Revised 12-1-07 background check requirement revised
ADJOINT TEMPLATE -– always a “no pay” appointment
Signature order: chair, dean, candidate
Include the candidate’s vita and notarized oath form, if teaching, with the letter.
If this is a new, transfer, or change of title appointment and a background check (BGC)
has not been processed within three years, a BGC is necessary.
LETTERHEAD
DATE
Dear ___,
I am pleased to offer you an appointment to the faculty of the University of Colorado Boulder as
a/an (insert regular faculty title) Adjoint. This offer is made upon the recommendation of the
Department of ________ with the concurrence of Robert H. Davis, Dean of the College
Engineering and Applied Science and is subject to final approval by the Chancellor of the
University of Colorado at Boulder. This offer is contingent upon the satisfactory completion of a
criminal (and financial, if appropriate) background check as required by the University. You
will receive an e-mail from the HireRight Corporation, with a link to the authorization form online. The background check must be completed prior to employment.
Subject to approval by the Chancellor, your ___% appointment would begin on (month/day/year)
and end no later than (month/day/year). This is a non-tenure track appointment and may be
renewable in accordance with University provisions concerning renewal and reappointment
found in the Laws of the Regents. No salary compensation from the University, College, or
Department is inferred by this appointment. You will be evaluated annually as required by the
Laws of the Regents.
The specific terms of your appointment are as follows:
1.
2.
You will be afforded privileges in the Department including access to staff resources in
support of activities that are directly pertinent to the research and teaching missions of the
Department.
It is our understanding that you will (or will not) require office space in the Department.
[If background check is required]
This offer is contingent upon the satisfactory completion of a criminal (and financial, if
appropriate) background check as required by the University. You will receive an e-mail from
the HireRight Corporation, with a link to the authorization form on-line. The background check
must be completed prior to employment.
By accepting this position, you agree to perform duties and responsibilities which are in the area
of your expertise or academic interest, or are otherwise appropriate, and which are assigned to
you consistent with your rights and responsibilities as a faculty member, and the policies and
procedures of the University and of your academic unit. (List specific duties here)
By accepting this appointment, you agree to comply with all resolutions, rules and regulations
adopted by the Board of Regents, and with policies and regulations adopted by the campus,
department, school, college or other academic unit in which your appointment is made,
consistent with the policies and procedures of the University and your rights and responsibilities
as a faculty member.
The laws of the State of Colorado require that faculty members of the University who are
citizens of the United States affirm in writing that they will support the constitutions of the
United States and of Colorado, and that they will faithfully execute the duties of their
employment. The required oath form is attached. You must return it, notarized, with your offer
letter if you will be teaching and have not completed an oath form previously.
Your employment contract is subject to termination by either party to such contract at any time
during its term, and you shall be deemed to be an employee-at-will. No compensation, whether
as a buy-out of the remaining term of the contract, as liquidated damages, or as any other form of
remuneration, shall be owed or may be paid to you upon or after the termination of such contract
except for compensation that was earned prior to the date of termination.
If you have any questions about your benefits as a faculty member, please contact the Benefits
Office at (303) 735-6500.
In order that a recommendation for appointment may be submitted to the Chancellor on your
behalf, please notify me by ________ of your willingness to accept this position by returning the
signed letter and notarized oath form if you will be teaching, to the Department of _____, ___
UCB, Boulder, CO 80309. If there are any changes in the conditions of your appointment, we
will notify you. We look forward to your acceptance of this offer and your contributions to the
University.
Sincerely,
_______________________________
Name, Chair
Concurred by:
_______________________________
Robert H. Davis, Dean
I accept this offer of the faculty position described above, with the understanding that this offer
is conditional upon approval of my appointment by the Chancellor of the University of Colorado
at Boulder.
Signature
I decline this offer.
Date
Signature
Date
Candidate: Please proceed to the final page of this document to provide additional
required information.
Dear Candidate,
Congratulations on your new appointment with the University of Colorado at Boulder.
This page is the final page of your offer letter. The information requested here is
required for your offer letter acceptance to be complete.
Providing your social security number is a necessary part of your acceptance. In order
to protect your social security number against unauthorized use, it is requested on a
separate page so that it may be excluded prior to routing copies to units other than
those responsible for the preliminary processing of your acceptance.
Note: If you are not accepting this offer, this information is not necessary.
Name of Candidate: ______________________________
Hiring Department: ______________________________
Social Security Number: ___________________________
ATTACHMENT J
OATH
REQUIRED BY C.R.S. 22-61-104
State of Colorado
County of ___________
}
} ss
}
If you are not a citizen of the United
States and are appointed on a temporary
basis, you are not required to take this
oath. To exercise this option, please
print your name below.
Name:
_____________________________
____________________________________
I solemnly {swear}* {affirm}* that I will uphold the constitution of the United States and
the constitution of the State of Colorado, and I will faithfully perform the duties of the
position upon which I am about to enter.
Signature _______________________________________
Name printed ____________________________________
Subscribed and {sworn to}* {affirmed}* before me on this __________________day of
_____________, 20 ____.
___________________________________________
Notary Public
My commission expires: __________________________________________________
* Strike inapplicable word
NOTICE TO PERSONS WHO ARE NOT CITIZENS OF THE UNITED STATES OR OF
THE STATE OF COLORADO.
This oath is not an oath of allegiance to the United States or to the State of Colorado.
Subscribing to this oath does not confer rights or responsibilities of citizenship in the
United States or in the State of Colorado, nor is subscribing to it intended to modify or
revoke any obligations to the nation or to the state in which subscriber holds citizenship.
Voluntary Information Request Form
Submission of this form is voluntary
The University of Colorado collects information regarding the diversity of its employees. This
form allows us to gather information more accurately. In addition, it helps us to identify
individuals who may need to work with Office of International Education regarding visas.
Please return this form, along with your accepted letter of offer, to the Dean’s office.
Name:
(Please print)
Gender: Male
Female
Ethnicity (Choose one):
American Indian/Alaskan Native
Asian /Pacific Islander
Black
Caucasian
Hispanic
Other (please specify, may include Bi-Racial, Multi-Racial)
Prefer not to disclose/not indicated
Citizenship
Native U.S. Citizen
Naturalized U.S. Citizen
Alien - Permanent Resident
Alien - Temporary