Action Summary, Short Form

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DELEGATED TO THE DEAN
ACADEMIC PERSONNEL ACTION SUMMARY - SHORT FORM
NAME:
Department(s):
%
EFFECTIVE DATE:
%
PROPOSED ACTION:
Normal Merit
Off-Scale Authorization Required
PRESENT STATUS
PROPOSED STATUS
Title & Step:
Title & Step:
Present Salary: $
Recommended Salary: $
Basis/Paid Over:
Salary Scale:
AY 9/12 mo.
Regular
BE&E
FY 11/12 mo.
HSCP
Years at Rank:
Basis/Paid Over:
Law School
Step:
Salary Scale:
AY 9/12 mo.
Regular
BE&E
FY 11/12 mo.
HSCP
Law School
Years toward 8-year Rule (If Applicable):
Overall evaluation by the Dean -- Describe briefly how the candidate’s record in research, teaching, and
service and other items of importance informed your decision.
DECISION
YES
NO
MODIFY
SIGNATURE
DATE
YES
NO
MODIFY
SIGNATURE
DATE
DEAN
VICE PROVOST
Off-Scale Salary Approval
Post Audit
CAP
08/08
Form UCI-AP-24DD
Dean’s Delegated – Short Form
Page 2
Department Vote:
Department Evaluation – Provide a concise one-page analysis of the candidate’s performance in the
following:
a.
b.
c.
d.
Research/Creative activity and Funding
Professional service
Teaching (significant courses and graduate mentoring)
University and public service (significant service from Systemwide to Departmental)
Signature of Department or Committee Chair
08/08
Date
Form UCI-AP-24DD
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