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Part-time Employee Packet Forms

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Please complete and return all of the following
01) PACKET COVER (PDF, 68 K)
Please review before completing the packet.
02) APPLICATION FOR PART-TIME EMPLOYMENT (PDF, 79 K)
03) OATH (PDF, 54 K)
Form MUST be notarized. Not required for facilitators & lab aides.
04) PERSONAL DATA FORM (PDF, 457 K)
05) ADJUNCT FACULTY CONTACT INFORMATION (PDF, 49 K)
Contact information for Adjunct Faculty directory on GBC website.
06) W-4 (PDF, 113 K)
Use mailing address
07) DEBIT CARD INFORMATION (PDF, 291 K)
08) DIRECT DEPOSIT (PDF, 197 K)
Must attach a voided check
09) I-9 (PDF, 489 K)
Complete Section 1, sign & date. You must provide HR with the required documentation listed in Section 2.
10) FICA ALTERNATIVE ENROLLMENT (PDF, 73 K)
11) FICA ALTERNATIVE PLAN INFORMATION (PDF, 143 K)
12) WINDFALL ELIMINATION PROVISION (PDF, 128 K)
13) STATEMENT CONCERNING YOUR EMPLOYMENT IS NOT COVERED BY SOCIAL SECURITY (PDF, 34 K)
14) DESIGNATION OF BENEFICIARY FOR UNPAID COMPENSATION (PDF, 87 K)
14A) AFFORDABLE CARE ACT NOTIFICATION FOR EMPLOYEE (PDF, 282 K)
16) POLICY ACKNOWLEDGEMENT FORM (PDF, 193 K)
Please sign
17) SYSTEM ACCOUNTS APPLICATION (PDF, 408 K)
(New Hires only) Must be completed to recieve a GBC e-mail account.
18) GBC EMPLOYEE POLICY SIGN OFF (PDF, 106 K)
Please sign
Policy Statements
AIDS STATEMENT (PDF, 31 K)
ALCOHOL AND DRUG FREE WORK PLACE POLICY (PDF, 126 K)
EMPLOYEE ASSISTANCE PROGRAM (PDF, 120 K)
EMPLOYEE SEX OFFENDER NOTIFICATION (PDF, 26 K)
NOTICE - PPACA
Required notice in accordance with the requirements of the Patient Protection and Affordable Care Act (PPACA) in preparation for the Health Insurance Marketplace Open Enrollment period which begins October 1, 2013 for coverage beginning on January 1, 2014.
SEXUAL HARASSMENT POLICY (PDF, 109 K)
STATE OF NEVADA EMPLOYEE ETHICS (PDF, 147 K)
WORKPLACE SAFETY (PDF, 700 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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