Date:
Date:
Approved
Denied
Date:
Times
Teaching Assignment Application for Staff/Manager
Date:
Signature: Provost and Vice President for Academic Affairs
Employee's Information:
Kean ID:
Extension:
Email:
Course Credits:
List of Course(s) and Meeting Days/Times ( Do not submit without meeting days/times):
Meeting Days
Course
Name:
Department:
Work Hours:
Semester:
Employee's Signature:
Supervisor/Director's Signature:
Division VP's Signature:
My signature confirms that this employee is in good standing, and the above teaching does not
conflict with the employee's primary job responsibilities.
My signature confirms that I have read, do fully understand and am agreeing to adhere to the
above guidelines. Additionally, I have attached my current resume/CV and most recent SIRII
evaluations, if applicable.
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit
click to sign
signature
click to edit