PCS 2019-2020

The Charter Institute at Erskine
School Staffing Form
(PCS)

Please select the employee status:*

New Employee Existing Employee Update

Please select the reason(s) for submission:*

New Employee Benefits Enrollment/Refusal New Employee Benefits Not Applicable Certification Update Termination

Other:

School Name*

Submitted By*

Email of Person Submitting the Form*

Date Submitted*

Name*

First Name

Last Name

M.I

SSN*

Date of Birth*

Employee's Email*

Race: *

Hispanic or Latino American Indian White Black or African American Asian Pacific Islander Unknown

Annual Salary*

Certificate#

Transferring In from other state entity?*

Yes No

If yes, what entity?*

135 Days*

135 Days - the number of days this employee is expected to work during the first 135 days of school

Employment Date*

Days Employed*

Days Employed - the number of days this employee is expected to work the current school year

Position 1*

FTE*

Position 2

FTE

Total FTE*

***Termination Date

If Employee is transferring to another SC district, please enter that district after the termination date.

Transferring to (district or state entity name):

SCDOE Regulation 43.58.1 - Was this employee dismissed, resigned, or is otherwise separated from employment with that district (charter school) based on allegations of misconduct including, but not limited to, misconduct involving drugs, sexual misconduct, the commission of a crime, immorality, moral turpitude, or dishonesty?*

Yes No

If the answer is yes, please explain:*

Additional Information

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