PAPP #: ____ - ______University of Puerto Rico Mayagüez

Research & Development Center Personnel and Budget Action Proposal RELEASE TIME

INSTRUCTIONS: ALWAYS INCLUDE COPY OF THE FACULTY ACADEMIC PROGRAM FOR THE PROPOSED PERIOD, SIGNED BY THE DEAN

Name, Last name, Mother’s Last name Social Security Number Schedule: - - L M W J V S D AM - AM PM - PM

KEY DESCRIPTIÓN PERIOD COST EFFECTIVE PERIOD TOTAL WEEKLY HOURS TOTAL DAY/ MONTH/ YEAR NUM. OF MONTHS

ACADEMIC RELEASE TIME $ From - - Building name Office number Phone or ext. To - -

EMPLOYMENT DATA CURRENT DATA PROPOSED DATA

Title: College & Department/Ofice: College and Department:

Project name as it appears in the proposal

Classification and Scale: Teaching Non-Teaching Scale: Teaching Non-Teaching

Appointment type: Perm. Sust. Temp. Other Perm. Sust. Temp. Other

Monthly / Obligated Salary: $ / $ $ UFIS: UFIS: Affected Accounts(s): HRS: HRS: SHORTLY DESCRIBE THE TASKS TO BE PERFORMED BY THE EMPLOYEE

Type your complete name and signing date

(1) Applicant: Name and Signature Principal Investigator Date (4) Approval: R&DC Director (once account fund have been obligated) eha Date

(2) Vo.Bo. Name and Signature Department Chair Date (5) Name and Signature Employee acceptance of employment and tasks as described in this Date Date document.

(3) Recommended: Name and Signature College Dean Date Date

FALL SEMESTER HRS: # DE PUESTO: (2031) $ (2032) $ ______SPRING SEMESTER JOB: SCHEDULE: (2045) $ OTHER:$ ______SUMMER 1/9 2/9 3/9 ______ROLL-OVER AMOUNT: $ OBLIGATION #: ______PROPOSAL ALLOCATION ______PROPOSAL ALLOCATION __ RATE QUNCENAL $ Verified by HR Date ______By:______- _____ - ASN NO. TARJ. ACUM. ______Budget Obligation Date ____ - - ___ Entered at HRS Date

This document follows the dispositions of Law Num 1 of January 20, 1966 and the UPR Code of General Regulations. Equal opportunity employer M/F/V/I. Form CID-RH/Rev. Feb/2013 -- Papps Compra Descarga Academica_English.doc