ARTS DOCUMENT INVENTORY FOR APPOINTMENT TO THE ASSOCIATE IN AND TEACHING FELLOW TITLES Name: _______________________________________________ ______ Address: ___________________________________________________ Department/College: __________________________________________ Proposed Title: ______________________________________________ Proposed Salary Rate: (annual) $____________ /(actual) $____________ Begin & End Dates of Appointment ____________ Percent Time: _50% Account Number(s)/Name(s): ___________________________________ Special Funding Conditions, if any: Prior and/or concurrent UC employment: Yes________ No___________ U.S. Citizen? Yes_________ No___________ If No, list visa type, or date visa request submitted: _________________ Expiration date of visa:________________ -----------------------------------------------------------------------------------------------------------SUBMIT THE FOLLOWING DOCUMENTS TO THE ARTS HR OFFICE: ___ Department/Provost letter recommending appointment addressed to the Dean ___ Updated Curriculum Vitae ___ Teaching Evaluations (if available) ___ CEP Appointment Request Form (http://senate.ucsc.edu/committees/cep-committeeon-educational-policy/GSIform.pdf) CONTACT ARTS HR OFFICE FOR CURRENT SALARY SCHEDULES *********************************************** For HR Office Use Only Date file received from Unit ________________ Updated 6/9/15