REQUEST FOR FACULTY REAPPOINTMENT OR

PROMOTIONOffice of Human Resources

Appointee's Name:

Faculty Rank:

Administrative Title:

Position Number:

NSU ID Number:

Salary:

Special Conditions:

Attachments: Include the documentation listed below .

Dean's Recommendation Job Description (2 copies)Updated Resume/Curriculum VitaeReview

Date:

Date:

Date:

Date:

Dean:

Provost/Exec VPAA:

Human Resources:

President/CEO:

Recommended By:

Approved By:

Term of Employment:

Employing Center:

Reappointment Level:

Account Numbers & Allocation: %

%

%

%

%

%

Effective From: Effective To:

Peer Review (Required for promotion and continuing contract)

Promotion:

REAPPOINTMENT

PROMOTION

Date:HPD Chancellor:

rev 2016-10

Other: