HRDO Remarks on the Request for Affiliate Faculty Appointment (Outbound) Note: Please fill out all required fields (*). HiddenParent Form Entry ID*HiddenParent Form Version*Requestor InformationRequestor* First Name Middle Name/Initial Last Name Suffix E-mail Address* Constituent University* Home Unit* Designation* Affiliate Faculty InformationAffiliate Faculty* First Name Middle Name/Initial Last Name Suffix College/Unit* Department/Institute/Sub-Unit Rank* AssessmentWould you like to proceed with the assessment?*Kindly note that skipping the assessment will require you to reject the application in the next step of the workflow. Yes No Is the affiliate faculty's rank stated on the application correct?* Yes No Rank*Select Rank1st Instrumentalist2nd Instrumentalist3rd InstrumentalistAd Interim Affiliate ProfessorAd Interim Assistant InstructorAd Interim Associate LecturerAd Interim LecturerAdjunct Associate ProfessorAdjunct InstructorAdjunct LecturerAdjunct ProfessorAdjunct Research FellowAdjunct ResearcherAdjunct Resident PhysicianAdjunct Visiting ProfessorAffiliate Assistant ProfessorAffiliate Associate ProfessorAffiliate FacultyAffiliate InstructorAffiliate LecturerAffiliate ProfessorAffiliate Professor 1Affiliate ResearcherAffiliate University ProfessorArtistArtist 1Artist 2Artist 3Artist IIArtist IIIAssistant InstructorAssistant LecturerAssistant ProfessorAssistant Professor 1Assistant Professor 2Assistant Professor 3Assistant Professor 4Assistant Professor 5Assistant Professor 6Assistant Professor 7Assistant Professorial FellowAssistant Project CoordinatorAssociate LecturerAssociate ProfessorAssociate Professor 1Associate Professor 2Associate Professor 3Associate Professor 4Associate Professor 5Associate Professor 6Associate Professor 7Associate Professorial FellowBallroom Dancing InstructorClassroom TeacherCoachCoach 1Coach 2Coach 3Coach 4Copy EditorDoctoral Research FellowExtension Assistant InstructorFaculty FellowFaculty MemberFaculty ResearcherFaculty SupervisorFaculty TutorFellowFull FellowGraduate FellowGuest LecturerGuitar InstructorGym InstructorInstructorInstructor 1Instructor 2Instructor 3Instructor 4Instructor 5Instructor 6Instructor 7Junior CoachJunior Coach ILecturerLecturer 1Lecturer 2Lecturer ILecturer IILegacy ProfessorMaster Teacher IMaster Teacher IIProfessorProfessor 1Professor 10Professor 11Professor 12Professor 2Professor 3Professor 4Professor 5Professor 6Professor 7Professor 8Professor 9Professor EmeritusProfessorial FellowProfessorial LecturerProfessorial Lecturer 1Professorial Lecturer 2Professorial Lecturer 3Professorial Lecturer 4Professorial Lecturer 5Professorial Lecturer IRefereeResearch Assistant ProfessorResearch Assistant Professor 3Research Assistant Professor 5Research Assistant Professor 6Research Associate Professor 1Research Associate Professor 2Research Associate Professor 3Research InstructorResearch Professor 1Research Professor 12Research Professor 3Research Professor 7Scientist 1Scientist 2Scientist ISenior CoachSenior Coach 1Senior Coach 2Senior Coach 3Senior Coach 4Senior LecturerSenior Lecturer 1Senior Lecturer 2Senior Lecturer 3Senior Lecturer ISenior Lecturer IISpecial Science Teacher ISpecial Science Teacher IISpecial Science Teacher IIISpecial TeacherTeacherTeacher ITeacher IITeacher IIITeaching AssistantTeaching AssociateTeaching FellowUniversity ProfessorVisiting ArtistVisiting Assistant ProfessorVisiting Assistant Professor 4Visiting Assistant Professor 6Visiting Associate ProfessorVisiting Associate Professor 3Visiting Associate Professor 7Visiting Associate Professor IIVisiting Associate Professor VIVisiting Exchange ProfessorVisiting FellowVisiting LecturerVisiting ProfessorVisiting Professor 1Visiting Professor 10Visiting Professor 6Visiting Professorial LecturerVisiting Professorial Lecturer 3Visiting Professorial Lecturer 5Visiting Research AffiliateVisiting Research FellowVisiting Research ProfessorVisiting ResearcherVoice InstructorWriterWriter in ResidenceWriting FellowAppointment Status* Permanent Temporary Appointment Start Date* MM slash DD slash YYYY Appointment End Date* MM slash DD slash YYYY Appointment RemarksIs the requested period within the affiliate faculty's appointment period?* Yes No Allowed Start Date* MM slash DD slash YYYY Allowed End Date* MM slash DD slash YYYY RemarksFor SubmissionReviewer* First Name Last Name HRDO Director* First Name Middle Initial Last Name Suffix PhoneThis field is for validation purposes and should be left unchanged.
