Request For Authorization Of Overload Form
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1REQUEST FOR AUTHORIZATION OF OVERLOAD
In the UH/UHPA Agreement, Article XXI, E states:
Faculty Members may receive additional compensation both during the duty period and during the non-duty period in accordance with the provisions of this
paragraph E. Prior authorization must be obtained before undertaking additional University services for additional compensation. Such additional services
are not to interfere with the Faculty Member’s regularly assigned responsibilities.
Faculty Members on 9-month appointments shall be limited to two (2) course or six (6) credit hours, whichever is the greater, of overload teaching during
the academic year. Faculty Members on 11-month appointments shall be limited to three (3) courses or nine (9) hours, whichever is the greater, of overload
teaching during per calendar year.
Please complete this overload authorization form and attach it to the Overload request form for appropriate
signatures.
Name _______________________________ Rank/Step ___________ SS No. ___________________
Department __________________________________________
9-month __
11-month __
Nature of overload requested:
___ Teaching _____________ credits
Teaching load in the relevant semester: List courses and credits; indicate if team taught,
cross-listed, or concurrent.
___ Fall ______ or ___ Spring ______
__________________________________________
__________________________________________
__________________________________________
__________________________________________
___ Teaching _______ credits, Summer Session (only 11-month faculty need indicate)
___ Consultantships, Neighbor Island Community College
___ Consultantships through RCUH
___ Manuscript reading for University Press
___ Summer research salary
___ Other (describe) _________________________________________________________________
Dollar Amount: ________________________________
Inclusive dates: _______________________
Total overload for academic year to date (kind and amount):
_________________________________________________________________________________________
_________________________________________________________________________________________
Signature: __________________________________________ Date: _________________________
Approved/Disapproved: _______________________________ Date: _________________________
Department Chairperson
Approved/Disapproved: _______________________________ Date: _________________________
Dean
Approved/Disapproved: _______________________________ Date: _________________________
Chancellor
Revised 6/05
UH Form 3
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Parent category: Business