Pre-Six Unit 18 Faculty Statement of Interest in Reappointment Consideration (UCI-AP-IX11)

Pre-Six Unit 18 Faculty Statement of Interest in Reappointment Consideration (UCI-AP-IX11)
Employee Name
Employee ID
School
Department/Unit
I am interested in being considered for reappointment during the next academic year.
Pre-Six Unit 18 Appointee's Signature
MonthDayYear
Date
To be assessed/reviewed and considered for reappointment prior to external Unit 18 applicants, you must submit your request to be considered for reappointment to your department chair or equivalent in accordance with the deadlines below, or within 30 days from the date on which the appointment letter was transmitted to you, whichever is later.

	Initial Appointment	Multi-year Appointments Final Year
9/12 Appointees	October 15	October 15
1/9th Quarter - Fall	October 15	October 15
1/10th Semester - Fall	October 15	October 15
1/9th Quarter - Winter	February 1	October 15
1/10th Semester - Spring only	February 1	October 15
1/9th Quarter - Spring only	May 1	October 15

List all the courses that you are interested in teaching and/or other assigned duties that you would like to be considered for.

	Course Number	Full Title of Course (including type & section #)
1
2
3
4
5
6

For each quarter/semester of a possible reappointment, list the appointment percentage that you would like to receive:

* Consideration for a three-year reappointment will only be applicable to individuals who are on a two-year appointment. If you have questions about whether year 3 is applicable to you, please consult with your department, program, or unit.
Please attach your C.V. to this request form and return to your department chair or equivalent.
Should be Empty: