Fillable Request Regular Appointment FM 454_ReqFaculty 082112.indd

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Request Regular Appointment FM 454_ReqFaculty 082112.indd

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REQUEST FOR REGULAR FACULTY APPOINTMENT
Nine (9) Month Contract
Twelve (12) Month Contract
Z#:
Name
Address
Last First Middle
Street City/State ZIP Code
Home Phone # Email Address
U.S. Citizen: Yes No
Degrees FOAP # __
Department
College/
School
Rank of
Salary $
School of Theology Faculty Member Only: Regents Ministerial Parsonage Allowance: Yes No
The contract period begins
/ / and ends / / .
Month Day Year Month Day Year
Notes:
APPROVALS:
Department Chair Date
Dean Date
Provost Date
President Date_ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
FOR COMPLETION BY FACULTY RECORDS ADMINISTRATOR ONLY
Background Check Sent to Department:
Contract Returned: Signed by Provost:
Contract Copy to Budget
:
FM 454
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Request Regular Appointment FM 454_ReqFaculty 082112.indd

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Completed 21 February 2020

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