Academic Personnel - University of California, Santa Barbara

Forms

CONTINGENT WORKERS APPOINTMENT FORM
(Without Salary Visitor, Research Associate, Research Fellow)

Department Contact Information

Department Contact:
Phone:
Email:
Business Officer:
Administrative Comments:

Date:
To: Dana Mastro - Vice Provost for Academic Affairs
From:
Department:
Re: New Appointment Reappointment
Proposed Appointee:

Has Appointee Submitted the Misconduct Disclosure Form (New Appointments)? Yes
No

Job Code: Visiting Scholar: CWR015
Visitor (Graduate Student): CWR003
Visitor (Undergraduate Student): CWR016
Research Associate: CWR022
Research Fellow: CWR021

Begin and End Dates:
Department/ORU:
Academic Purpose of Research Affiliation at UCSB, including the Benefit to the Department/Unit:
Description of Financial Support while at UCSB:
Space to be Provided:
Sponsoring Faculty Member (WOS Visitors Only):

Attach: UCSB Biography Form, Patent Agreement

_____________________________________________________________________	__________________
Department Chair/Director Signature	Date

(Last Revised 8/2025)

Forms

CONTINGENT WORKERS APPOINTMENT FORM(Without Salary Visitor, Research Associate, Research Fellow)

Department Contact Information

CONTINGENT WORKERS APPOINTMENT FORM
(Without Salary Visitor, Research Associate, Research Fellow)