Dual Career

Dual Career

Institution*

Select

Name of person completing the form*

Who is submitting the Dual Career Program Request on behalf of the School? First and Last Name

Email of person completing the form*

Form submission date*

Support requested for Recruit or Retention purposes?*

Select

Name of Standing Faculty Recruit/Retention*

Has the Standing Faculty Member been hired/retained?*

If yes, please note the date of hire.

Select or enter value

Anticipated Start Date of Recruited Faculty

(if applicable)

Recruit/Retain Standing Faculty member's department

(if applicable)

Recruit/Retain Standing Faculty member's title or proposed title*

Recruit/Retain Title

(if applicable)

Select or enter value

Spouse/Partner: Staff or Faculty*

Select

Name of the Accompanying Spouse/Partner*

Spouse/Partner Recruit or Retain School*

Select

Accompanying Partner School Contact Name*

Accompanying Partner School Contact Email*

Please input the email of the individual that will be approving the accompanying partner hire. This individual's school (or department if the accompanying partner is in the same School) should be approving the terms and financially arrangement. Once they have reviewed the submission and approved, this application will move to the Vice Provost for Faculty Affairs for review

Has the Spouse/Partner Recruit been hired?*

If yes, please note the date of hire.

Spouse/Partner: Appt/Start Date of Recruitment

Spouse/Partner: Proposed Title*

Spouse/Partner: Faculty - Rank & Base Salary*

Spouse/Partner: Staff - Salary Class & Grade*

Funding Start Date*

Required Documents for Application Review Upload*

Resume/CV of the faculty member recruited/recent hire/retained and the accompanying partner, support letter from both Dean's and anything else of material.

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