UNIVERSITY OF NEBRASKA MEDICAL CENTER COLLEGE OF DENTISTRY EMPLOYMENT AGREEMENT The Board of Regents of the University of Nebraska, a public body corporate, for and on behalf of University of Nebraska Medical Center (UNMC) hereby agrees to employ (Faculty Member) and Faculty Member hereby agrees to accept employment by UNMC, subject to the following terms and conditions: ARTICLE 1: PROFESSIONAL STAFF APPOINTMENT STATUS The professional staff appointment status of Faculty Member pursuant to this Agreement shall be all year, full-time Special Appointment as a member of the Academic-Administrative staff of UNMC at the rank of Select Rank in the UNMC College of Dentistry, Department of Select Department, and on a Special Appointment as in the Select Department. ARTICLE 2: TERM OF AGREEMENT; NOTICE OF NON-REAPPOINTMENT The term of Faculty Member’s Special Appointment shall begin on Nebraska (Bylaws). and is subject to Section 4.4.1 of the Bylaws of the Board of Regents of the University of ARTICLE 3: DUTIES OF EMPLOYMENT Faculty Member agrees to perform the teaching, service, research, and other duties and responsibilities set forth in the written statement attached to this Agreement as Appendix “A” and incorporated herein by reference. Faculty Member and UNMC agree that Appendix A shall be periodically reviewed and revised as appropriate in accordance with Sections 3.4.4, 4.1, 4.2, and 4.3 of the Bylaws. ARTICLE 4: SALARY The initial annual base salary of the Faculty Member shall be $ , payable in equal monthly installments (prorated for any partial initial month) and payable in accordance with the University of Nebraska Board of Regents Bylaws that relate to payment of salaries to members of its all-year Academic-Administrative staff. The initial annual base salary may, at anytime during the term of this Agreement, be adjusted upward without the necessity of a written amendment or modification of this Agreement. Faculty Member will receive an annual Administrative Stipend of $ for Faculty Member’s Special Appointment, payable in equal monthly installments (prorated for any partial initial month) in accordance with the University of Nebraska Board of Regents Bylaws that relate to payment of salaries to members of its all-year Academic-Administrative staff. ARTICLE 5: TERMS AND CONDITIONS OF EMPLOYMENT Faculty Member’s employment shall be subject to: (i) the terms and conditions of employment for members of the Academic-Administrative staff as provided in Chapter III of the Bylaws, and (ii) the rights and responsibilities of the professional staff as provided in Chapter IV of the Bylaws. Without limiting the generality of the foregoing sentence, the parties agree that in accordance with the provisions of Chapter IV of the Bylaws, Faculty Member’s employment may be terminated during the term of this Agreement or any extension thereof for reasons of adequate cause, disability, bona fide discontinuance of the program or department to which the Faculty Member is assigned, or extraordinary circumstances because of financial exigencies. For purposes of this Agreement, adequate cause shall include, but shall not be limited to Faculty Member’s inability to obtain or maintain: (i) Nebraska dental license, (ii) if required by the Dean, medical staff privileges at The Nebraska Medical Center and/or University Dental Associates, (iii) malpractice insurance, (iv) if required by the Dean, Federal DEA, and (v) appropriate immigration documentation. ARTICLE 6: FRINGE BENEFITS Faculty Member shall be entitled to receive and participate in those benefits that UNMC routinely provides to other similarly situated Faculty Members. ARTICLE 7: PROMOTION IN RANK Faculty Member may apply for promotion in rank during the term of this Agreement in accordance with the Bylaws, appropriate departmental and college criteria for promotion and the UNMC criteria for promotion in effect at the time of application. Faculty Member may be promoted in rank without the necessity of a written amendment or modification of this Agreement. ARTICLE 8: DENTAL SERVICE PLAN Faculty Member, if 1.0 FTE, may be a participating member of the University Dental Associates. Clinical service duties and compensation will be provided for in a separate written employment agreement with University Dental Associates. Employment Agreement Special - Clinical with Special Admin Appt - Stipend (04/09) Faculty Initials __________ Page 1 of 3 ARTICLE 9: PROFESSIONAL LICENSES As a condition of initial and continued employment, Faculty Member will immediately apply for, obtain and maintain, at all times during the term of this Agreement, a full and unrestricted license to practice dentistry or educational license in the state of Nebraska. Faculty member should contact the Board Coordinator, Bureau of Examining Boards, Department of Health, 301 Centennial Mall, P.O. Box 95007, Lincoln, Nebraska 68509-5007. Phone: 