Exhibit – Non-Union Educational Support Personnel Notice

Statement of Benefits
(School Year)

Name:                                        (Insert Name)  
Position:                                (Insert Position)    

Salary Information:

1. Annualized salary amount                                        $(Insert Amount) 
2. Hourly rate (if applicable)                                   $(Insert Amount) 

Fringe Benefits:   

1. FICA                                                                           $ (Insert Amount) 
2. Pension (IMRF)                                                          $ (Insert Amount) 
3. Health Insurance (PPO single coverage)                    $ (Insert Amount) 
4. Dental Insurance (single coverage)                            $ (Insert Amount) 
5. Life Insurance                                                             $ (Insert Amount) 
6. Workers Compensation Insurance                              $ (Insert Amount) 
7. EAP                                                                             $ (Insert Amount) 

Total Compensation                                                               $(Insert Total) 

Reviewed: May 17, 2004
Adopted: August 23, 2004
Revisions Adopted: August 2, 2010