Western Kentucky University
Terms of Employment and Assignment
Temporary Part-Time Faculty
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SSN#______________________________________________________ |
Name:______________________________________________________________________________________
(Last) (First) (MI) |
Address:____________________________________________________________________________________
(Street) (City, State, Zip Code) |
| Telephone: ( )__________________________________________________________________________ |
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| Department: _____________________________________________________ |
| Term/Year:______________________________________________________ |
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Is this a grant-funded position? Yes __ No __ If yes, account number: ___________________________
WKU Full- Time Employee: Yes __ No __
Does this individual teach for more than one Department? Yes __ No __ If yes, explain:
____________________________________________________________________________________________
____________________________________________________________________________________________
Course Location:
1 - On Campus, University 4 - Owensboro Service Area
2 - Community College 5 - Ft. Knox Service Area
3 - Glasgow Service Area 6 - Russellville Service Area
7 - Other: _________________
Course #
(AGR-100-001)
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Course
Location #
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Credit
Hrs
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Bi-Term?
(1st, 2nd, n/a)
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Faculty
Workload
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Student
Enrollment
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Grade
(I, II, III
or IV)
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Stipend
(WL*Grade)
*Explain any
additional
payment below
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| Total: |
_________ |
__________ |
| *Explanation for additional payments: |
___________________________________________________________ |
I have read and understand the assignment described above and the Terms of
Employment outlined on the reverse side of this sheet.
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| Part-Time Faculty Member________________________________________________Date______________ |
| Department Head_______________________________________________________Date______________ |
| College Dean__________________________________________________________Date______________ |
Revised 1199
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