~ CaSPR ~

Contract and Supplemental Pay Request

Origination Date: Revision of CaSPR Dated:    

Faculty

Exempt Staff
Tenure Track Initial Appointment      
Renewable -Non-Tenure Track  Temporary
Visiting Eligible for Leave*
Full Time Hours Per Week* 
Part Time *Estimate for Determining Leave*
Supplemental Pay
Post Retirement Employment Revision
 ~Complete All Items Below ~
Name:

/ID#:

 Address:

Title:

Department:

Begin Date:

End Date:

Salary $:

**Notes

Salary Distribution (Part-Time Faculty Appointments)
Department

Units

 $ Rate Per Unit

 

Special Conditions

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Approved by: Director/Dean Date Approved by: VP/President Date
  

Account Number(s)
        POS#: _________       _______________________    

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___________

FTE:

_________

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Processed by:

Date

Staffing:

_________

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