Department Name: Choose an item.
Candidates Name: Click here to enter text FTE (Full-time is 1.0): Click here to enter number
Effort Allocation: Clinical % Teaching % GME % Research %
Faculty rank and track reviewed by Faculty Affairs:
☐
☐
☐
Rank Recommended as: Choose a rank
Track Recommended as: Enter a track
Confirmed via email by Associate Dean for Faculty Affairs (date): Click here to enter a date.
Salary reviewed by Human Resources:
Salary reviewed by HR Director: $ Enter salary AAMC Median: $ Enter AAMC Median Salary
Earliest employment start date: Click here to enter a date.
Confirmed via email by Human Resources Director (date): Click here to enter a date.
Salary funding distribution reviewed by MPA & AFS: (refer to effort allocation)
University $ Enter Amount Enter APP Speedtype
(APP)
MPA $ Enter MPA Amount
University $ Enter Amount Enter GME Speedtype
(GME speedtype)
University $ Enter Amount Enter Speedtype
(other speedtype)
University $ Enter Amount Enter Speedtype
(other speedtype)
Moving expense amount: $ Enter Amount Funding: Enter text or NA ☐
Confirmed via email by MPA President (date): Click here to enter a date.
or NA ☐
☐
Confirmed via email by Assistant Dean for Finance (date): Click here to enter a date.
Draft offer letter review:
Confirmed via email by Budget Analyst (date): Click here to enter a date.
Complete all information above & submit to AFS Budget Analyst for Dean’s signature
Dean’s Office: _____________________________________________________ Date: ___________________
Associate Dean for Administration