New Hire - Part-Time (Adjunct) Faculty

Instructions: The I-9 link will direct you to a page with the I-9 Employment Eligibility Verification form, instructions for completing it, as well as the form and instructions in Spanish. 

Please complete Section One (1) ONLY and sign the form. Bring appropriate identification with you to your employment processing appointment.

Federal law requires that you submit:

• one (1) items from list A OR
• two (2) items: one (1) from list B AND one (1) from list C

If you wish to have your paycheck electronically deposited into your bank account, please attach a voided check, complete and sign this form.

The information on this optional survey is requested for statistical purposes only, allowing the District to measure it's diversity efforts.

Please tell us who you want the District to contact in case of an emergency.

Mandated  Reporter Information & Acknowlegement of Receipt of Information

California law requires certain persons to report known or suspected child abuse or neglect. These individuals are known under the law as “mandated reporters.” California Penal Code § 11166.5(a) requires that all mandated reporters of child abuse and neglect sign an acknowledgement of their legal duties and that the university retain it. Further, it requires that all mandated reporters be provided with the Penal Code provisions.

Instructions: Please review the attached information on the following documents:

• Where to Report Child Abuse
• Penal Code Provisions
• Mandated Reporting of Suspected Child Abuse- FAQs

Instructions: Please read the Acknowledgement Form found below; print your name, sign and date the form where indicated on the bottom of the form.

• Acknowledgement of Mandated Reporter Status Form

The State of California mandates that you read and sign this form.

If you are injured on the job, you have the right to be treated by your personal physician if you complete and submit this form. Your physician must agree. Otherwise, you will be treated by the District's designated workers' compensation medical provider. Please choose an option.

Please designate the recipient of your last paycheck in the event of your demise.