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Summary: Employee Status FTE Salary $ Monthly Salary $ x 12 = $ Annualized Salary
Reason FTE Salary not Multiple Appointment Part-Time Stepped Retirement
equal Annualized Salary Full Paid on other Appointment Reduced Period of Responsibility Other (specify in Comments)
Leave Reason Leave Factor Leave Monthly Salary x 12 = $ Leave Annualized Salary
Leave Start Leave End Monthly Hours for E.I. Purpose
Funding Start Date Funding End Date
Account Chart Field Account Budget Monthly Annualized
Code Fund Dept Acct Prog Class Proj Qualifier Slot Salary Salary
Faculty/Librarian/Archivist/Executive
Appointment Data Sheet
Please complete one data sheet for each executive or regular appointment. If used as a change form,
complete I.D. number, name and the information that is changing. A copy of a curriculum vitae (C.V.)
must be attached if the employee is new and if the faculty office is not inputting C.V. information
in the Human Resources Information System (PIMS). / /
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YYYY MM DD
/ /YYYY MM DD
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YYYY MM DD
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