Fillable Authorization To Employ Form Part Time Faculty Revised Oct 2018 WEST GEORGIA COLLEGE

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Authorization To Employ Form Part Time Faculty Revised Oct 2018 WEST GEORGIA COLLEGE

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Authorization for Employment (ATE) for Part-Time Faculty
College/Division:___________________________________ Department_____________________________
Applicant Name:_____________________________ CIP Code: ________________
Proposed Appointment Date:___________________ Proposed Rank/Title: ____________________ Temporary Regular
Other employment for UWG, USG, or eCampus _____________________________ Hours_____________________
Agreement Regarding Completion of Degrees: ________________________________________________________
Applicant: Is Related to a Current University of West Georgia Employee Yes No
Is Conversant in English Yes No
Highest Degree Has Been Verified Yes No
Retired from the University System of Georgia Yes No
If retired, please specify retirement company: ____________________ Date of Retirement:___________
TRS Approved No Yes Date of approval____________
Budget: Department__________________ Fund Code ___________ Position Number __________Pay Amount________________
Funding Available: Yes No Reviewed by Provost Budget________________________
_________________________________ ________________ ______________________________
Budget Services Date Comments
Credentials Education: Degrees, Major, Institutions, Dates; Experience; Additional Comments: Recommendations, Special
qualifications (required if applicant has less than 18 credit hours graduate work in teaching field); use reverse if needed. Please include
the course(s) that will be taught below:
Term:
Begin Date:
End Date:
CRN
Course
Contact Hours
Standard Hours
Worked (Per Week)
Times
Location
Compensation
Total
__________________________________________________________________________________________________________
Approvals: Do Not Offer Conditional Employment or Change of Status until all approvals are obtained.
______________________________ ________________ _________________________ ______________________
Department Chair Date Dean Date
________________________________________ ___________________ ___________________________________________
Provost and Vice President for Academic Affairs Date Comments
Revised April 2018
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Authorization To Employ Form Part Time Faculty Revised Oct 2018 WEST GEORGIA COLLEGE

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Completed 20 February 2020

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