Fillable Residential Adjunct Assignment Form 2-14-18

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Residential Adjunct Assignment Form 2-14-18

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RESIDENTIAL ADJUNCT ASSIGNMENT FORM
Name Z _________________
Last, First Middle
Home Address
Street, City, State, Zip Code
Phone Number Email Address
Degrees Rank
College or
School
Department ORG
Salary Rate/Credit Hour Total Compensation
Contract period Fall Spring Starting Ending
Month/Day/Year Month/Day/Year
Assigned Courses Load Hours Assigned Courses Load Hours
/ / /
Course Name Course Number Course Name Course Number
/ / /
Course Name Course Number Course Name Course Number
/ / /
Course Name Course Number Course Name Course Number
Department Chair
Date
Dean
Date
COMPENSATION
Compensation paid by ORU to Residential Adjunct Faculty is based on rank and the number of hours taught. Additional
consideration is given to low enrollment classes with an adjusted pay rate.
This teaching assignment is accepted by:
Adjunct Faculty Signature Date
FOR COMPLETION BY FACULTY RECORDS ADMINISTRATOR ONLY
Contract plus form sent to College: Contract sent to Provost:
Input on Payroll Sheet: Form sent to Budget:
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Residential Adjunct Assignment Form 2-14-18

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Completed 3 December 2019

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