Document Inventory for Appointment to Academic Titles

UCSC: APO: rev: 05/12

(Use for non-faculty, non-research titles, e.g., Academic Coordinator)

Candidate Material to the Department:
Date To Division:
Date to Academic Personnel:

Department Completes

Name:	Title:
Division:	Dept/Unit/P.I.:
Annual Salary Rate: $ Basis: 9 month 11 month	Actual Salary: $ % time:
Effective Pay Dates: thru	Service Dates: thru
Grant Name(s):	Account Number(s):
Funding End Date(s):	P.I. Authorizing Signature(s): X___________________________________________

Prior and.or Concurrent UC Employment: Yes No If yes, state location, dates, title(s):
This box has a limit of 5 lines

INDICATE WITH A DOCUMENTS SUBMITTED. INCLUDE EXPLANATION IN DEPARTMENT/UNIT LETTER IF ANY DOCUMENTS ARE NOT SUBMITTED. SUBMIT DOSSIER IN FOLLOWING ORDER:

	Recruitment Compliance: (recruitment documentation or waiver must be approved before appointment may be offered)
	Search # Compliance dated or Waiver dated or Exemption Category
	Dean's Letter (if CP/EVC authority)
	Department/Unit/P.I. Letter
=>	Confidential Letters, as required by relevant policy: External; internal are optional

	Sample copy of solicitation letter or explanation of how letters were received (e.g. the Candidate solicited)
	List of names of those who might not objectively evaluate the Candidate and explanation
	List of all persons from whom letters were sought. Identify those suggested by the Candidate; identify letter-writers with alpha code; attach any declining letters. Any lists provided by the Candidate must be included
	Brief comments on academic standing of each letter writer and relationship, if any, to the Candidate
	The Candidate's Optional Statement
	Unsolicited Material (other information which the Candidate wishes to have included in the review file)
	Curriculum Vitae
	The Candidate’s address for correspondence: This box has a limit of 3 lines

(I-9 Form must be completed within 3 days of beginning service or employment will be terminated.)

ORIGINAL DOSSIER FOR APPROVING AUTHORITY (Add Employment Forms if CP/EVC authority)
ONE COPY OF DOSSIER FOR DIVISION (If CP/EVC authority)
ONE COPY OF DOSSIER TO BE RETAINED BY DEPARTMENT