Faculty Salary Increase Request Form
Submit your request for a faculty salary increase. Please provide all required details to ensure a thorough review.
Faculty Member Name
*
First Name
Last Name
Faculty Email Address
*
example@example.com
Department
*
Please Select
Biology
Chemistry
Mathematics
Physics
Computer Science
Engineering
Humanities
Social Sciences
Other
Job Title / Rank
*
Please Select
Assistant Professor
Associate Professor
Full Professor
Lecturer
Adjunct Faculty
Other
Faculty or Employee ID
*
Current Annual Salary (USD)
*
Requested Increase (Amount or Percentage)
*
Requested Effective Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Salary Increase
*
Years in Current Role
*
Tenure Status / Employment Status
*
Tenured
Tenure-Track
Non-Tenure Track
Adjunct
Other
Recent Achievements or Justification for Increase
*
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Supervisor or Department Chair Name
*
Supervisor or Department Chair Email
*
example@example.com
Additional Comments
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