BYU Online Instructor Contract Request Please only submit one Instructor Contract Request form per course section. Instructor's First Name Instructor's Last Name Net ID Course (Example: NDFS 100) Section # Semester / Term - Select - Fall Semester Winter Semester Spring Semester Spring Term Summer Term Year Year: Year Year 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 Credits to be paid (adjust for team teaching) Faculty Status - Select - Adjunct Adjunct Instructor: $1,380 per credit hour Department Supplement Yes No Notes about request Add any comments or notes about the contract request. Amount of Department Supplement per Section Amount of Department Supplement per Section $ Workday Worktag to be paid to Example: CC10171 AC 10000 Department Contact Information Name Email Phone I-9 Form Completion I will not allow this individual to begin any work or training until they have completed the I-9 Form in the Employment Office. Not Related I have determined that this applicant is not related to anyone within the administrative scope of this position, from the Vice President Level continuing level-to-level. Non Dual Church Employment I understand BYU Policy does not allow employees to work part-time for both BYU and another Church employer. I have confirmed with the applicant for a part-time position that they do not currently work part-time for another Church employer. The Employment Office will make the final confirmation that the applicant is not working part-time for another Church Employer. If the applicant is found to be working part-time for another Church employer, he/she will need to terminate with the other employer before beginning work at BYU. Direct Deposit and electronic delivery of tax forms I have advised the employee of the University policy requiring all employees to use direct deposit for their paychecks and that the employee will automatically be 'consented in' to receive both their W-2 and 1095-C electronically. The employee has agreed to set up direct deposit before their second payroll payment.