Approval for Temporary Faculty Appointments/Actions

The following documents should be submitted for: ADJUNCTS, LECTURERS, VISITING, RECALLS AND
RESEARCH RE-APPOINTMENTS
New Appointments	Re-Appointments/Recalls
Appt Type: Step:	Re-Appt Type: Step:
Original lecturer letter for Dean's signature

Appointment letter from Department Chair

Curriculum Vitae

Recruitment Selection Compliance Form	Lecturer letter for Dean's signature*

Updated Curriculum Vitae*

* Not necessary for Recalls
NAME:

(Last, First, Middle Initial)	DEPARTMENT/IDP:
Begin Date:	End Date:
Annual:	Monthly:	Prior Annual if increase is proposed:	Title Code:
% of Time	Fall Qtr.
0.00%	Winter Qtr.
0.00%	Spring Qtr.
0.00%

9/9

9/12

11/12

IF TEACHING PLEASE LIST COURSES	FALL
WINTER
SPRING
UCLA Certificate of Completion of PhD, if applicable, is attached:
If candidate is on leave from another institution, is that institution aware that he/she will be teaching at UCLA ?	Yes No
Is individual currently employed by another UC or California institution?	Yes No
If "Yes," give name of institution	If "Yes," give percent of time at institution
IF LECTURER:	What is the total number of quarters that will have been accrued at the conclusion of this appointment:	Qtrs.
IF 3 YEAR LECTURER:	If a 3-year Lecturer, explain any changes to the current 3-year FTE commitment for this year in the additional information section below.

For example "To teach 3 additional courses. (Course A, Course B, Course C) which will require an additional .33 FTE for academic year 98-99."
IF VISITING:	Indicate the total number of consecutive quarters as a Visiting (6 max):	Qtrs.
ADDITIONAL INFORMATION: (Including availability of FTE, justification of salary level and programmatic need for course(s) to be taught):

SOURCE OF FUNDING:
Dept Preparer:

Preparer Phone:	Chair's Signature:	Date:
Dean's Office:
Reviewed by:	Dean's Signature:	Date:
Note: Dean has approved proposed action based on the information above and the availability of funds.

This action is not a Dean's final and will require additional approvals. The requested action was forwarded to the appropriate office on

Approval for Temporary Faculty Appointments/Actions

brendam

2004-03-08

UCLA