Document Inventory for Reappointment and/or Merit Review for Academic Titles

UCSC: APO: rev: 05/12

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

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

Department Completes:

Name:

Division:

Dept/Unit:

Present Status:

Title and Step: Annual Salary Rate: $

Appt. Basis: 9 month 11 month %Time: Actual Salary:$

Status Proposed by Department/Unit/P.i.:

Title and Step: Annual Salary Rate: $

Appt. Basis: 9 month 11 month %Time: Actual Salary:$

Pay Dates: Service Dates:

Concurrent UC employment: Yes No If yes, state location, dates, title(s):
box has a limit of 5 lines

Review Period:

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 EVC authority)
	Checklist to Assure Fairness
	The Candidate's Optional Response to Department/Unit/P.I. Letter
	Department/Unit/P.I. Letter
	The Candidate's Optional Response to Redacted Confidential Documents
	Copies of Redacted Confidential Documents (submit one set with original file)
=>	Confidential Letters, as required by relevant policy: External; internal are optional
	Sample copy of solicitation letter
	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
	Letters (all solicited letters must be forwarded with the file)
	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

ORIGINAL DOSSIER FOR APPROVING AUTHORITY
ONE COPY OF DOSSIER FOR DIVISION (If EVC authority)
ONE COPY OF DOSSIER TO BE RETAINED BY DEPARTMENT