ACADEMIC POSITION JUSTIFICATION DEPARTMENT NUMBER DATE ATTACH TO

20022003 ACADEMIC AND SUPPORT PROGRAMS SERVICES FOR
EXTERNAL EXAMINER’S REPORT ACADEMIC YEAR 20 NAME
OFFICE OF ACADEMIC AFFAIRS MYMED OAA

OFFICE OF ACADEMIC AFFAIRS OAA OVERVIEW
(PHOTOGRAPH) STAFF APPLICATION FORM ACADEMIC YEAR FOR THE MOBILITY
03042021 20202021 ACADEMIC SENATE MEMBERSHIP SENATE REPRESENTATIVES TERM OFFICE

ACADEMIC POSITION JUSTIFICATION

ACADEMIC POSITION JUSTIFICATION


DEPARTMENT NUMBER ______________________ DATE___________________


Attach to this form a cover letter, which details fully the pertinent background and reasons for this review. Also, include specific reasons for the proposed pay level cited in Part I.


  1. TYPE OF ACTION:


    1. Establish new position B. Review existing position

(Please circle action requested)


Regardless of type of action, state:


__________________________________ and ______________________

Proposed title Proposed salary


If B is checked above, state:


_________________________________, ___________________________

Incumbent’s name (if applicable) Current title


________________________________, and _________________________

Existing position number Current salary (if applicable)


IF THIS REVIEW IS REQUESTED FOR AN EXISTING EMPLOYEE, BE SURE TO ATTACH AN UP-TO-DATE CURRICULUM VITAE AND LIST OF PUBLISCATIONS.


  1. UNIT AFFILIATION AND FUNDING:


    1. Department:________________________________________________


    1. Location/Address:___________________________________________


    1. Account(s) to be charged for salary:_____________________________



  1. POSITION REQUIREMENTS:


    1. Educational degrees (please be specific): __________________________



    1. Specific skills and technical/administrative training:__________________



    1. Amount of job-related experience: _______________________________



  1. POSITION DESCRIPTION:


On a separate sheet of paper, please provide a detailed statement of the position’s overall purpose. Be as factual and specific as possible so that a complete picture of the position’s responsibility is presented for review.


  1. SUBMITTED BY (typed name and signature, please):


Submitted By


Title Date Telephone



APPROVED:


Department Head:________________________________________________


Unit Human Resource Representative:________________________________


Dean: _________________________________________________________


  1. ADDITIONAL COMMENTS BY APPROVERS:


_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________


032020 INTERNAL COMMITTEE ASSIGNMENTS 20192020 ACADEMIC AFFAIRS COMMITTEE (12)
1 STUDENT AND PLACEMENT DETAILS ACADEMIC YEAR DEPARTMENT COURSE
1.%20Academic%20BOA


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