Enter the department three digit number. College Or Division Enter the full name of the college or division. Indicate the place of work if the position is located off-campus. If checking the Other box, explain request. Position Number Enter the current faculty position number.
Current Title Enter both the current official title and the working title.
For Part-Time, Indicate No. Indicate the number of hours the faculty member will be employed per week if the position is part-time. Personnel Office Use Leave blank. Part II Name of Incumbent Social Security Number Provide the name of the incumbent and their social security number. Obtain Extension Division and Research Division signatures, as required Part IV Supervisor And Organizational Chart 1.