BALTIMORE CITY COMMUNITY COLLEGE

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					                              BALTIMORE CITY COMMUNITY COLLEGE
                                            CONTRACTUAL AGREEMENT DATA FORM


FY:                             BUDGET #:
                                                                         Program Name                   Cost Center Number

Employee SS#:                                                                           New Position?     Yes        No

If yes to a new position, has employee provided an application package to HR office?                      Yes        No

PLEASE LIST JOB TITLE                                                                             CLASS CODE


Name:


 Room               Start Date               End Date             Days      Time    Hourly Rate    Hours           Salary




Comments:




Requested by                                                                                      Date
Associate Dean                                                                                    Date
Dean                                                                                              Date
Vice President                                                                                    Date


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REVISED: 02.10.2012 / KLT

				
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