402-471-2115. http://www.nebraska.gov/LISSearch/search.cgi If required by their professional practice plan, Faculty Member will immediately apply for, obtain and maintain an unrestricted Drug Enforcement Administration license to prescribe controlled substances at all times during employment with UNMC. ARTICLE 10: MEDICAL STAFF PRIVILEGES If applicable, as a condition of initial and continued employment, Faculty Member must immediately apply for, obtain and maintain Medical Staff Privileges at The Nebraska Medical Center and UNMC Physicians. Medical staff inpatient privileges will be in accordance with the Bylaws of UNMC Physicians and the Bylaws of the Medical Staff of The Nebraska Medical Center (NMC) and/or clinic privileges in accordance with the Bylaws of UNMC Physicians. Application for medical staff privileges is a separate process from the appointment with UNMC. The application packet will be sent to Faculty Member under separate cover. All required documentation must be completed and returned within 30 days of receipt for submission to the NMC Medical Staff Office and the Nebraska Credentials Verification Organization (NCVO) for medical staff privileges at The Nebraska Medical Center. ARTICLE 11: RESIGNATION BY FACULTY MEMBER Faculty Member may resign from this Special Appointment prior to the end of the term of this Agreement or any extension thereof in accordance with the notice of resignation requirements provided in Section 4.4.1 of the Bylaws. ARTICLE 12: AGREEMENT AMENDMENTS This Agreement may be amended at any time by written instrument duly approved by the President or President's designee and accepted by Faculty Member; provided, however, no such written instrument shall be required for any increase in Faculty Member's salary or any improvement to the fringe benefits of Faculty Member's employment, or for promotion in rank, any of which may be accomplished at any time by official action of the Board of Regents of the University of Nebraska (Board) without the necessity for written modification or amendment of this Agreement. This Agreement, and Appendix “A” attached hereto constitute the entire agreement between the parties. This Agreement supersedes all previous agreements between or among the parties. There are no agreements, representations or warranties between or among the parties other than those set forth in this Agreement or the documents and agreements referred to in this Agreement. ARTICLE 13: GOVERNING LAW This Agreement shall be construed and enforced in accordance with, and is subject to the Bylaws and the laws of the State of Nebraska. ARTICLE 14: SEVERABILITY If any term, provision or condition of this Agreement is held by a court of competent jurisdiction or arbitrator to be invalid, void or unenforceable, the remainder of the provisions hereof shall remain in full force and effect and shall in no way be affected, impaired or invalidated as a result of such decision. ARTICLE 15: MANUSCRIPTS Manuscripts for publication submitted after the date of appointment of Faculty Member will identify the association with the Department and UNMC. ARTICLE 16: IMMIGRATION AND EMPLOYMENT ELIGIBILITY As a condition of initial and continued employment, Faculty Member will immediately apply for, obtain and maintain, at all times during the term of this Agreement appropriate immigration documentation supporting their faculty appointment. ARTICLE 17: SPECIAL COMMITMENT OF DEPARTMENTAL RESOURCES This section to be completed, if any. In paragraph form, list any commitment of department resources, including moving expenses. See Special Commitment Template for options. Employment Agreement Special - Clinical with Special Admin Appt - Stipend (04/09) Faculty Initials __________ Page 2 of 3 ARTICLE 18: CONTINGENCIES This faculty appointment is contingent upon an acceptable background check, verification of credentials, and upon approval by the Chancellor of the UNMC or designated person. The appointment of Faculty Member is subject to all terms and conditions contained in this Agreement, Bylaws and Policies and the procedures derived therefrom. (Bylaws can be found at www.nebraska.edu/board/board_bylaws.shtml. Policies can be found at www.nebraska.edu/board/board_policies.shtml). IN WITNESS WHEREOF, the parties have executed this Agreement on the dates indicated below. ACCEPTED: By: __________________________________________ this _______ day of _____________, 20____. Faculty Member APPROVED: By: ________________________________________ ______________ Date Department Chair By: ________________________________________ ______________ Dean, College of Dentistry Date THE BOARD OF REGENTS OF THE UNIVERSITY OF NEBRASKA By: ________________________________________ _______________ Vice Chancellor for Date Academic Affairs, UNMC Attachment: Appendix “A” Employment Agreement Special - Clinical with Special Admin Appt - Stipend (04/09) Faculty Initials __________ Page 3 of 3