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