Faculty Handbook
Request for Approval to Accept External Teaching Employment During the Fall or Spring Semester
| Please type or print in ink. After presidential action, a copy of this form will be returned to the Provost/Academic Vice President, Dean, Department Chair, faculty member and a record copy sent to the Human Resources Office. | |||
| Faculty Member | ________________________________________________________________________________________________ | ||
| Department | __________________________ | Phone Extension | ______________________________________________________ |
| Semester of proposed teaching:_________________________________________________________________________________ | |||
| Name:_____________________________________________________________________________________________________ | |||
| Address:___________________________________________________________________________________________________ | |||
| ___________________________________________________________________________________________________________ | |||
| Telephone:__________________________________________________________________________________________________ | |||
| Description of Teaching Assignment: Requests to teach will only be approved when the proposed arrangement would be of demonstrable benefit to both the faculty member and the Connecticut State University (see CSU-AAUP Collective Bargaining Agreement). | |||
| Course:______________________________ | Level:_________ | ||
| Please attach a written description of the teaching assignment to this form. | |||
| Faculty Member’s Signature:____________________________ | Date:____________20___ | ||
| Comments, if any, by Department Chair:___________________________________________________________________________ | |||
| ___________________________________________________________________________________________________________ | |||
| ___________________________________________________________________________________________________________ | |||
| Department Chair’s Signature:____________________________ | Date:____________20___ | ||
| Comments, if any be Dean:_____________________________________________________________________________________ | |||
| ___________________________________________________________________________________________________________ | |||
| Dean’s Signature:_____________________________________ | Date:____________20___ | ||
| ___________________________________________________________________________________________________________ | |||
| ___________________________________________________________________________________________________________ | |||
| Provost/Vice President’s Signature________________________ | Date:____________20___ | ||
| Presidential Action:_____ Approved _____Disapproved | |||
| President’s Signature:_____________________________________________ | Date:____________20___ | ||
| For copy distribution see above. | |||