FACULTY CONTRACT REQUEST FORM

PLEASE NOTE:
An ATE (Authorization to Employ) must be filed and approved
before submitting this form.
IMPORTANT:
Please send a copy of the employee's vita or resume to
Debbie Peterson.

Have you forwarded a copy of this individual's c.v. or résumé to Debbie Peterson? Yes Less than 2-year-old document already on file in the Dean of Faculty's Office. REQUIRED FIELD

DOF ATE NUMBER: REQUIRED FIELD

DEPARTMENT
DEPARTMENT CHAIR EXT.

E-MAIL ADDRESS OF PERSON SUBMITTING THIS FORM: REQUIRED FIELD

EMPLOYEE NAME
EMPLOYEE HOME US POSTAL MAILING ADDRESS (where the contract letter should be sent)

EMPLOYEE PHONE (HOME or CELL):
EMPLOYEE EMAIL (Work): EMPLOYEE EMAIL (Home):

EMPLOYEE IS:
New (Never worked at Skidmore before)
Returning;
If returning,

1) More than three years at Skidmore? Yes No Not sure
2) Secondary Assignment? (works elsewhere on campus) Yes No

ASSIGNMENT as faculty: Only this Department Other assignment - DEPT:
Desired Start Date:
Anticipated Ending Date:
Salary:
Moving Allowance:
Start-Up Allowance:
PER-COURSE PAY SCALE
Years at Skidmore
RATE (per credit hour)
1-3
$1,200
4+
$1,350
Ph.D. or other terminal degree? Yes No
Anticipated (Anticipated Date of Completion: ) 
STATUS:
Tenure-track
Non-tenure track
TERMS:
Full-time
Regular
Temporary
check one...
9-month
10-month
ll-month
l2-month   
Part-time
check one...
Fall semester
 Spring semester
 Both semesters
TITLE (TEMPORARY employees):
VISITING Assistant Professor (Must be full time + Ph.D.) 
VISITING Associate Professor
VISITING Professor
Lecturer (Must be part-time and/or no Ph.D.)
VISITING Assistant Librarian  
VISITING Associate Librarian
VISITING Artist-in-Residence
VISITING Writer-in-Residence 
VISITING Teaching Associate
Private Music Instructor
Other
TITLE (REGULAR employees):
Professor
Associate Professor
Assistant Professor (Must be full time + Ph.D.)
Visiting Instructor (Pre-Tenure Position: Check only if candidate will be considered for a tenure line once degree has been completed.)
Lecturer (Must be part-time and/or no Ph.D.)
Librarian
Associate Librarian
Assistant Librarian
Artist-in-Residence
Writer-in-Residence
Teaching Associate
Other
     
Complete the following for part-time, temporary faculty only
Course Number(s) and Name(s):
Please include Course number, Course Name, Credit/Contact per section, number of sections, SEMESTER.

SPACE:
This employee has approved departmental office space:
Room number if Yes; or "none" if No):
If no, please contact Shannon Phillips by email: sphilli1@skidmore.edu to request office space.

Special Terms agreed to:
(If lengthy, please submit in a separate e-mail with the individual's name in the subject line.)

~OR~ Terms will be forwarded via separate e-mail.

If this hire replaces a current faculty member, please indicate the person being replaced:

NEW TENURE-TRACK (ONLY) COMPUTER NEEDS:
This employee is requesting the following computer set up:
Mac PC
Desktop Laptop

US Citizen? Yes No

I.N.S. STATUS:
Fill in this area only if candidate is NOT a US citizen.
Authorized to work in the US?
Yes (copies of authorization papers will be requested after receipt of the signed contract)
No (If no, please contact the Dean of Faculty's Office for further information (580-5705).)
Anticipated - Provide Expected Date of Authorization and type of VISA/authorization being applied for:

SUBMIT TO THE OFFICE OF THE DEAN OF THE FACULTY :

If you have questions regarding contract terms, please feel free to contact Shannon Phillips or Ext. 5705.
If you have questions or concerns regarding this form, please contact Debbie Peterson or Ext. 5742.