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Department Contact: Phone: Date: To: From: Department: Choose One AASP - Asian American Studies ANTH - Anthropology ARTH - History of Art and Architecture ARTS - Art BENG - Biological Engineering BLST - Black Studies BMSE - Biomolecular Science and Engineering CCSP - Counseling, Clinical, and School Psychology CFTM - Carsey-Wolf Center CHEM - Chemistry and Biochemistry CHNE - Chemical Engineering CHST - Chicana and Chicano Studies CLAS - Classics CMST - Communication COMS - Computer Science CRST - College of Creative Studies DRAM - Theater and Dance EAPQ - UC Education Abroad Program EAST - East Asian Languages and Cultural Studies ECON - Economics EDUC - Education EEMB - Ecology, Evolution and Marine Biology ELEG - Electrical and Computer Engineering ENGL - English ENGR - Engineering ENMT - Materials ENST - Environmental Studies Program ESMS - Bren School of Environmental Science and Management FILM - Film and Media Studies FRIT - French and Italian GEOG - Geography GEOL - Earth Science GERM - Germanic and Slavic Studies GISP - Global Studies GSED - Graduate School of Education GSER - Gevirtz Graduate School of Education - Research HIST - History HMCT - Humanities Center IHUC - Interdisciplinary Humanities Center INEE - Institute of Energy Efficiency INST - Instructional Development LAWS - Law and Society Program LING - Linguistics LSAA - Letters & Science - Academic Advising MATH - Mathematics MATP - Media Arts and Technology MCDB - Molecular, Cellular and Developmental Biology MECE - Mechanical Engineering MTRL - Materials Research Lab MUSC - Music PHIL - Philosophy PHYA - Exercise and Sport Studies PHYS - Physics PLYI - Center for Polymers and Organic Solids POLS - Political Science PSYC - Psychological and Brain Sciences RELG - Religious Studies SAPP - Statistics and Applied Probability SOCL - Sociology SOSC - Social Sciences SPAN - Spanish and Portuguese SPCH - Speech and Hearing Sciences SSLE - Solid State Lighting and Energy Center SUMS - Summer Session Office TECH - Technology Management TEP - Teacher Education Program UGED - Office of Undergraduate Education WRIT - Writing Program WSTD - Feminist Studies Re: Lecturer and Supervisor of Teacher Education Choose One Initial Appointment 2-Year Reappointment 3-Year Reappointment Supplemental Assignment Is this a modification of an already-approved appointment or reappointment term? Yes No
Appointee: Employee ID: Reports to: Reports To Position #: Title: Lecturer (1630) Lecturer (1632) Senior Lecturer (1640) Senior Lecturer (1642) Supervisor of Teacher Education (2220) Pay basis: 9/9 9/12
If employed at another campus, an MLA form is needed. Please also provide details below.
If you prefer, please attach a copy of your qualifications and experience with the form.
If any courses are graduate-level, please attach the approved Request for the approval of graduate instructions form.
Has a Pre-Six Assessment been conducted? Yes No Per RB II-3, a Pre-Six Assessment must be conducted as part of consideration for a 2-year reappointment. Please submit:
Has a Pre-Six Academic Review been conducted? Yes No Per RB II-4, a Pre-Six Academic Review must be conducted as part of consideration for a 3-year reappointment. Please submit:
Department Chair Signature
Date
Dean Signature
(Last Revised 8/2023)