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Document Inventory for Joint Appointment for Senate Faculty

UCSC- APO: 11/09

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

Proposed Host Department Completes:

Senate Faculty Name:
 Home Division:
 Home Dept/Unit:
Proposed Host Division:
 Proposed Host Department:
  

Present Status:

Status Proposed By Department
Current Rank and Step:


Proposed %Time:    Basis: 9 month 11 month		 Rank, Step and Basis must remain the same as present status in home department (See CAPM 417.220.A)

Proposed %Time:
Annual Salay Rate: Must be same as current unless a different salary scale is applicable to the proposed host department (See CAPM 417.220.A)
Current Annual Salary:
$   If off-scale,amount $ 		Proposed Annual Salary:
$   If off-scale,amount $
  Proposed Effective Date of Joint Appointment:

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


Dean's Letter (if CP/EVC authority)
Memorandum of Understanding (if required)
Checklist to Assure Fairness
The Candidate's Optional Response to Department Letters
Department Letters (proposed host department letter must include vote)
The Candidate's Optional Response to Redacted Confidential Documents (if any)
Confidential Documents see CAPM 406.220 (if any)
Copies of Redacted Confidential Documents – all confidential documents must be redacted (submit one set with original file)
The Candidate's Statement Requesting Joint Appointment
Unsolicited Material (other information which the Candidate wishes to have included in the review file) see CAPM 406.220
Cumulative Biobibliography See Campus Biobibliography Guidelines.
  The Candidate's address for correspondence:
This box has a limit of 5 lines
  • ORIGINAL REVIEW FILE FOR APPROVING AUTHORITY
  • ONE COPY OF REVIEW FILE FOR DIVISION (if CP/EVC Authority)
  • ONE COPY OF REVIEW FILE TO BE RETAINED BY DEPARTMENT