(Return signed form to Provost) Revised: 06/23/2010
SAMFORD UNIVERSITY
FACULTY EMPLOYMENT REQUISITION
School: Department:
Position Requested: New Position Replacement
Faculty Member Being Replaced: Start Date: PCN:
Type Position: Duties: Rank:
Full-time Faculty 9-month LOA Professor
Part-time Faculty 12-month LOA Associate Professor
Visiting Faculty Courses per year Assistant Professor
Administrative Faculty Instructor
Librarian
Status: Associate Librarian
Regular tenure track Assistant Librarian
Regular non-tenure track Other (specify):
Temporary: # years
Qualifications/special skills/training/experience desired:
Provide reason for the request/justification for the position, including how you intend to fund the
position if it is a new position. If more space is needed, attach supporting documentation/data.
If a stipend will be involved, specify job title and additional duties for stipend:
Stipend PCN:
Salary range: $ Budgeted salary: $ Stipend: $
Specify FOAPAL(s) for budgeted salary and stipend:
Index: Fund: Org: Acct: Prog:
Index: Fund: Org: Acct: Prog:
Index: Fund: Org: Acct: Prog:
APPROVED: DATE:
Department Head
Dean:
Provost/Designee:
PCN: