Fillable Pt Faculty Request

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Pt Faculty Request

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For Grant-Related Purposes Only
Grant Fund Number:
Name of Grant:
Replacement For:
New Request Revised Request
REQUEST FOR PART-TIME FACULTY
HOPE COLLEGE
DEPARTMENT: DATE:
SEMESTER: FALL: SPRING:
NAME: ID #(if known):
ADDRESS:
HIGHEST DEGREE: (circle one) Ph.D./Ed.D./J.D./M.F.A./M.A./M.A.T./M.S./M.S.W./M.M./M.Div./
M.B.A./M.S.N./C.M.A./C.P.A./B.S./B.A./B.F.A./B.S.N
NUMBER OF SEMESTERS OF PART-TIME SERVICE TO THE COLLEGE:
NEW (has not worked for College in previous 26 weeks) RETURNING (has worked for College in previous 26 weeks)
Courses to be taught:
Dept.
Course
No.
Course Name
Grant
Replacement
(Yes or No)
# CR (credit)
or CTH
(contact)
Hrs
# of required
hours for weekly
office hours and
dept meetings
TOTAL Semester Hours (Last column * 15 weeks) _________________
Mileage (if applicable): Round-Trip Mileage (less 25 miles) to and from the Campus (if residence is outside of the
greater Holland area): R/T: __________ - 25 miles = _______ miles
___________miles x ( ) trips/week = _________(x $.45/mile) =_________ x ( ) weeks in semester = $_____________
RECOMMENDED STIPEND: Fund Number(s) to be charged: _______________
(calculated on reverse side)
PLUS MILEAGE: +
TOTAL: =
BACKGROUND CHECK REQUESTED AND CLEARED? ________
This applies to new faculty AND to faculty returning who have not taught in the last 2 years. No contract will be issued without clearance.
__________________________________________ _____________________________________________
Departmental Chairperson Signature Divisional Dean Approval
ALL NEW FACULTY ARE REQUIRED TO HAVE A RESUME ON FILE IN THE PROVOST'S OFFICE
FOR DEAN'S USE ONLY
FORMULA WORKSHEET
NEW FACULTY: RETURNING FACULTY:
Highest Degree:_________________________ Last Year’s Rate/Credit: $______________
Prior Years of Teaching
Or Relevant Industry Experience*:_____________ % Increase for Current Year: ________________
BASE RATE BASE RATE
PER CREDIT HOUR: $_____________________ PER CREDIT HOUR: $______________
(from tables provided for current academic year)
Number of credit hours of class: X______________
SUB-TOTAL ________________
Bonus for Extra Preparation (if applicable):
_____ 10% for 2 preps
_____ 20% for 3 preps +_______________
Other (explain):____________________________ +_____________
RECOMMENDED STIPEND: ________________
COMMENTS:
*The dean will provide justification in “Comments” section of graduate teaching and/or relevant experience counted towards
determining the base rate of pay.
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Pt Faculty Request

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Completed 6 March 2020

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