Coastal Carolina Community College
Additional Position Assignment
This form should be completed and provided to the Office of Personnel Services and Workplace Safety.
Date Prepared:
Preparer's Name:
Employee Name:
Effective Date:
Additional Position Information (if different than current position)
Rate of Pay
Division
Department
Job Title
Job Location
Supervisor
Principle Area of Responsibility
Instructional Area
Specific description of duties and responsibilities:
Comments:
Division Chair/Supervisor Approval:
Vice President Approval:
President Approval:
Received by Personnel Office:
Date:
Date:
Date:
Date:
Revised: 05/26/2017
New Position Code:
Coastal ID Number: