Fillable WSU Search Waiverform 071514 (Wichita State University)

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WSU Search Waiverform 071514 (Wichita State University)

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U.S.A. forms for Wichita State University

BROWSE WICHITA STATE UNIVERSITY FORMS

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WichitaStateUniversity

DivisionofAcademicAffairsSearch

WaiverRequest

SectionI: General Information

Departmentname_____________________

______________________Date___________________________

Contactname______________________________________________Phoneextension _________________

Positionnumber_______________Workingpositiontitle ___________________________________________

Positiontype: UnclassifiedProfessional Faculty

 Temporary Provisional Regular Contingent Exe

cutive

Lengthofappointmen

t: 9 month 10month 12month Term (dates)_______________

______

Section2: CandidateInformation

Name Sex

(F/M)

Ethnic

Code

FTE Salaryoffer StartDate USEmployment

Eligibility

Ethniccodes:1=Nonresidentalien;2=Raceandethnicityunknown;3=Hispanicofanyrace;4=AmericanIndianorAlaskanNative;

5=Asian;6=BlackorAfricanAmerican;7=NativeHawaiianorPacificIslander;8=White;9=Twoormoreraces

Section3: ReasonforWaiverRequest (Policy 3.29)

Referencedingrantapplication

Employmentanticipatedtobenomorethan18monthsduration

FormerWSUstudentemployee

Visitingscholar/professor

Targetofopportunity

Other, please specify_______________________________________________________________________________

Section4: Attachments

•

DetailedletteraddressedtotheProvost and Senior Vice Presidentoutlingthe rationale

for waiving the usual search process

•

Currentvita/resumeandpositiondescription

•

Signed background check authorization form



Section5: InitiationofRequest

Chair/Director__________________________________________________________Date___________________

Dean ________________________________________________________________Date___________________

Section6:  Review

EEODirector______________________

_____________________________________Date___________________

Section7: FinalAuthorization

Vice President for Academic Affairs_________________________________________Date___________________

Routing:Chair/Director,Dean,Associate VP for AA, EEO office, VP for AA office

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WSU Search Waiverform 071514 (Wichita State University)

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Completed 25 July 2020

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