ࡱ> gifa 'bjbj** 4VH=bH=b  <<ZH8"<=pRRRR""" = = = = = = =$r?(B`1=@" !l""" 1=<<RRF=%%%"<R@R =%" =%%?9Jk;R25v#:9<\=0=:\B#`B0k;B$k;""%"""""1=1=%"""=""""B""""""""" B :  Electronic Submittal of Concurrent Employment Forms Upon completion of the primary and secondary employer information, UA Little Rock originators must email the saved PDF form (DO NOT scan the document) to UA Little Rocks Human Resources listserv (hrs-personnel@ualr.edu), for verification and submission to the Arkansas Department of Higher Education (ADHE). ***Due to the electronic processing printed copies of the Concurrent Employment Form cannot be accepted. The originator should select Save As to save the form and rename it using the words concurrent employment and the employees name. (Example: Concurrent Employment for Jane Doe Spring 2012). If the employee works for another state agency, please make sure all information pertaining to the other agency is complete and accurate before submitting to UA Little Rocks Human Resources. Originators are responsible for ensuring the forms are submitted to them by the other state agency/institution and/or emailed directly to UA Little Rocks Human Resources. Forms for UA LITTLE ROCK employees should be submitted to ADHE by UA LITTLE ROCKs Human Resources. All inquiries regarding the concurrent employment process should be sent to hrs-personnel@ualr.edu. How to Properly Complete the Concurrent Employment Form Newly Revised Form The Concurrent Employment Form was recently revised by Arkansas Department of Higher Education (ADHE). Previous versions are no longer acceptable. The Concurrent Employment Request form is available on the Human Resources website. Internet Explorer is required to open the form.  HYPERLINK "/humanresources/files/2006/10/Concurrent-Employment-ADHE2018.pdf" (/humanresources/files/2006/10/Concurrent-Employment-ADHE2018.pdf). DO NOT scan this document. Primary Employer Employees Name Enter the employees name as it appears in Banner. Personnel Number Leave blank. Primary Business Area Enter 0145. Primary Employer Information Enter the primary employers name, or the specific department of the primary position if working for the same employer (i.e. UA LITTLE ROCK/Philosophy). Address Enter the primary employers complete mailing address. For UA LITTLE ROCK enter the address to Human Resources: Department of Human Resources, 2801 S. University Ave., Little Rock, AR 72204 Phone Number Enter the phone number for the contact person or department including area code. Contact Person Enter the name of the department contact person for the primary employer. E-mail Address Enter the email address of the contact person for the primary employer. Job Title Enter the actual pay title (State appropriated title not the working title) of the employees primary position. Position Number Do not use the employees actual position number. Enter the Item Number of the employees primary position title from the current  HYPERLINK "/humanresources/classification/" Appropriation Act. The Item Number will be to the left of the title in the Appropriation Act in parenthesis.  Pay Grade This field only applies to classified employees. Enter the pay grade for the employees primary position which is also listed in the Appropriation Act. See spreadsheet for information regarding classified pay grades and salaries:  HYPERLINK "http://ualr.edu/humanresources/index.php/home/classification/" http://UA Little Rock.edu/humanresources/index.php/home/classification/. FLSA (Fair Labor Standards Act) Status Classified = Non Exempt. Faculty and Non-Classified = Exempt. Salary Enter the employees salary for the primary position. Hourly rate for extra labor positions. Line Item Max (LIM) Enter the maximum salary for the title of the primary position. See spreadsheet for classified titles (see link above). See UA LITTLE ROCKs Appropriation Act for faculty and non-classified titles:  HYPERLINK "http://ualr.edu/humanresources/index.php/home/classification/" http://UA Little Rock.edu/humanresources/index.php/home/classification/. Employment Dates Enter the employees regular work schedule for the primary position (hire date to current or start and end date if not a full-time employee). Work Days The abbreviated work days for the employees regularly scheduled work day for the primary position (i.e. M/W/F and T/Th or M-F). Work Times Enter the to and from times of the employees regular work schedule for the primary position (should include all scheduled class times and/or regularly scheduled work hours). Duties Performed and Explanation/Justification Enter a summary of the duties the employee performs in the primary position. Secondary Employer Secondary Employer Information Enter the secondary employers name, or the specific department of the secondary position if working for the same employer. Address Enter the secondary employers complete mailing address. For UA LITTLE ROCK use the address for Human Resources. Phone Number Enter the phone number for the contact person at the secondary employer including area code. Contact Person Enter the name of the contact person at the secondary employer. E-mail Address Enter the email address of the contact person for the secondary employer. Job Title Enter the actual pay title (not the working title) of the employees secondary position. Positions involving secondary teaching duties should be designated as Part-time Lecturer Credit or Part-time Lecturer Non-credit. Position Number Do not use the employees actual position number. Enter the Item Number of the employees primary position title from the current  HYPERLINK "/humanresources/classification/" Appropriation Act. The Item Number will be to the left of the title in the Appropriation Act in parenthesis.  Pay Grade This field only applies to classified employee. Enter the pay grade for the employees secondary position. See spreadsheet for classified titles (link above). FLSA (Fair Labor Standards Act) Status Classified = Non Exempt. Faculty and Non-Classified = Exempt. Salary Enter the salary amount for the secondary position. Line Item Max (LIM) Enter the maximum salary for the title of the secondary position. See spreadsheet for classified titles (see link above). See UA LITTLE ROCKs appropriation act for faculty and non-classified titles  HYPERLINK "http://ualr.edu/humanresources/index.php/home/classification/" http://UA Little Rock.edu/humanresources/index.php/home/classification/. Employment Dates Enter the date for which the additional duties will occur. This cannot be longer than 12 months and cannot cross fiscal years. Work Days Enter the abbreviated the work days for which the employee is expected to complete the concurrent employment. Work Times Enter the to and from times the employee is expected to perform the concurrent employment. Duties Performed and Explanation/Justification Enter a summary of the duties the employee is expected to perform under the concurrent employment.  Signature of Primary and Secondary Approving Authority This line is to be left blank. Human Resources will complete this information before submitting to ADHE for approval. ADHE has indicated that they will not approve forms from individuals not listed with ADHE as the designated HR Representative. Department of Finance and Administration This section is reserved for the Chief Fiscal Officer of the State and should be left blank.  Concurrent Employment Request Form Processing Flow Chart         Secondary employee/department originates the form. Primary employee/department completes their section. Copies of the form are returned via regular mail to the UA Little Rock Human Resources and the listed contact from the other institution/agency with the decision from the Chief Fiscal Officer of the State. ADHE reviews form. 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