PART-TIME PAID FACULTY APPOINTMENTS LETTERS OF OFFER AND ACCEPTANCE In accordance with School of Medicine guidelines, a letter of offer and acceptance must be utilized for all new part-time faculty appointments. Copies of the offer and acceptance letters must be included in the appointment packet submitted to the Dean’s Office. The letter of offer must follow the template and must contain the following information: 1. Salary 2. Academic rank and other titles (if any) 3. Period of initial appointment (up to six months if appointed in an AC2 salary plan position – must be instructional and less than 50% FTE; one year, two years, or three years if appointed in an AC1 salary plan positon) 4. Applicable fringe benefits if any (retirement if 50% FTE or more; health insurance, etc. if 75% FTE or more) 5. Statement regarding reasonable accommodations for disabled persons 6. Initial support other than salary if any, such as space, equipment, secretary, technicians 7. Statement of the initial teaching, research, and/or service assignment 8. For physicians: Your continuous participation in an Indiana University School of Medicine (IUSM) approved faculty practice plan is a necessary condition of your appointment. Therefore, termination, resignation, or other non-participation in the approved faculty practice plan may constitute persistent neglect of duties or persistent failure to carry out the tasks reasonably to be expected of a person holding the position involved, misconduct or violation of other University requirements, and result in loss of appointment. Your clinical activities will be conducted at locations determined by IUSM to be consistent with the teaching, research, and service missions of the School. In all positions and appointments, you shall perform those duties and discharge those responsibilities as may be assigned to you from time to time by the Chairperson of the Department. 9. For all appointments involving possible contact with children the following statement must be included in the offer letter: Applicants should be aware that criminal convictions may result in ineligibility for certain appointments or positions within the School of Medicine. 10. For all appointments where the provision of patient care or patient support services requires a pre-employment physical, applicants should be informed that the offer is contingent upon successful completion of a pre-employment physical which includes drug screening, and a criminal history check. The letter of acceptance should indicate the following: 1. Acknowledge and agree to terms and conditions of the appointment 2. Acknowledge and agree to criteria and procedures for reappointment. Enclosures with the offer letter must include the following: 1. Core Values and Guiding Principles 2. School of Medicine Honor Code. 12/14 OFFER LETTER PLEASE NOTE ADDITIONAL VERBIAGE REQUIRED FOR PHYSICIANS (SEE COVER SHEET) PART-TIME PAID FACULTY APPOINTMENTS IN AC2 SALARY PLAN POSITIONS (MUST BE INSTRUCTIONAL AND LESS THAN 50% FTE) INDIANA UNIVERSITY SCHOOL OF MEDICINE Dear (name) : I am recommending to Dean Hess, subject to final approval of the University administration, that you be appointed as (rank) of (title) in the Department of (dept. name) , Indiana University School of Medicine. This offer is contingent on the University receiving appropriate certification, credentials, and other information required under state law, including a satisfactory background check. This position may also be subject to the credentialing approvals required by our various affiliated health organizations, including but not limited to Indiana University Health, Eskenazi Health, and the Richard L. Roudebush Veterans Affairs Hospital. Your initial appointment will be for (#) months beginning (date) with eligibility for reappointment and your starting salary will be $ . In accordance with School of Medicine and University policies, this position is neither tenure eligible nor benefits eligible. It is the policy of Indiana University to provide reasonable accommodations for qualified persons with disabilities. The School offers a number of resources to support your success as a faculty member. You are encouraged to familiarize yourself with the Dean’s Office of Faculty Affairs and Professional Development. Information regarding promotion, mentoring, professional development, and important faculty policies is available at www.faculty.medicine.iu.edu. Your initial duties will include . If required by our affiliated health organizations and practice plans, your appointment will be contingent on the findings of a criminal history check and satisfactory completion of a health evaluation which includes drug screening. Applicants should be aware that criminal convictions may result in ineligibility for certain appointments or positions within the School of Medicine. If physician, additional verbiage from cover sheet must be inserted here. The culture of the School of Medicine is of highest importance. We value a culture of collaboration, team work, and mutual respect. Mutual respect entails accountability. Enclosed with this letter is a document entitled “Core Values and Guiding Principles”. Accepting this offer is your declaration that you embrace these values and our culture and will strive to serve as a role model for them. A component of our culture is also an honor code signed by all learners and faculty. Your appointment is contingent on acknowledging your commitment to this code through your signature on the enclosed document entitled “Indiana University School of Medicine Honor Code”. If these terms are acceptable to you, please indicate your acceptance by a letter or by your signature at the bottom of this letter. We look forward to welcoming you to Indiana University. Signature of Chairperson or Director ACCEPTANCE: I accept and acknowledge the terms and conditions of the appointment as set forth above, and I agree to the IU School of Medicine and the IUPUI campus criteria and procedures for reappointment. Signature Date Print Name OFFER LETTER PLEASE NOTE ADDITIONAL VERBIAGE REQUIRED FOR PHYSICIANS (SEE COVER SHEET) PART-TIME PAID FACULTY APPOINTMENTS IN AC1 SALARY PLAN POSITIONS AT LESS THAN 75% FTE INDIANA UNIVERSITY SCHOOL OF MEDICINE Dear (name) : I am recommending to Dean Hess, subject to final approval of the University administration, that you be appointed as (rank) of (title) in the Department of (dept. name) , Indiana University School of Medicine. This offer is contingent on the University receiving appropriate certification, credentials, and other information required under state law, including a satisfactory background check. This position may also be subject to the credentialing approvals required by