UNIVERSITY OF CALIFORNIA, SANTA CRUZ
Academic Personnel Office
DOCUMENT INVENTORY FOR REAPPOINTMENT TO ACADEMIC TITLES APPROVED BY THE EVC/DEAN
(Adjunct Professor, Visiting Professor, Professor Recalled, Academic Administrator, Academic Coordinator, etc.
)
Candidate Material to the Department:
To Division:
DEPARTMENT COMPLETES:
Date to Academic Personnel:
Name:
Division:
Dept/Unit:
PRESENT STATUS:
Title and Step:
Annual Salary Rate: $
Appt. Basis:
9 month
11 month %Time:
Actual Salary:$
STATUS PROPOSED BY DEPARTMENT/UNIT/P.I.:
Title and Step:
Annual Salary Rate: $
Appt. Basis:
9 month
11 month %Time:
Actual Salary:$
Pay Dates:
Service Dates:
Concurrent UC employment:
Yes
No
If yes, state location, dates, title(s):
This box has a limit of 3 lines
Review Period:
INDICATE WITH A
DOCUMENTS SUBMITTED. INCLUDE EXPLANATION IN DEPARTMENT/UNIT LETTER IF ANY DOCUMENTS ARE NOT SUBMITTED. SUBMIT DOSSIER IN FOLLOWING ORDER:
Affirmative Action Compliance: (Compliance or waiver must be issued before appointment may be offered)
Search #
Compliance dated:
or Waiver dated:
Dean's Letter (if EVC authority)
Checklist to Assure Fairness
The Candidate's Optional Response to Department/Unit Letter
Department/Unit Letter
The Candidate's Optional Response to Redaction of Confidential Documents
Redacted Copy of Confidential Documents (submit one set with original file)
=>
Optional Material:
The Candidate's Optional Statement
Unsolicited Material (optional)
Curriculum Vitae or Cumulative Biobibliography (including teaching and service)
Student Evaluations since beginning of last personnel action (if appropriate; asterisk those submitted on Vita or Biobib)
The Candidate's address for correspondence:
This box has a limit of 3 lines
ORIGINAL DOSSIER FOR APPROVING AUTHORITY (Add PAF and employment forms if EVC authority)
ONE COPY OF DOSSIER FOR DIVISION (If EVC authority)
ONE COPY OF DOSSIER TO BE RETAINED BY DEPARTMENT
UCSC- APO: 2/00