Fillable Roger Williams University and Roger Williams University School (Roger Williams University)

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Roger Williams University and Roger Williams University School (Roger Williams University)

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Roger Williams University and Roger Williams University School of Law
Faculty Personnel Action Form
FACULTY NAME: __________________________________________________ EFFECTIVE DATE OF ACTION: _____/_____/______
EMPLOYEE ID: ______________ DEPARTMENT: _______________________ SCHOOL: _____________________________________
LOCATION: Bristol School of Law Providence Metro Center
PLEASE CHECK ALL THAT APPLY:
Separation (Retirement) Additional Position
Separation (Voluntary) Separation (Involuntary)
Department/GL Change
Change in Rank/Tenure Status (Promotion)
Sabbatical/Leave of Absence (from: _____/_____/______ to: _____/_____/______)
PLEASE CHECK ALL THAT APPLY:
$_________.____
$_________.____
BO – Bonus SH – Honorarium
Other – See Remarks
Independent Study (Grades Attached)
General Ledger Account Number: __ __-__ __ __ __ __ __ __-__ __ __ __ __ __ Percentage: _______ %
General Ledger Account Number: __ __-__ __ __ __ __ __ __-__ __ __ __ __ __ Percentage: _______ %
* If more than two funding sources are necessary, use Remarks box below
STATUS: Full-Time Part-Time (Adjunct) *One Year Temporary: Assignment End Date: _____/____/______
Tenured Non-Tenured Visiting Distinguished
RANK: Professor Associate Assistant
FOR SEPARATIONS:
Last day worked: _____/_____/______ Termination Date: ____/_____/______ To be paid through: ____/_____/______
Reason for separation: _________________________________________________________________________________________
_________________________________________________________________________________________
Eligible for Rehire? Yes No
Have the appropriate departments (IT, Facilities, Locksmith, Purchasing) been contacted? Yes No
PAF PREPARED BY (Please print): ______________________________________________________ DATE: _____/______/_______
Remarks Authorizations Date Signed
Dean:
/ /
Provost/VP/EVP/Dean of Law School:
/ /
Finance:
/ /
President (if applicable):
/ /
Human Resources:
/ /
FOR HR USE/PAYROLL USE ONLY
Org Chart Updated Processed by: ________ Date Paid: ___/____/____ Benefits Termed: ___/____/____
Annual Salary:
Sabbatical Pay:
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Roger Williams University and Roger Williams University School (Roger Williams University)

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Completed 1 February 2021

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