Deadline for submission is Wednesday, June 28 at NOON.

This form will be available after that date but responses will only be processed during the next request for submission. 

 

Eligibility for Compensation

  • Effective  July  1,  2017,  unit  members  are  eligible  for  compensation  for  hours  served  on committees.
  • Unit members may opt for $15 an hour served (in addition to regular salary,  subject  to  SEIU  Fund  availability)  or  one  hour  of  flex  time  for  each  hour  served.
  • Compensation is limited to regularly scheduled committee meetings. Sub-committees, activities, planning/agenda building meetings, and retreats are not eligible for compensation. Union related councils/committees (CEC, CRC, FBC, JLMC) or committee seats by position are not eligible for compensation. All other shared governance committees listed on the District committee website are eligible.
  • Hiring committee service as either a committee member or monitor is eligible for compensation, up to a maximum of 10 hours per committee assignment.

 
1. Please enter your name, email address and EID.

 

 

 
2. Do you want to receive flex credit or pay at $15/hour served?
  • All flex bank utilization is subject to supervisor approval.
  • Flex bank hours may be utilized for any approved flex activity, additional professional development release time, and/or additional educational leave.
  • Up to twenty (20) hours may be utilized from the flex bank per fiscal year. Unused flex bank hours will expire upon separation from the District with no remuneration.

 
**Please select one of the options below to show the list of committees and/or hiring committee information.**
3. Have you served on...

 

Shared Governance Committee Instructions:

  • Enter the dates of each meeting of the shared governance committee(s).
    • Click the calendar icon on the right-hand side of the field to select a date from a calendar or enter the dates numerically. 
  • Select the name of the committee from the dropdown list.
  • Indicate the hours served that day. 
  • Click/Tap "Add Another Date" for each date that your committee conveined. 
(If the committee that you participated in is not on this list, please email mrudlin@santarosa.edu for assistance.)

Date Committee Name Hours Served

 


Hiring Committee Instructions:

  • Enter the dates for each meeting attended as a hiring committee (HC) member or monitor (M).
    • Click the calendar icon on the right-hand side of the date field to select a date from a calendar or enter the dates numerically. 
  • Choose a numbered HC or M code from the options under the "HC/M Code" dropdown list for each committee.
    • For example, use HC1 or M1 for your first committee, HC2 or M2 for your second, etc...
  • Indicate the name of the position under recruitment and hours served that day. 
  • Click/Tap "Add Another Date" for each date that your committee conveined. 
Note: Compensation is limited to ten (10) hours per recruitment.

Date HC/M Code Position Under Recruitment Hours Served

 

4. Please sign the form by clicking and dragging to draw your signature in the pink/grey box below. 

(If you are using a mobile device or tablet, tap and drag to draw your signature.)