ࡱ> -/,c bjbj *KbKbTTTTThhhh th#.ccc$QTccTT222 TT2222rЙF20#2(j2T2\c>,2$cccccc#cccccccccB : SUFFOLK COUNTY COMMUNITY COLLEGE OFFICE FOR FACULTY AND PROFESSIONAL ADVANCEMENT REQUEST FOR FULL-TIME RETIREE TO BE PLACED ON ADJUNCT FACULTY SENIORITY LIST In order to be placed on the seniority list for adjunct teaching, full-time retirees must complete this form. Once completed, please return to Office for Faculty and Professional Advancement, Smithtown Science Building, Room 100, 533 College Road, Selden, NY 11784. Name of Retiree:__________________________________________________________ SCCC ID#: ____________________________ Home Campus: ________________ Academic Department:_____________________________________________________ Academic Rank:__________________________ Date of Rank:____________________ College Start Date:___________________ Date of Retirement:____________________ Courses included on the adjunct seniority list will be based on past teaching schedules. Once your name is placed on the adjunct seniority list, you will be required to complete the adjunct Notice of Reasonable Assurance on-line in order to be considered for adjunct teaching. You will be notified by e-mail when this becomes available for each semester. It is important to check your e-mail weekly to keep current of all timelines. If you have any questions, please contact our office at 631-451-4315. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Office Use Only: # of Semesters:_____________________ # of Hours:_____________________ Courses to be placed on list: ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ 12/09 !%PR0 F _ f   " ( 4 6 I  ) + , {}hB hU=K5>*hFh RhY~h'}2h \hNvhhb h_5 hU=K5hU=K"!QR G H 0 1 2 - . / 0 $a$0 1 ()z{ (/ =!"#$% s666666666vvvvvvvvv666666>6666666666666666666666666666666666666666666666666hH6666666666666666666666666666666666666666666666666666666666666666662 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH <`< NormalCJ_HmH sH tH @@@  Heading 1$$@&a$5>*DA D Default Paragraph FontViV  Table Normal :V 44 la (k (No List 0>@0 Title$a$5HH  \ Balloon TextCJOJQJ^JaJPK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vc:E3v@P~Ds |w< "0  8@0(  B S  ? / /// =*urn:schemas-microsoft-com:office:smarttags PlaceType=*urn:schemas-microsoft-com:office:smarttags PlaceName9*urn:schemas-microsoft-com:office:smarttagsplace []33333"(46)+){}%(P0"(46I,..00{'}28U=K R \NvY~BFp^_-ba@----@UnknownG*Ax Times New Roman5Symbol3. *Cx Arial5..[`)TahomaA$BCambria Math"hc{Gc{Gxʷf  !24~~3HP?-2!xx)   SUFFOLK COUNTY COMMUNITY COLLEGEValued Gateway Client Kate DowlingOh+'0  8D d p | $SUFFOLK COUNTY COMMUNITY COLLEGEValued Gateway ClientNormalKate Dowling2Microsoft Office Word@@X@bř@bř՜.+,0 hp|    ~ !SUFFOLK COUNTY COMMUNITY COLLEGE Title  !"#%&'()*+.Root Entry F{Й01Table WordDocument*SummaryInformation(DocumentSummaryInformation8$CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q