ROSWELL INDEPENDENT SCHOOL DISTRICT WORK AGREEMENT/TIME SHEET for NON-CONTRACT HOURS SECTION I -- MUST BE COMPLETED BY FUNDING SUPERVISOR PRIOR TO START DATE OF WORK AGREEMENT NAME SOCIAL SECURITY # SCHOOL xxx-xx- FUND NUMBER ACCOUNT NUMBER

Employee is contracted by the RISD as specified in this work agreement for a period of time no Beginning Date Ending Date later than ending date or until allocated funds are expended whichever comes first. Maximum number of hours will be _____ hours (please circle one→) Per week or Total The specific duties/training of the Employee will be as follows:

 CERTIFIED school instructors/supervisors/presenters will be paid at the following rate:  $20.00 per hour for Certified School Instructor  $70/day learner’s fee for Certified School Instructor  NON-CERTIFIED employees will be paid at their REGULAR hourly rate during regular school year contract. Off contract hours for NON-CERTIFIED employees will be paid at the following rate:  $10.00 per hour for Secretary , Associate, Other non-certified  $ Other: SECTION II -- MUST BE SIGNED BY EMPLOYEE Do you have a current contract with the Roswell Independent School District? Yes No I understand and agree to comply with the stipulations of this work agreement. Supervisor please initial & date Date Employee Signature: Date: SECTION III – RECORD OF TIME WORKED STARTING QUITTING STARTING QUITTING TOTAL FOR DATE TIME TIME TIME TIME NO OF HOURS WEEK

TOTAL NO. OF HOURS I certify that the above is a true statement of the number of hours worked during the indicated period.

Employee Signature: Date:

FUND SUPERVISOR SIGNATURE DATE ASST. SUPERINTENDENT SIGNATURE DATE

NOTE: Approved time sheet must be submitted to Payroll by the last working day of the month—no exceptions.

Work Agreement – Revised 10/19/2012