Additional Job Request for University Staff

This form should be used for additional job requests for University Staff. Additional job requests for faculty are not handled by the Office of Faculty Affairs and stop at the level of the Dean in the School or College.

Please submit the following back up documentation along with this request: the staff member’s CV as well as a brief letter of recommendation explaining why they are qualified to teach the course(s) as outlined on the form.

If your college or school requires additional documentation, you may attach it to the request.

Please Complete the Following:

Liaison Information:

Name (First and Last) *

Campus Email *

Employee Information:

Name (First and Last) *

Campus Email *

Chair Information:

Name (First and Last) *

Campus Email *

Direct Supervisor Information:

Name (First and Last) *

Campus Email *

Dean Information:

Name (First and Last) *

Campus Email *

Additional Approval Required? *

Additional Approver Information:

Name (First and Last) *

Campus Email *

Send Copy to HR Service Center? *

Would you like to send additional copies? *

List additional CCs below:

Name (First and Last) *

Campus Email *

Name (First and Last)

Campus Email

Name (First and Last)

Campus Email

Name (First and Last)

Campus Email

Name (First and Last)

Campus Email

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Additional Job Request for University Staff