Revised February 19, 2014
Request for Approval to Fill Critical Personnel Vacancy - Faculty
1.
Division
2.
Department
3.
Position Title
4. Field of Sp
ec
ializ
at
ion
5.
No. of Hires Requested for Position Title
6.
Total Salary & Benefits Annually
Minimum: Maximum:
+
=
7. Fund Sources:
+
=
%
St
ate
Funds
%
Tuition Dollars
%
O
ther
Funds -
Gr
an
t
Funds
Auxiliary Funds
Tec
hnolog
y
F
ee
s
8
. Cos
t
of To
ta
l Cur
re
nt Va
c
ant
P
osi
t
ions fo
r
the
De
pa
rtme
nt
9
. Es
t
imat
e
d Hirin
g
D
ate
10
.
Re
plac
eme
n
t
P
osition?
N
o
Y
es:
P
osi
t
ion #
New Position?
No Yes
11
.
Name
of Emplo
yee
Be
in
g
Re
plac
e
d
12
. Con
tact
Pers
on/
P
hon
e
N
umb
er
fo
r
A
ddi
t
ional
I
nfo
rmat
ion
:
13. Justification Statement [Critical impacts associated with hiring delay (program & potential loss of
other revenue). Time sensitivity of need, Number of positions currently performing the same job.]
S
emester:
# S
ect
ions
:
# S
e
a
t
s p
er
S
ect
ion
:
To
t
al
:
Location:
Semester:
# Sections: # Seats
per
Section: Total:
Location:
De
pa
rtme
nt Chai
r
/D
irect
o
r
App
rov
al
:
Da
te
Dean Approval:
Vi
ce
Pres
id
ent
A
pp
r
o
v
al
:
Date
Da
te
Revised February 19, 2014
Instructions for Completing Critical Hire
1. All information on the critical hire must be completed in order for the Provost to approve the
search.
2. Total Salary & Benefits must list the minimum AND maximum, including benefits (if
applicable).
- Full time: Total Salary = Salary + (19.50% of salary + $7,400 Insurance)
- Part time: Total Salary = Salary + 1.45% of salary
3. Tuition Cost: $181.00 per credit hour for graduate courses and $157.80 for undergraduate courses
(for reporting purposes only).
4. Justification statement should include courses the faculty member will teach per semester, time
sensitivity of need, number of positions currently performing the same job, program &
potential loss of revenue and critical impacts associated with hiring delay. The more
information included here the better. Please attach additional sheets if necessary.
5. Routing process: Department -> Dean’s office -> Office of the Provost
6. Once the critical hire is approved, the Provost’s office will notify the department.