Associate or full Professor

Joint appointment Data Summary

PRIMARY

NAME:	DEPT:

(last name, first)

PROPOSED SECONDARY DEPARTMENT:

present status	proposed status

Rank & Step:

Salary Rate:

Years at Rank: Years at Step:

Rank & Step:

Salary Rate:

Effective Date:

A CURRENT, UP-TO-DATE HISTORY RECORD IS REQUIRED

INSERT IMMEDIATELY FOLLOWING THIS PAGE

To be completed by Dean's Office of School or College having jurisdiction:

This action:	Dean assumes that with respect to the School or College, this action:
does not require Council on Academic Personnel review	represents final action
bears the required Council on Academic Personnel comment	requires final action, off-scale complies with previous RTSS
requires Chancellor's approval for the acceleration
requires submission by the Academic Personnel Office to Council on Academic Personnel	requires Chancellor's approval for the promotion
requires Chancellor's approval on off-scale
requires Chancellor's approval on retroactivity
Dean has no authority. Chancellor approval required

DEAN'S ACTION: DATE:

CHANCELLOR'S ACTION: DATE:

DATA SUMMARY FOR PROFESSORIAL ADVANCEMENT NAME:
CERTIFICATION OF COMPLIANCE WITH BYLAW 55

(Please make all entries in the columns to the right)

Report to Vote	Primary Department:

Secondary Department

Indicate class of eligible voters under approved departmental procedures
for implementation of
Bylaw 55

Examples:
elected committee
tenure staff
entire staff, etc.

Secondary participation waived for the period effective

to

Number eligible
to vote:

Motion voted upon and proposed effective date:

Aye
Nay
Abstain
Absent
Other (Explain)

1

ASSISTANT PROFESSOR DATA SUMMARY

brendam

2003-07-01

UCLA