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ATTACHMENT A (Disclaimer, Certification & Report) Bergen Community College Statement on Outside Employment FY 2011 2012 This form must be completed, signed, and forwarded to the Executive Assistant
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How to fill out statement on outside employment

How to fill out a statement on outside employment:
01
Start by obtaining the necessary form: Depending on your organization or employer, there may be a specific form or template for the statement on outside employment. Contact your HR department or supervisor to obtain the correct form.
02
Review the instructions: Take the time to carefully read through the instructions provided with the form. This will outline the purpose of the statement and any specific guidelines or requirements for its completion.
03
Provide personal information: Begin by filling out your personal information section. This typically includes your full name, job title, employee ID or number, contact information, and any other details requested.
04
Disclose outside employment details: In the main section of the form, disclose all relevant information regarding your outside employment. This may include the name of the employer, job title or position held, the nature of the work, hours per week committed, and any additional details required by your organization.
05
Be transparent and accurate: Ensure that all the information provided in the statement is accurate and transparent. It is crucial to disclose all relevant outside employment to avoid any conflicts of interest or violations of company policies.
06
Seek necessary approvals: Depending on your organization, you may need to seek approvals from your supervisor or HR department for your outside employment. Follow the instructions provided on the form or consult with the appropriate personnel to ensure you complete this step correctly.
07
Sign and date the statement: After completing the form, sign and date it in the designated section to indicate your acknowledgement and agreement with the information provided. Make sure to follow any additional instructions regarding witness signatures or notarization if required.
Who needs a statement on outside employment?
01
Employees with secondary jobs: Individuals who hold additional employment or engage in other income-generating activities, besides their primary job, may be required to submit a statement on outside employment.
02
Government employees: In certain countries or organizations, government or civil service employees may be obligated to disclose any outside employment or business interests to ensure transparency and prevent potential conflicts of interest.
03
Professionals in sensitive sectors: Professionals working in sensitive sectors such as finance, law enforcement, national security, or healthcare may be mandated to provide a statement on outside employment to mitigate any potential risks or ethical concerns.
Remember, it is essential to consult your organization's policies, guidelines, and any applicable laws or regulations to determine if you need to fill out a statement on outside employment.
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What is statement on outside employment?
A statement on outside employment is a declaration of any other job or work that a person holds outside of their primary employment.
Who is required to file statement on outside employment?
Certain employees, such as government officials or employees in certain industries, may be required to file a statement on outside employment.
How to fill out statement on outside employment?
To fill out a statement on outside employment, individuals typically need to disclose the name of the outside employer, the nature of the work being performed, and any potential conflicts of interest.
What is the purpose of statement on outside employment?
The purpose of a statement on outside employment is to ensure transparency and prevent conflicts of interest in the workplace.
What information must be reported on statement on outside employment?
Information such as the name of the outside employer, the nature of the work, and any potential conflicts of interest must be reported on a statement on outside employment.
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