RCUH Policies and Procedures
REQUEST FOR AN EIC DETERMINATION – NON-EMPLOYEE – GUEST SPEAKER
Instructions: Complete all Yellow boxes and check applicable boxes in (e) and (h). Email your EIC Memo/Attachment to RCUH Human Resources Department at least 7 working days prior to engagement of services ([email protected]).
TO: Nelson Sakamoto
Director of Human Resources
FROM: 2a ,Principal Investigator
Project: (name of school/institute/project)
Project Contact information:
2b name, 2c email, 2d phone number.
SUBJECT: Request of EIC Determination for Non-Employee Guest Speaker ( )3
(a) Method and Reason of Selection: Recognized expert in 4 (field of study/research). Invited to be guest speaker at 5 to be held at 6. This will provide our project with 7.
(b) Description of work to be performed: 8 will be the guest speaker (see attachment for program of event).
(c) Supervision of work in progress: No supervision of this individual.
(d) Evaluation of results: No evaluation of the speaker.
(e) Duration of Action (Dates of engagement): Dates (from 9a – to 9b). This speaker engagement will occur as a one-time event as described on program outline.
Attachment: Program/Agenda (Date/Location of event with Guest Speaker identified).
(f) Method of Compensation: 10 honorarium (provide total dollar value, if exceeds $750 dollars provide justification).
(g) Travel & Per Diem or other reimbursements/support: 11
(h) (Current) Business License or Outside Employment Status:
No or Yes – Guest Speaker is a current RCUH, UH, State, or County employee. Guest Speaker is employed by 12
No or Yes – Guest Speaker is a current State or County Employees’ Retirement System (ERS) Retirant. 13 effective date of retirement.
No business license required.
No or Yes – Guest Speaker is a former RCUH, UH, State, or County employee. Guest Speaker was employed by 14. Date of termination: 15.
(i) Tools & Equipment: Not applicable since this is a guest speaker.
(j) Termination at Will: Not applicable this is a one-time event.