding%: Enter% Dollai 1\niounl: $Enter$

DescriptiOn Fund School Resource PR Goal Flmction Object Description fund School Resource 0 _ G_ool Function Object besc:rip:tlon Fund School ReSource· 0 Goal Fun¢tion Object

Please sendslgned form to HK for processing.

_ API>rover)Hiring Milh~ger

Percent Percent PetCtmt

student workers/tutors...fiscal year of work: assignment: ~2013114 1\'otes: during the...

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