Academic Personnel Appointment Summary
UCI-AP-20
Name
Department
School(s)
Job Code
Job Code Description
Step
Effective Date
/
Month
/
Day
Year
Percent Time
Split FTE
Off-Scale
Off-Scale Authorization Needed by VP
Recommended Salary
Basis/Paid
Please Select
AY 9/12
FY 11/12
Salary Scale
Please Select
Regular
B/E/E/I
Law School
HSCP Scale 0
HSCP Scale 1
HSCP Scale 2
HSCP Scale 3
HSCP Scale 4
HSCP Scale 5
HSCP Scale 6
HSCP Scale 7
HSCP Scale 8
HSCP Scale 9
JPF/SWR#
*
If WOS - no search is required. Enter WOS.
FTE Salary Control #
(if applicable)
Dean Delegated Action?
*
Please Select
Yes
No
Background Information:
Highest Degree
Major
Institution
Date Degree Received
Present Employment:
Dates
Title
Step
Institution/Campus
Service Quality
Cleanliness
UC Academic Employment History (if any)
Dates
Title
Step
Institution/Campus
1
2
3
Years toward 8-year rule
,
if applicable
.
Recommendations and Approvals:
Review Action
Modify: Other Recommendation
Signature
Date
Chair
Yes
No
Modify
Dean
Yes
No
Modify
If campus review is required:
Review Action
Modify: Other Recommendation
Signature
Date
Ad Hoc
Yes
No
Modify
CAP
Yes
No
Modify
Vice Provost
Yes
No
Modify
Provost & EVC
Yes
No
Modify
Chancellor
Yes
No
Modify
Print
Submit
Updated 4/25
UCI-AP-20
Should be Empty: