NON-INSTRUCTIONAL ASSIGNMENT APPLICATION
Faculty Name: _____________________________________ Date: ___________
____
Project Title: ______________________________________________________________
______________________________________________________________
Proposed Semester:
Fall _____ Spring _____ Full Year (1/2 time) _____
I _______________________________ endorse this application and rank it ____ of the ____
Chairperson's Name (printed)
_________________
applications submitted within my department. (i.e., 1 of 4.)
Signature: ________________________________________
Chairperson's Signature
Date
(Chairpersons' proposals should not be included in the ranking.)
Signature: ________________________________________
_________________
Dean's Signature Date
Signature: ___________________________________
_____ _________________
Chairperson, Non-Instructional Assignment Committee
Date
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