<p> PAPP #: ____ - ______University of Puerto Rico Mayagüez</p><p>Research & Development Center Personnel and Budget Action Proposal RELEASE TIME </p><p>INSTRUCTIONS: ALWAYS INCLUDE COPY OF THE FACULTY ACADEMIC PROGRAM FOR THE PROPOSED PERIOD, SIGNED BY THE DEAN</p><p>Name, Last name, Mother’s Last name Social Security Number Schedule: - - L M W J V S D AM - AM PM - PM</p><p>KEY DESCRIPTIÓN PERIOD COST EFFECTIVE PERIOD TOTAL WEEKLY HOURS TOTAL DAY/ MONTH/ YEAR NUM. OF MONTHS </p><p>ACADEMIC RELEASE TIME $ From - - Building name Office number Phone or ext. To - - </p><p>EMPLOYMENT DATA CURRENT DATA PROPOSED DATA</p><p>Title: College & Department/Ofice: College and Department: </p><p>Project name as it appears in the proposal</p><p>Classification and Scale: Teaching Non-Teaching Scale: Teaching Non-Teaching</p><p>Appointment type: Perm. Sust. Temp. Other Perm. Sust. Temp. Other</p><p>Monthly / Obligated Salary: $ / $ $ UFIS: UFIS: Affected Accounts(s): HRS: HRS: SHORTLY DESCRIBE THE TASKS TO BE PERFORMED BY THE EMPLOYEE</p><p>Type your complete name and signing date</p><p>(1) Applicant: Name and Signature Principal Investigator Date (4) Approval: R&DC Director (once account fund have been obligated) eha Date</p><p>(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.</p><p>(3) Recommended: Name and Signature College Dean Date Date</p><p>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</p><p>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</p>