NOTE: All Appointees Must Submit a Signed & Dated Current CV

APPOINTMENT WORKSHEET

NOTE: All Appointees must submit a signed & dated current CV

THIS PAGE IS TO BE COMPLETED BY THE FACULTY HOST:

Appointee's (Visitor's) Name ______

Email: ______Phone or Fax: ______

Soc. Sec. #______Birth Date ______Citizenship: ______

Will be working with (Faculty Host's name): ______

For Foreign Visitors: Please refer them to http:/

to fill out the Data Collection Form, which they should send to Carol at to

be used to apply for their DS-2019 form (which they need in order to apply for a J1 visa.)

Start Date: ______End Date: ______

UM Position Title (please check one):

___ Faculty Research Assistant___ Visiting Assistant Research Scientist

___ Research Associate___ Visiting Associate Research Scientist

___ Assistant Research Scientist___ Visiting Senior Research Scientist

___ Associate Research Scientist___ J1 Trainee Program

___ Senior Research Scientist___ Engineer

Research Classification Code (please check one):

EngineeringPhysical Sciences

___Ceramic Sciences/Engineering___ Astronomy

___ Computer Engineering, General___ Atmospheric Sciences/Meteorology, General

___ Computer Hardware Engineering___ Atmospheric Physics and Dynamics

___ Computer Software Engineering___ Meteorology

___ Electrical, Electronics & Communications Engineering___ Physics, General

___ Engineering Mechanics___ Atomic/Molecular Physics

___ Engineering Physics___ Elementary Particle Physics

___ Engineering Science___ Plasma and High-Temperature Physics

___ Materials Engineering___ Nuclear Physics

___ Materials Science___ Optics/Optical Sciences

___ Mechanical Engineering___ Theoretical and Mathematical Physics

___ Metallurgical Engineering___ Physics, Other

Description of the work the Appointee will perform: ______

______

Salary: ______FRS # Appointee will be paid from: ______

NOTE: If the Appointee is coming from a country other than the US, and is a "no-cost" appointment (i.e.,

we are not paying the salary), we will need a letter from his/her home institute stating that they will pay

the salary, and noting the amount of that salary in US Dollars.

THIS PAGE IS TO BE COMPLETED BY MARGARET OR CAROL:

Action: ___Appointment ChangeType:___ Hourly Paid Employee

___Changed Department___ Summer Pay

___Re-Employment___ Summer Research

___Initial Historic Record___ Summer School

___Initial Appointment___ Winterterm

___Promotion___ 10 mo. employ paid over 12 mos

___Reappointment___ 10 mo. employee

___Summer Appointment___ 12 mo. employee

___Winter Appointment___ 9.5 mo. employ paid over 12 mos

___Rollover___ 9.5 mo. employee

Category:___ Faculty, tenuredCitizenship/Visa:

___Fac., non-tenured, on track___ U.S. Citizen

___Fac., non-tenured, term contract___ Permanent Resident

___Fac., non-tenured, cont. contract___ H-1 Visa

___Exempt Staff, regular___ J-1 Visa

___Exempt Staff, cont. 1___ Other (explain): ______

___Fac., non-tenured, term contract, hourly

___Fac., non-tenured, term contract, n-reg. ______

Job Title:______

Period: ______to ______

Employment:______%

FTE Salary: $______

FRS # 01-______Budget Item #______%

RECEIVED:

______Appointment Worksheet

______Signed and Dated CV

______Photocopy of Ph.D. degree

______Data Collection Sheet

______Letter of Financial Support