University 101 Instructor Application
Please submit this application with a resume and cover letter to University 101 Programs.
Name: _______________________________________________________ Date: __________________________________________________
E-mail: ______________________________________________________ VIP ID: ________________________________________________
USC Network Username: __________________________________
Department: ________________________________________________ Job title: ______________________________________________
Office address: _____________________________________________ Office phone: ________________________________________
Home address: _____________________________________________ Home/Cell phone: ___________________________________
I am professionally classified as:
Classified Staff
If faculty, are you:
Tenured
I fill out a timesheet:
Weekly with hours worked
Unclassified Administrator
Tenure track
Clinical
Faculty
Adjunct
For leave/holiday time only
Never
Highest degree obtained: _________________________________ Field/Subject: _______________________________________
Institution: _________________________________________________ Date/Year started at USC: __________________________
My supervisor has approved me to teach UNIV 101:
Yes
No
NA
Name of supervisor: _________________________________________________________________________________________________
Signature of supervisor re: permission to teach: __________________________________________________________________
Please rank your preferred teaching times for fall 2016 (rank as many times as possible and place an X
on the line for any time when you would NOT be available):
Monday, Wednesday, Friday
Monday, Wednesday
Tuesday, Thursday
MWF 8:30-9:20 AM
MW
2:20-3:35 PM
TTH
8:30-9:45 AM
MWF 9:40-10:30 AM
MW
3:55-5:10 PM
TTH
10:05-11:20 AM
MWF 10:50-11:40 AM
MW
5:30-6:45 PM
TTH
11:40-12:55 PM
MWF 12:00-12:50 PM
TTH
1:15-2:30 PM
MWF 1:10-2:00 PM
TTH
2:50-4:05 PM
TTH
4:25-5:40 PM
TTH
6:00-7:15 PM
Teaching Experience Workshop Request:
I’m interested in attending
July 19-21, 2016
1728 College Street, Columbia, SC 29208  Phone (803)777-6029  Fax (803)777-5405  u101@mailbox.sc.edu