Deadline for submission is Wednesday, June 18, 2025

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

  • Compensation is limited to Councils, Standing Committees, President’s Advisory Committees, and other Governance Bodies as listed on the District Committee website, including officially recognized sub-committees and workgroups of those bodies.
  • Committee seats by position or which have negotiated release time are not eligible for compensation.
  • Activities, planning/agenda building meetings, and retreats are not eligible for compensation.
  • Hiring committee service as either a committee member or monitor is eligible for compensation, up to a maximum of ten (10) hours per committee assignment or twenty (20) hours per Management Team committee assignment.
  • NEW: Compensation for hours served on Shared Governance committees will be limited to a maximum of 20 hours total per semester for either option (pay, flex, or a combination of the two) inclusive of all committee appointments.

 
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 record the shared governance 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. 
  • Enter the name of the committee or subcommittee.
  • Indicate the hours served that day. 
  • Click/Tap "Add Another Date" for each date that your committee convened. 

The list of approved committees is managed by the district at the link below:

SRJC Committees

 

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.)