EMP-5 Dual Employment Form - Research Corporation of the 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your name in the 'Employee Name' field at the top of the form. This identifies you as the applicant.
  3. Fill in the 'Dual Employment Period' section, specifying the start and end dates for your dual employment arrangement.
  4. In 'Employer #1', provide details such as the project name, source of funds (circle either Federal or State), and your job title. Include your detailed work schedule outlining days and hours.
  5. Repeat step 4 for 'Employer #2', ensuring all fields are completed accurately.
  6. Review all entries for accuracy, then proceed to obtain necessary signatures from both employers and any required department heads.

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