Dual Career

Institution

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?

Name of Standing Faculty Recruit/Retention

Has the Standing Faculty Member been hired/retained?

If yes, please note the date of hire.

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)

Spouse/Partner: Staff or Faculty

Name of the Accompanying Spouse/Partner

Spouse/Partner Recruit or Retain School

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.

Drop your files here

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