UNIVERSITY OF CALIFORNIA, SANTA CRUZ
Academic Personnel Office

ACADEMIC PERSONNEL ACTION SUMMARY FOR MERIT REVIEW/REAPPOINTMENT* (Short Form)
*Reappointment of Assistant Professors only

For advancement from Assistant Professor 1 to 2, 2 to 3, 3 to 4, 4 to 5;
Associate Professor 1 to 2, 2 to 3, 3 to 4; and
Professor 1 to 2, 2 to 3, 3 to 4, 4 to 5 ONLY
(Includes In-Residence and Adjunct Series)
Candidate Material to the Department:
Date To Division:
DEPARTMENT COMPLETES:
Name:
  
Division:
 Dept/Unit:
PRESENT STATUS: STATUS PROPOSED BY DEPARTMENT:
Rank and Step:
Rank and Step:
% Time: Basis: 9 month 11 month % Time: Basis: 9 month 11 month
Annual Salary Rate:
$ If off-scale, amount: $ 		Annual Salary Rate:
$ If off-scale, amount: $
Years at Rank: Years at Step: Effective Date:
Review Period: thru     
INDICATE WITH A DOCUMENTS SUBMITTED. INCLUDE EXPLANATION IN DEPARTMENT/UNIT LETTER IF ANY DOCUMENTS ARE NOT SUBMITTED. SUBMIT DOSSIER IN FOLLOWING ORDER:
Checklist to Assure Fairness
Vote/Recommendation Page
The Candidate's Optional Response to Department Evaluation
Department Evaluation Sheet. Provide a copy to the Candidate. See CAPM 006.000 for assessment of the timeliness with which evaluations are completed or attach Narrative Evaluation Timeliness Report
The Candidate's Optional Statement
Sabbatical Leave Report (if leave was taken during the review period)
Unsolicited Material (other material which the Candidate wishes to have included in the review file) See CAPM 406.220
Cumulative Biobibliography See Campus Biobibliography Guidelines
=> Student Letters (if solicited):
  Sample copy of solicitation letter
  Representative sample of names from course list must be used
Student Evaluations for review period (Please asterisk those submitted on Biobibliography)
  The Candidate's address for correspondence:
This box has a limit of 3 lines
UCSC-APO: 08/03