Adjunct Faculty Information Form
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1Adjunct Faculty Information Form
Instructions: This form needs to be provided with each offer letter and submitted to the Provost Office.
Department Contact Name: ________________________________________________ Phone: ____________________
Section 1: Adjunct Information
Adjunct Name: ____________________________________________________________ EMPLID: _________________
Department: _______________________________________________________________ Deptid: ________________
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Terms of Employment Dates:
Fall _____
Spring _____
Summer_____
Maymester
10W
5W1
5W2
8w
Adjunct Email: _______________________________________________ Adjunct Phone: _________________________
FTE: _________________ Salary: _________________________
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Currently/Previously Employed at UNT?
Yes
No
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If Yes, Employed As:
Staff
Adjunct
Faculty
Other _______________ Last Semester Employed: ___________
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Transcript on file with the Department (for SACS accreditation and reporting):
Yes
No
I confirm that our office has received, and is maintaining on file, an official transcript for this individual documenting
their highest degree received, or has documentation on file relating to their professional experience that meets SACS
accreditation requirements for serving as instructor of record.
_______________________________________________________________ _________________________________
Department Contact Signature
Date
Section 2: New employee EMPLID/EUID setup
For new hire Adjuncts EMPLID/EUID setup is REQUIRED, please provide the following information:
Social Security #: __________________________________________ Date of Birth: _____________________________
Section 3: Provost Office Results
(to be completed by the Provost Office and returned to hiring department)
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Criminal History Check Needed:
Yes
No
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Cleared for Employment:
Yes
No
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Onboarding Needed:
No
Benefits Eligible
Non-Benefits Eligible
Signed Copy of Offer Letter Sent to Hiring Department (date): _________________________________
EMPLID: _________________________________ EUID: ___________________________________
Note 1: Please use this EMPLID on all paperwork processed for this individual, especially payroll forms.
Note 2: Before the EUID can be used in ANY system, please have this employee got to
to activate it and change the password
(even though the password was never known).
Revised 11/07/13
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