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Florida Atlantic University Request for Approval of Additional Compensation Duties to be performed in secondary employment and explanation/justification.. Include actual days, time, and

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Florida Atlantic University Request for Approval of Additional Compensation

Duties to be performed in secondary employment and explanation/justification Include actual days, time, and location (attach additional sheets if necessary):

Name of Employee

Secondary Assignment Department Chair/PI Signature Date

Secondary Assignment Dean/Director Signature Date

Z#

PROPOSED ADDITIONAL ASSIGNMENT

Department

Department Tag #

Class Title(s)

College Position No

FTE

Bi-weekly Payment

Period of Employment Period Salary

Number of Bi-weeklies

Department

Department Tag #

College Position No

FTE Class Title(s)

Regular Salary

Number of Bi-weeklies

Period of Employment Bi-weekly Payment Regular Assignment:

List Courses

% Instruction

% Dept Research

% Other

to

to

PRIMARY ASSIGNMENT

10/19/2020 version

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Primary Assignment Department Chair/PI Signature Date

Primary Assignment Dean/Director Signature Date

The secondary assignment described above will not interfere with the primary assignment If it might affect the faculty member's progress toward promotion and/or tenure, the faculty member has been counseled accordingly.

FINAL APPROVAL (Secondary Employer)

Research Accounting Office (if applicable) Signature Date

President/Provost or Representative Signature Date

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