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 - Associate Vice Chancellor for Academic Personnel
From:
Department:
Re: New Appointment Reappointment
Proposed Appointee:
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:
Description of Financial Support while at UCSB:
Space to be Provided:
Sponsoring Faculty Member (WOS Visitors Only):

As a condition of appointment, you will be required to comply with the University of California Policy on Vaccination Programs, as may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements. As well, this offer is contingent upon you clearing an Employment Misconduct Disclosure review where you will be required to disclose any final administrative or judicial decisions within the last seven years determining that you committed any misconduct and provide information related to investigations and appeals.

Attach: UCSB Biography Form, Patent Agreement

_____________________________________________________________________	__________________
Department Chair/Director Signature	Date

(Last Revised 5/2025)

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)