Overload Job Request Form for Adjunct Faculty- Instructional

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Overload Job Request Form for Adjunct Faculty- Instructional

(Credit and Non-Credit)

IMPORTANT NOTES FOR ADJUNCT OVERLOAD APPOINTMENTS: This form is only to be used for an employee who holds a primary appointment as adjunct faculty where he/she has either been recruited for the assignment or asked to take on an additional instructional duties related to the original adjunct appointment. Any non-instructional assignment must first be approved by Human Resources. In addition, adjunct faculty are not permitted to work more than twenty-nine (29) hours per week on average and no more than 1480 hours during the 12-month period of May 1st to April 30th, including classroom or other instructional time plus additional hours needed to perform the duties of this position.

Also, the maximum number of credit hours that an adjunct may teach during the course of twelve (12) months (from May 1st to the following April 30th) is limited to no more than nine (9) credit hours in the Spring semester, nine (9) credit hours in the Fall semester, and six (6) credit hours in the Summer for a total of twenty-four (24) credit hours. If at any time during this 12-month period it is determined that the projected hours might exceed this hourly limit, the adjunct’s hours must be reduced and/or the adjunct position may be subject to earlier termination. The adjunct employee must certify below that he/she has read and understands these work restrictions.

INSTRUCTIONS FOR COMPLETING REQUEST FORM:

Hiring department head completes the form and obtains required signatures. If adjunct faculty member is appointed in a department/unit outside the faculty member’s primary department/unit, primary supervisor must also approve this overload and sign below.

TO BE COMPLETED BY HIRING DEPARTMENT

For instructions on completing this PAF section, see the PAF Reference Guide at http://www.hr.vcu.edu/media/hr/documents/guides/PAF_Reference_Guide.pdf.

FACULTY NAME
(LAST, FIRST, MIDDLE INITIAL) / V-ID #
[Contact employee’s PA for V-ID #] /

CURRENT

SALARY

$
HIRING DEPT./UNIT / HIRING SCHOOL / HIRING DEPT. PH. # / HIRING DEPT.
HOME ORG # / HIRING DEPT.
TIMESHEET ORG #
TOTAL COMPENSATION / ASSIGNMENT
BEGIN DATE / ASSIGNMENT
END DATE / PAY PERIOD
BEGIN DATE / PAY PERIOD
END DATE
$
POSITION # / JOB SUFFIX / # PAYS / # MONTHS / PAY RATE
Choose an item. / $
*COMPLETE SECTIONS BELOW USING ADJUNCT CALCULATOR at http://app.hr.vcu.edu/adjunct/
FTE* / CREDIT/WORK HOURS (CREDIT EQUIV)* if applicable / HOURS PER DAY* / HOURS PER PAY* / TOTAL HOURS*
INDEX / ACCOUNT / PERCENT / INDEX / ACCOUNT / PERCENT / INDEX / ACCOUNT / PERCENT
% / % / %
INDEX / ACCOUNT / PERCENT / INDEX / ACCOUNT / PERCENT / INDEX / ACCOUNT / PERCENT
% / % / %
PURPOSE OF OVERLOAD ASSIGNMENT (maximum of 500 spaces and characters; attach additional sheet if necessary)
ACKNOWLEDGEMENT BY ADJUNCT FACULTY MEMBER
By signing below, I understand the work restrictions of my position as noted above.
PRINTED NAME of Faculty Member / SIGNATURE of Faculty Member / Date
PRINTED NAME of Person Authorized to sign (e.g., PA, FA, etc.) / SIGNATURE of Person Authorized to sign (e.g., PA, FA, etc.) / Date
PRINTED NAME of Hiring Department Head (if faculty member appointed in another department/unit) / SIGNATURE of Hiring Department Head (if faculty member appointed in another department/unit) / Date
APPROVALS FROM MANAGEMENT OF PRIMARY APPOINTMENT
PRINTED NAME of Supervisor / SUPERVISOR VID / SIGNATURE of Supervisor / Date
#
PRINTED NAME of Director, Department Head or Chair / SIGNATURE of Director, Department Head or Chair / Date
PRINTED NAME of Dean / SIGNATURE of Dean / Date
PRINTED NAME of Vice President (or designee) / SIGNATURE of Vice President (or designee) / Date

Provost & Vice President for Academic Affairs and VCU Human Resources Revised June 2017