Request for Research Base Faculty Information Name: ID: 790Department: Current Rank: Current AY Base Salary: Current AY Research Base Salary: UM Years of Service: Title: CUPA Data (Research Universities Discipline, Rank, Salary) This information is available from the Office of Planning, Budget and Analysis or the Office of the Provost. CUPA Survey Year CUPA Average CUPA Discipline Median Salary CUPA Rank Minimum Salary UM Average Maximum Salary Proposal Proposed AY Research Base Salary Requested: Percent increase: ***Please attach current Curriculum Vitae 1. Proposed Effective Date: 2. Faculty Signature: Date: Chair/Director* name: Date: Dean* *attach justification /comments name: Date: Approval Routing and Authorization Approved Research Base Salary: Provost Perry Brown Date: Vice President for Research Scott Whittenburg Date: President Royce Engstrom Date: Rev 10/13