This form should be used for additional job requests for University Staff. Additional job requests for faculty are not handled by the Office of Faculty Affairs and stop at the level of the Dean in the School or College. 

Please submit the following back up documentation along with this request: the staff member’s CV as well as a brief letter of recommendation explaining why they are qualified to teach the course(s) as outlined on the form. 

If your college or school requires additional documentation, you may attach it to the request. 

Please Complete the Following:

Liaison Information:

Employee Information:

Chair Information:

Direct Supervisor Information:

Dean Information:

Additional Approver Information:

List additional CCs below: