REQUEST FOR WAIVER OF OPEN RECRUITMENT (Faculty, Limited, Academic Staff)

Date: for APO’s Use PVL Waiver Number: ______

 N = New PVL Type:  R = Replacement (Complete )  C = Conversion (Complete ) Former Incumbent Appt. ID

Name: SSN #:

Reason for Waiver Request: Reason Code:

Number of Position(s):_____ Pay Basis  A=Annual  C= Academic Year  H = Hourly  L = Lump

Major Division/Dept. Name: Major Div/Dept UDDS: (school/college/dept) Other Appt/Funding Div/Dept: Div/Dept UDDS: Other Appt/Funding Div/Dept: Div/DeptUDDS:  FA = Faculty Fund/Activity/Account: Appointment Type:  LI = Limited  AS = Academic Staff Title Code: If the proposed title is non-instructional, please attach the individual’s resume.

Title Name: ______

Working Title:

Position Available Date: Appointment is:  R = Renewable Appointment %:  T = Terminal (complete) End Date: Full Time Salary: (If terminal) Salary Qualifier: FIXED

Contact Primary contact Person: Administrative Contact Person:

(Name) (Name)

(Address) (Address)

Phone No. Phone No. Fax: Fax:

E-mail: E-mail: ______Required Qualifications: Degree and Area of Specialization:

Minimum Number of Years and Type of Relevant Work Experience:

License/Certificate (if appropriate): Description of Duties:

______(Departmental Approval) (Date) (Dean/Director Approval) (Date)

______(APO Approval) (Date)

WAIVER REASON: A = Appointment is 25% or less H = Temporary Acting Appointment B = Emergency Appointment I = Re-employed Annuitant C = 6 week or less J = Underutilized Hire D = L.O.A. Replacement K = Sole Sources E = Training Completion for E-I-T L = Spousal Hire F = Degree Completion for TA & PA M = Moving from FA appt. to AS and vice versa. G = Referral Priority N = Other

WAIVER IS NOT REQUIRED for:  Zero-dollar appointment  D61NN, D62NN, D63NN, D64NN - L/I appointment  Current faculty teaching in another department  D81BN, D81DN, D81FN – Visiting Lecturer  D21NN, D22NN, D23NN, D24NN - Emeritus (prior  D11NN, D12NN, D13NN, D14NN - Visiting faculty only) Professor  D31NN, D32NN, D33NN, D24NN - Military Science  E11BN, E11FN, E11LN – Visiting Scientist  D41NN, D42NN, D43NN, D44NN – Adjunct  Z50NN - Teaching Supervisor appointment if less than half time.

NOTE: Offer to spouse/partner is contingent of first hire’s commencing employment. 6/99