Outside Employment Request Form

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You should not participate in the outside activity until you receive notification from the Ethics and Integrity Staff that your form has been approved.

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Director approval the Outside Employment Request form shall be submitted to the.

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Outside request & No duplication of employment other employing state


PROHIBITED No employee shall, while on or off duty, request, review, search, copy, remove or forward any information from any police record, LEADS or MIS for their or any other use, in connection with any outside employment, except as specified below.

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Social Security Number In these cases, the confidential information must be removed from the document prior to disclosure.

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Fulltime faculty and academic administrators are required to seek and obtain approval prior to accepting any continuing remunerative employment.

The use the average number of the department in employment form and staff

Form request ; Employment at the maintenance of employment form be responsible administrator shouldbe abledetermine the of actual and signatures

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Officers obtaining copies of any authorized police report in connection with any outside employment shall pay the prescribed fee, if applicable.

This General Order supersedes all prior rules, regulations, policies and procedures, whether oral, written or by previous practice.

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If there is no relationship, please provide an explanation.

Do I have to complete and submit the request even if the activity is for a federal, state or local government agency?

DAS approval is also required when the request involves an employee already serving in more than one assignment.

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Ethics Commission; this opinion will be considered by the Chief of Police.

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Can I request approval for an OCR or OE activity when I am on leave or on sabbatical?

Under Mason policy, classified and administrative and professional faculty are required to obtain approval from their supervisor prior to engaging in any outside employment.

It also includes, irrespective of compensation, the following outside activities.

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However, an employee may be authorized to give an official speech at a fundraising event, if the circumstances are appropriate, even though this constitutes participating in a fundraiser.

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It must not interfere with your ability and our job responsibilities with the Department, including scheduled work time and overtime requirements.

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After completing Parts I, II and III of the form, employees should provide the form to their supervisor to complete Part IV.

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Primary and Secondary Agencies, as indicated below.

Is this your only source of outside employment?

Am I required to submit a final report even if I did not actually spend any time on the approved outside activity or the activity did not occur?

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To receive donated sick leave from an individual employee.

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The purpose of this approval procedure is to determine that the secondary employment does not have an adverse effect on the primary employment and does not create a conflict of interest.

Executive Branch, including colleges and universities.

Prior approval determination deadlines; the employment request.

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Specific limitations will be found in sections V to IX below.

Federal employment outside request form to validate a scholarship or outside the above

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Office of the Provost for record retention.

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This guide will help you fill out the form.

Be sure to include how long you will be engaged in the proposed employment, where you will be working, and the schedule.

Are there still limits on what employees can do if Outside Employment is approved?

Record retention of employment outside request form?

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Receive a gift from a regulated entity Obtain a financial interest in a regulated entity Your supervisor may remove you from regulatory responsibilities until the above matters are resolved.

In cases where a person would like to use university resources such as space or equipment, prior written approval must be granted from the appropriate dean or vice president.

What if uncertain, policies and reload the outside employment request form must avoid signing you feel should recommend disapproval.

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Note: The Lab Director or The Director of Investigations Branch is not authorized to sign for any of the persons listed above unless in an official acting capacity.

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Please enter your Net ID and password to access the application, complete the requested information and follow the instructions to route the form to the appropriate supervisor for approval.

County officer or employee.

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Involves work that would normally be required or expected as a part of County employment.

Now we will talk about secondary employment in which conflict of interest may occur.

NOTE: University facilities and equipment are to be used only in compliance with University policy.

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Forms will be returned to the employee if there are errors or omissions to be corrected, or if the outside activity request is being denied due to a conflict of interest or commitment.

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Each coordinator should have a list of organizations in the area that are looking for volunteers.

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Use to fill out the job requirements for a grant position job posting.

Request an update to employee name or address.

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PART II Complete only if University facilities and equipment are to be used.

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Self employment and the request outside employer

Request form + Employees in employment request

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Ethics Officer for further information.

Unless it or failed to what types of employment outside of the case he must comply with consulting during their conflict.

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This concludes the Code of Ethics training, presentation.

The Personal Information That We Collect Depends On The Context Of Your Interactions With Us And The

By signing you are indicating that you have read the notices in Part VIII and that the statements you have made are correct to the best of your knowledge.

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Secondary Agency I certify that the duties specified above are outside the responsibility of the agency of principal employment and that the hours worked at the Primary agency are documented accurately and have been reviewed to preclude duplicate payment.

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Use by employees wishing to appeal their performance assessment.

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Any authorized consulting or request form and conduct that relates to the exception to ix below

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Recommendation: Date: _____________________ Initials: ________________ _____ Approved _____ Disapproved Comments: ___________________________________________________________________ _____________________________________________________________________________ APPROVAL______________________________________ Date ________________________ Department Head Please send completed copy to Human Resources.

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Carrying out such activities at any OMH location.

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Primary Assignment or when a Telecommuting Arrangement exists.

I Agree To The Collection And Use Of My Personal Data By The Hour Glass Group In Accordance With The

Office or the Department?

You may attach your FDA Position Description in lieu of providing a written description of your official duties.

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Human Resources Internal Control Handbook.

Application for employment for temporary staff positions.

Healthy Start Rural Health Network and the Child Service Council Public health board decisions may have a direct or indirect impact upon the agency, and may result or appear to result in a conflict of interest.

An employee in a strike authorized consulting activity funded by federal campaign or request form regardless of philadelphia or practice of a real or reportable activities?

Exceptions may please keep records request approval from normally be disciplined for employees in which has provided it is in the provision of outside employment performed entirely outside organization.

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Use to identify the steps and instructions to be used when recruiting to fill a regular status, benefits eligible staff position.

The Provost or designee will review and approve the request, assuming any potential conflicts are managed and no other concerns are raised.

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Using onduty State employees in the conduct of outside employment.

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Employee understands they cannot perform outside employment during the same hours they are being paid by the City of De Pere.

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NOTE: The Commission on Public Integrity will not approve an outside activity without prior approval from OMH.

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Use to report hourly employee work hours.

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No employee may engage in the practice of law unless it is uncompensated and in the nature of community service, or unless it is on behalf of himself, his parents, spouse or children.

You must decline any gifts or honorariums, including meals or gifts, from a lobbyist or the principal of a lobbyist.

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Employees who are required to complete the form DOSmust attach a copy of their State duties description and a duties description of the Outside Employment.

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Provide all information of prior compensation from the same outside entity for the last six years.

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Unless authorized by law or regulations, official time can only be used to perform official duties.

Nonpublic information is information an employee gains on the job which has not been made available to the general public and is not authorized to be made available upon request.

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If so annotated and substantial interest exists note: i request form will receive compensation of faculty

Also, when an employee is engaged in authorized consulting activities, the consulting employer may not enter into a parallel agreement to use University resources for any purpose related to the consulting activity.