7/2/13-jk
WSU VANCOUVER SUMMER APPOINTMENTS
FACULTY INFORMATION FORM
Faculty Name:
Address:
City:
State:
Zip:
WSU ID
Phone (H):
Phone (W):
Appointment for:
Teaching
Research
Advising
Grad RA
Grad TA
COURSE INFORMATION (Extremely condensed courses, i.e. 3 credits in 3 weeks, must be
approved by WSU Vancouver Vice Chancellor of Academic Affairs in advance of course being offered.)
Department
Summer (specify year):
Semester/Year
Course Title
Course Dates & Time
Course Credits
Instructor of Record Yes ______ No ______
Course Title
Course Dates & Time
WSUV Director Approval/Date
Course Credits
Salary*
* Any compensation over 22% requires prior
Approval from Vice Chancellor for
Academic Affairs
Budget Number
Faculty Support/Phone
Is this faculty member on any other appointments at WSU (any campus) this summer? _______ If yes, please state
on which campus, at what FTE, pay rate, and during what time periods.
If teaching or advising, appointment is contingent upon sufficient enrollment. Are there any other special
considerations?
Approved:
Vice Chancellor for Academic Affairs
Date