Signature of Per Session Program Supervisor OP-175 2017-2018 Summary of Chancellor s Regulation C-175 school maintains a copy of the Standard Operating Procedures Manual for Schools SOPM. Chancellor s Regulation C-175 2017-18 APPLICATION FOR PER SESSION EMPLOYMENT AND CLAIM FOR RETENTION RIGHTS OP-175 Directions This form must be completed and submitted to the per session supervisor prior to commencement of employment in a per session activity. A copy of this form must be retained by the per session supervisor. An applicant who wishes to claim retention rights must assert such a claim on this form* Retention rights may be claimed ONLY in one per session activity. No person may work more than 400 hours in one or a combination of per session activities with a maximum of 270 hours in a school psychologist and/or school social worker position without prior written approval of the Division of Human Resources in accordance with Chancellor s Regulation C-175. Last Name First Name Home Address....
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How to fill out the NY OP-175 online
The NY OP-175 form is essential for applying for per session employment and claiming retention rights within the NYC Department of Education. This guide provides step-by-step instructions to help users navigate the online form with ease.
Follow the steps to complete the NY OP-175 form
- Press the ‘Get Form’ button to access the application form and open it in your preferred online editor.
- Begin by filling out your personal information. Enter your last name, first name, home address, and provide your home phone number and file number.
- Indicate whether you are a full-time employee of the NYC Department of Education by selecting 'Yes' or 'No'. If 'Yes', enter your current work location and email address.
- In the next section, specify the per session position for which you are applying. Fill in the program name, CFN, district, and approximate start date. Also, indicate if you claim retention rights.
- Provide details about your work hours for Monday through Friday and Saturday through Sunday for the position.
- If you have worked or plan to work in other per session activities within the specified period, state 'Yes' or 'No'. If 'Yes', list the program names, CFN, districts, approximate start dates, and indicate if you claim retention rights for each.
- Answer whether your total per session hours for the year will exceed 400 hours by selecting 'Yes' or 'No'. If 'Yes', confirm that you have submitted a waiver request.
- Review the declaration statement ensuring you understand the requirements in Chancellor’s Regulation C-175. Sign and date the application to confirm accuracy of the information.
- Lastly, the per session supervisor must approve the application. They will sign and date the form to certify the qualifications.
- Once all fields are completed, you can save your changes, download the form, print it for your records, or share it as needed.
Complete your forms online today to ensure a smooth application process.
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