Faculty Appointment Form
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1Faculty Appointment Form
Overload, Summer, and Quarter Break
No commitment shall be made to an employee concerning a personnel action until the department has received a confirmation copy of this form.
Form must be completed in ink or typed.
Check One:
New Hire
Account Change
Reappointment
Rehire
Change of Position
Separation
Other
Faculty Contact Information
Faculty Time Base & Salary Calculation
Name: _____________________________________________________
A.
Academic/Annual Salary
$___________
Last
First
M.I.
Summer
--------
E-mail: _____________________________________________________
B.
Academic Year Hours
448
Note: Select 1376 or 2080
510
885
0.00
Phone: (____________) ____________ - _________________________
C.
Hourly Salary ( A / B = C )
$___________
NaN
Department Title: _____________________________________________
D.
Total Hours of Effort ( F / C = D )
___________
Summer
NaN
----
Department: _________________________________________________
E.
Annual FTE ( D / B = E )
___________
F.
Pay for AY Effort
$___________
College: ____________________________________________________
Note: Budgeted Amount
Anticipated Appointment Period
Employment Allocation
Employment Date: From: _____/_____/_____ To: _____/_____/_____
1.
CSUEB Instructional Effort
___________%
Summer
2.
Effort on Grant Project (Line Item E)
___________%
Employment Quarter: _________________________________________
3.
TOTAL ALLOCATION OF TIME
___________%
Program/Project Title: _________________________________________
Note: Cannot Exceed 125%
PeopleSoft Chartfield: _______________ - _______________ - _______________ - _______________ - _______________ - ___________________
Account
Fund
Dept. ID
Program
Class
Project/Grant
By signing below the employee is certifying that the information stated on this
Notes:
document is correct to the best of his/her knowledge. Work is not to begin until
the below approvals have been received.
Faculty Member Signature:
Date:
___________________________________________________________
___________________________________________________________
PI / Account Holder Signature:
Date:
___________________________________________________________
___________________________________________________________
Chair / Administrator Signature:
Date:
___________________________________________________________
___________________________________________________________
ORSP Signature:
Date:
Sheet #: __________________
Date Sent: __________________
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Parent category: Letters