Overload/Summer Pay Request

Requestor Name*

First NameLast Name

Requestor Email*

example@example.com

Faculty Name*

First NameLast Name

Faculty Email*

example@example.com

For the overload assignment, are they :*

TeachingResearchOther

Term

Year

Start/End Dates*

Please provide information on all the courses this individual is teaching on overload: *

	Course Prefix	Course Number	Section	Course Title	Credit Hours	Coures Type
Class 1
Class 2
Class 3
Class 4
Class 5
Class 6
Class 7
Class 8

Faculty Salary Calculator: If you need assistance determining the total amount of salary to pay, you can use the faculty salary calculator. You will need the individual's base salary to perform the calculations.

Total Salary*

Describe the work to be performed by this individual including any deliverables expected. *

Is this overload being funded from a grant?*

YesNoUnknown

Grant Cost Center/WBS Element

PI Name

First NameLast Name

PI Email

example@example.com

Please include any additional information that will help facilitate this request.

Please attach any files to facilitate this request. If this is grant funded, please include the accepted grant proposal, including the budget.