REQUEST FOR TEACHER EMERITUS
EMPLOYMENT CONTRACT
NOTE: Employment Contracts will NOT be backdated. DO NOT allow employee to begin working until this contract
has been approved by Human Resources AND signed by the employee.
Principal/Program Manager Completes
Date
Site/Program
HR Position # ___________
Position
Pay Rate $
Per hour
Not to Exceed
Start Date
End Date
Hours Per Week
($30,000 Annual Cap based on 12 month period, $22,000 Annual Cap for School Year Contract, $577
Weekly Cap.)(Current Annual Salary Cap $12,960: for every $3 earned over the cap, the individual will pay
$1 to TRA)
Benefits - Check One:
* No
* Yes
Medical Coverage:
* No Coverage
* Single
* Family
Dental Coverage:
* No Coverage
* Single
* Family
Life Insurance:
* Yes
* No
Amount of Coverage: _____________________________
Select Account
* Yes
* No
The Teacher Emeritus will be used in the following ways:
* Mentoring on PSP/IAP
* Fill emergency vacancy
* Fill a 陆 year
sabbatical
* Mentoring teachers-groups/high need areas Must be less than one (1) semester.
* Tutoring
* Resident mentor
High Need Licensure Area:
Sabbatical Teacher:
* Artist in residence
Start Date:
Licensure Area:
* Staff development
End Date:
Start Date:
* Curriculum Coordinator
VIN #:
End Date:
* Program Coordinator
FTE:
FTE:
* Other:
Additional Educational Requirements (if any):
Do you need names of possible Teacher Emeritus
candidates?
* No. We request the following retired teacher:
* Yes, please send us names for interviewing.
Name Phone Number
Description of Essential Functions (duties) of the position and approximate percent of time in each.
Revised 03/07 Cc: *
*
*
*
HRIS *
*
*
*
Benefits * * * * Payroll *
*
*
*
Site Book * * * * Employee * * * * Personnel File
Principal/Manager Signature
Date
MINNEAPOLIS PUBLIC SCHOOLS
Human Resources Department
For
HR Use
Only:
:
*
Approved
*
Denied
HR
Signature:______
__
Date:________
search