our various affiliated health organizations, including but not limited to Indiana University Health, Eskenazi Health, and the Richard L. Roudebush Veterans Affairs Hospital. Your initial appointment will be for (#) years beginning (date) with eligibility for reappointment and your starting salary will be $ . In accordance with School of Medicine and University policies, this position is neither tenure eligible nor benefits eligible, except that at 50% or higher FTE you are eligible to participate in the University’s retirement program. It is the policy of Indiana University to provide reasonable accommodations for qualified persons with disabilities. The School offers a number of resources to support your success as a faculty member. You are encouraged to familiarize yourself with the Dean’s Office of Faculty Affairs and Professional Development. Information regarding promotion, mentoring, professional development, and important faculty policies is available at www.faculty.medicine.iu.edu. Your initial duties will include . If required by our affiliated health organizations and practice plans, your appointment will be contingent on the findings of a criminal history check and satisfactory completion of a health evaluation which includes drug screening. Applicants should be aware that criminal convictions may result in ineligibility for certain appointments or positions within the School of Medicine. If physician, additional verbiage from cover sheet must be inserted here. The culture of the School of Medicine is of highest importance. We value a culture of collaboration, team work, and mutual respect. Mutual respect entails accountability. Enclosed with this letter is a document entitled “Core Values and Guiding Principles”. Accepting this offer is your declaration that you embrace these values and our culture and will strive to serve as a role model for them. A component of our culture is also an honor code signed by all learners and faculty. Your appointment is contingent on acknowledging your commitment to this code through your signature on the enclosed document entitled “Indiana University School of Medicine Honor Code”. If these terms are acceptable to you, please indicate your acceptance by a letter or by your signature at the bottom of this letter. We look forward to welcoming you to Indiana University. Signature of Chairperson or Director ACCEPTANCE: I accept and acknowledge the terms and conditions of the appointment as set forth above, and I agree to the IU School of Medicine and the IUPUI campus criteria and procedures for reappointment. Signature Date Print Name OFFER LETTER PLEASE NOTE ADDITIONAL VERBIAGE REQUIRED FOR PHYSICIANS (SEE COVER SHEET) PART-TIME PAID FACULTY APPOINTMENTS IN AC1 SALARY PLAN POSITIONS AT 75% FTE OR MORE INDIANA UNIVERSITY SCHOOL OF MEDICINE Dear (name) : I am recommending to Dean Hess, subject to final approval of the University administration, that you be appointed as (rank) of (title) in the Department of (dept. name) , Indiana University School of Medicine. This offer is contingent on the University receiving appropriate certification, credentials, and other information required under state law, including a satisfactory background check. This position may also be subject to the credentialing approvals required by our various affiliated health organizations, including but not limited to Indiana University Health, Eskenazi Health, and the Richard L. Roudebush Veterans Affairs Hospital. Your initial appointment will be for (#) years beginning (date) with eligibility for reappointment. In accordance with School of Medicine policies, this position is not tenure eligible. Your starting salary for the first year will be $ on a 12month base. In addition to the base salary, you will receive fringe benefits that include eligibility to participate in the University's retirement and health insurance programs. You must submit your benefits enrollment forms online no later than 30 days from the effective date of your appointment, namely (appt date +30) . Enrollments received after this date cannot be processed; Open Enrollment will be the next opportunity to enroll and the effective date of your benefits would then be the following January 1. To facilitate your meeting the enrollment deadline, please provide us with a valid e-mail address for you during this transition period. When we have received your signed acceptance of this offer along with the completed forms that are enclosed with this letter, we will be able to process your hire and a University Benefits Specialist will then e-mail instructions to you on how and when to enroll in the benefit plans. In addition, it is the policy of Indiana University to provide reasonable accommodations for qualified persons with disabilities. The School offers a number of resources to support your success as a faculty member. You are encouraged to familiarize yourself with the Dean’s Office of Faculty Affairs and Professional Development. Information regarding promotion, mentoring, professional development, and important faculty policies is available at www.faculty.medicine.iu.edu. Your initial duties will include . If required by our affiliated health organizations and practice plans, your appointment will be contingent on the findings of a criminal history check and satisfactory completion of a health evaluation which includes drug screening. Applicants should be aware that criminal convictions may result in ineligibility for certain appointments or positions within the School of Medicine. If physician, additional verbiage from cover sheet must be inserted here. The culture of the School of Medicine is of highest importance. We value a culture of collaboration, team work, and mutual respect. Mutual respect entails accountability. Enclosed with this letter is a document entitled “Core Values and Guiding Principles”. Accepting this offer is your declaration that you embrace these values and our culture and will strive to serve as a role model for them. A component of our culture is also an honor code signed by all learners and faculty. Your appointment is contingent on acknowledging your commitment to this code through your signature on the enclosed document entitled “Indiana University School of Medicine Honor Code”. If these terms are acceptable to you, please indicate your acceptance by a letter or by your signature at the bottom of this letter. We look forward to welcoming you to Indiana University. Signature of Chairperson or Director ACCEPTANCE: I accept and acknowledge the terms and conditions of the appointment as set forth above, and I agree to the IU School of Medicine and the IUPUI campus criteria and procedures for reappointment. Signature Date Print Name