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Request for Appointment Letter
Please prepare an appointment letter for:
Street Address:
City, State, Zip Code:
Hire Date:
Position/Rank:
Department:
Supervisor's Name and Title:
Is this position grant funded? Are moving expenses paid?
Amount:
A/P Exempt Salary:
SALARY INFORMATION
A/P Non-Exempt Hourly Rate:
Support Staff Hourly Rate:
Faculty Salary:
Salary Effective Thru:
VERIFICATION OF SALARY
Deadline for candidate's acceptance of position:
Human Resources Office/President
Human Resources Office
Human Resources Office
Provost & VP for Academic Affairs/President
APPOINTMENT
12-Month
Academic
Temporary
9-Month
Part-Time
Probationary
End Date:
FTE
A/P
Support
12-Month 10-Month 9-Month
Exempt Non- Exempt
Regular
Temporary
Part Time
End Date:
HRS/week
12-Month
Regular
Less than12-Month
Full-time Part Time
HRS/week
Job duties,
responsibilities, special
assignments, or
conditions to be listed:
Signed by Requestor Date
Verification of Affirrmative Action Procedure:
Attach EEO memo and forward to Human Resources Office
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