Template Memo – PT to FT Work Schedule Request
(Grant/Contract Funded)
MEMORANDUM
To:
Carmen Carillo, Human Resources Director
From:
____________________________________
Supervisor Name, Title
_________________
Date:
RE:
Change in PT to FT Schedule for _____________________
Employee Name, USC ID#
This is to request approval to adjust _______________’s (Employee Name) work schedule from
______% part-time to 100% full-time effective __________ (date). The basis for this increase in
work effort is ______________________________ (provide explanation).
This position is funded by a research grant and may be funded by a subsequent grant.
Accordingly, the position is contingent upon receipt of the necessary funding from this or any
subsequent grant to continue employment. In the event funding for this position changes and it
becomes necessary for _______________________ (Employee Name) employment with the
University of Southern California to end, __________________(Employee Name) will receive
one (1) month written notification of termination. According to university policy, no severance
benefits are paid to employees hired under contracts or grants.
Please feel free to contact me at extension ____________ (number) if you have any questions.
________________________________
Supervisor’s Signature, Title
________________________________
Employee’s Signature, Title
________________________________
Administrator’s Signature, Title
KSOM Approval:
________________________________
Carmen Carillo, Human Resources Director, KSOM
________________________________
Carmen A. Puliafito, MD, Dean, KSOM
04/2012