Michigan State University - Academic Specialist Recommendation For Reappointment, Promotion Or Award Of Continuing Appointment Status

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Form C
MICHIGAN STATE UNIVERSITY
Office of the Provost
ACADEMIC SPECIALIST RECOMMENDATION FOR REAPPOINTMENT,
PROMOTION OR AWARD OF CONTINUING APPOINTMENT STATUS
Complete this form based on assigned duties and responsibilities; all sections may not be applicable.
Name ___________________________________________________ Date ___________________________
Last, First Middle
*
* AY
in continuing appointment system
Appointment Basis:
Present Status:
*
* AN
with continuing appointment
*
academic specialist
Present Position/Rank:
*
senior academic specialist
__________________________________
______________________________
_____________________
Second Department Name
Other Dept Name
Primary Department Name
__________________________________
______________________________
_____________________
Primary College Name
Second College Name
Other Coll
Name
U.S. Citizen or Permanent Resident? * YES
* NO
If NO: Type of Visa __________________
Date Visa Expires ______________ Steps taken to become permanent resident: ______________
_________________________________________________________________________________________
Years of full-time academic specialist service as of next August 16:
At MSU __________
Other than at MSU __________
Highest Degree ______________ Institution ______________________________
Date __________
Additional Training/Education/Certifications ____________________________________________
Current salary: ______________________ Promotion recommended previously (year): _________
General and/or market percent increases in salary rate during the last 3 years:
__________%
__________%
__________%
RECOMMENDATION BY DEPARTMENT CHAIRPERSON/SCHOOL DIRECTOR:
Reappoint as Academic Specialist for probationary period of three years
Reappoint as Academic Specialist and award continuing appointment status
Reappoint as Senior Academic Specialist and award continuing appointment status
Do not reappoint
Promote to Senior Academic Specialist
Promote to Senior Academic Specialist and award continuing appointment status
Recommendation by Dean:
______________________________________________________________
Recommendation by Provost: ______________________________________________________________
Primary Chairperson/Director Signature
Date
Second Chairperson/Director Signature
Date
Other Chairperson/Director Signature
Date
Primary Dean/Adm. Head Signature
Date
Second Dean/Adm. Head Signature
Date
Other Dean/Adm. Head Signature
Date
Provost Signature
Date
Promotion, promotion plus continuing appointment, and reappointment with continuing appointment status are effective the first day of the month following Provost's approval.
MSU is an Affirmative Action/Equal Opportunity Employer
SRRP1012

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