Adjunct Request Form v1 13 20
Adjunct Request Form v1 13 20
ADJUNCT CREDITS
Please complete this form PER ADJUNCT requested. This form must be completed and approved before the
semester course schedules are finalized.
Rationale for adjunct faculty assignment (circle 1, 2 or 3, and explain on the line below):
1. To meet temporary staffing needs due to enrollment increases.
2. To meet temporary staffing needs when faculty are reassigned to other duties or on sabbatical or other leaves. [Identify the
reassigned faculty member in the explanation below.]
3. To teach courses that require special expertise or meet special programmatic needs that cannot otherwise be provided by the
department’s faculty.
Explanation: _____________________________________________________________________________
________________________________________________________________________________________
By checking this box, the chair affirms that this adjunct teaching assignment was offered as overload prior to being offered to
adjunct faculty.
Submitted by:_________________________________________________________________
Chairperson Date
Dean’s Section
I agree with the contractual explanation for this hire and approve this adjunct appointment.
I also affirm that this adjunct teaching assignment was offered as overload prior to being offered to adjunct faculty.
___________________________________________________________________________________
Dean Date
NOTE: All Overload assignments must be acceptable to the faculty member and approved by the president's designee (dean).
See the IFO/MnSCU Master Agreement, Article 12.A. Adjunct appointments are subject to the conditions outlined in Article
21.E.3 and must be authorized by the president's designee (dean) as well.
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