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Part-time Employee Packet Forms

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Please complete and return all of the following
00) PACKET COVER (PDF, 68 K)
Please review before completing the packet.
01) APPLICATION FOR PART-TIME EMPLOYMENT (PDF, 79 K)
02) OATH (PDF, 54 K)
Form MUST be notarized. Not required for facilitators & lab aides.
03) PERSONAL DATA FORM (PDF, 179 K)
03A) ADJUNCT FACULTY CONTACT INFORMATION (PDF, 46 K)
Contact information for Adjunct Faculty directory on GBC website.
04) W-4 (PDF, 105 K)
Use mailing address
05) DIRECT DEPOSIT (PDF, 28 K)
Must attach a voided check
06) I-9 (PDF, 489 K)
Complete Section 1, sign & date. You must provide HR with the required documentation listed in Section 2.
07) FICA ALTERNATIVE ENROLLMENT (PDF, 28 K)
07A) FICA ALTERNATIVE PLAN INFORMATION (PDF, 14 K)
07B) WINDFALL ELIMINATION PROVISION (PDF, 467 K)
08) STATEMENT CONCERNING YOUR EMPLOYMENT IS NOT COVERED BY SOCIAL SECURITY (PDF, 34 K)
09) DESIGNATION OF BENEFICIARY FOR UNPAID COMPENSATION (PDF, 87 K)
10) ALCOHOL AND DRUG FREE WORKPLACE (PDF, 32 K)
Please sign
11) ACKNOWLEDGEMENT FORM (PDF, 61 K)
Please sign
12) SYSTEM ACCOUNTS APPLICATION
(New Hires only) Must be completed to recieve a GBC e-mail account.
Policy Statements
AIDS STATEMENT (PDF, 31 K)
EMPLOYEE ASSISTANCE PROGRAM (PDF, 120 K)
EMPLOYEE SEX OFFENDER NOTIFICATION (PDF, 26 K)
SEXUAL HARASSMENT POLICY (PDF, 129 K)
WORKPLACE SAFETY (PDF, 128 K)
Great Basin College - 1500 College Parkway - Elko, Nevada 89801 - 775.738.8493
A member institution of the Nevada System of Higher Education
Accredited by the Northwest Commission on Colleges and Universities

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