University of California, Riverside

Academic Personnel



Checklists & Forms


CHECKLISTS AND FORMS

The Academic Personnel Office has developed a series of checklists and forms to assist in assembling academic review files, as well as to enable staff and faculty to provide academic personnel information in a standardized format. These checklists and forms are available in a .PDF and/or .DOC/X file format for you to download and fill in with your word processor. Adobe Acrobat Reader is required to read and print the forms on this site. To download a free copy go to the Adobe website.


If you need a form that is not available here please contact your Dean's office or send an email to the Academic Personnel Office at academicpersonnel@ucr.edu.


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GENERAL FORMS
  • Biography Form
  • UC Confidentiality Policy 
  • Request for Access to Records by Candidate
  • Request for Access to Records by Third Party
  • Class Visitation Report
  • Unit 18 Access to Record
  • Appraisals Checklist (Non-Senate Health Sciences Assistant Clinical Professor Series)
APPOINTMENT FORMS
  • Academic Coordinator Criteria Form
  • Academic Recruitment Process
  • Affirmative Action Compliance Report
  • Affirmative Action Summary of Recruitment Statistics
  • Biography Form
  • Checklist for Acting Assistant Professor I & II and Assistant Professor I, II & III Appointments
  • Checklist for Acting Assistant Professor III & Above and Assistant Professor IV & Above Appointments
  • Checklist for Lecturers and Senior Lecturers with Security of Employment (SOE) or Potential Security of Employment (PSOE) Appointments
  • Cover Sheet for Acting Assistant Professor III & Above and Assistant Professor IV & Above Appointments
  • Cover Sheet for Acting Assistant I, II and Assistant Professor I, II & III Appointments
  • Cover Sheet for Lecturers and Senior Lecturers with Security of Employment (LSOE) or Potential Security of Employment (LPSOE) Appointments
  • Faculty Recruitment Program Assessment Form
  • Standard Language for Assistant Professor Step I, II and III Appointments and Acting Assistant Professor Step I and II (2/2016)
  • Initial Complement Letter: Standard Language for Assistant Professor Step IV and Above and Acting Professor Step III and Above (4/2016)
  • Standard Language for Assistant Professor Step IV and Above and Acting Professor Step III and Above (2/2016)
  • Initial Complement Letter: Standard Language for Security of Employment Series (7/2016)
  • Standard Language for Security of Employment Series (7/2016)
  • Postdoctoral Scholar Appointment Form
  • 14-15AY Search Committee Checklist
  • UC Confidentiality Policy
  • UC Retirement Plan Waiver & Release
  • UC Riverside Academic Recall Appointment Form
ACADEMIC REVIEWS - SENATE FACULTY
  • 220 Process Checklist
  • Biography Form
  • Candidate's Response to Department Letter
  • Candidate's Statement for Conflict of Commitment Report
  • Checklist for files:
    • Appraisal
    • Career Review
    • Merit
    • Merit/Assistant Professors Reappointment
    • Merit for Lecturers and Senior Lecturers with SOE or PSOE
    • Reappointments of Lecturers & Senior Lecturers with Security of Employment or with Potential Security of Employment
    • Promotion or Advancement to VI, A/S or within A/S
    • Promotion or Advancement for Lecturers and Senior Lecturers with SOE or PSOE
    • Quinquennial Review
    • Quinquennial Review for Lecturers and Senior Lecturers with SOE or PSOE
  • Checklist for Review Files
  • Department Chair Checklist
  • Departmental Recomendation:
    • For Merit/Promotion/Advancement/Career Review
    • For Quinquennial
    • For Reappointment/Appraisal
    • Department Letter Narrative
  • Extramural Solicitation Letters:
    • Model A - Promotion to Associate Professor
    • Model B - Promotion to Full Professor
    • Model C - Advancement to Professor VI
    • Model D - Advancement to Professor Above Scale
    • Model F - Response to Unsolicited Letters w/Restrictions
    • Model G - Career Review
    • UC Confidentiality Policy
  • Faculty Member File Preparation Checklist
  • Grant Activity
  • Request for Access to Records
  • Statement of Procedural Safeguards (Part 1)
  • Statement of Procedural Safeguards (Part 2)
  • Teaching Information Form
  • Supplemental Teaching Information Form
  • UC Confidentiality Policy
  • Additional Compensation for FY Appointees - APM 600-14 Exception Form
ACADEMIC REVIEWS - LECTURERS
  • Continuing Appointees:
    • Merit Review Timeline for Continuing Appointees (revised, October 2016)
    • Document Checklist for Merit Reviews
    • Certification Statement for Merit Reviews
  • Excellence Reviews: For eligible lecturers prior to achieving continuing status (previously known as post-six-year/three-year appointments) :
    • Excellence Review Timeline (revised, October 2016)
    • Document Checklist for Excellence Review
    • Certification Statement for Continuing Appointment (Excellence Review with Merit Review)
  • The following forms apply to both continuing appointee merit reviews and excellent reviews for all lecturers:
    • Biography Form
    • Teaching Load Data
    • UC Confidentiality Policy
    • Unit 18 Access to Records
    • NSF Procedural Safeguard - File Modification
  • Information related to the MOU requirement for assessment prior to any pre-6-yr lecturer reappointment:
    • Pre-6 Year Non-Senate Faculty Appointment and Reappointment Information
    • Pre-6 Year Non-Senate Faculty Assessment Checklist
  • Class Visitation Report
ACADEMIC REVIEWS - LIBRARY
  • Asst. & Assoc. University Librarian Review Procedures
    • AUL Call
    • Biography Form
    • UC Confidentiality Policy
    • Request for Access to Records
  • Librarian Series Review Procedures
    • Librarian Call
    • Biography Form
    • UC Confidentiality Policy
    • Request for Access to Records
  • Curator/Archivist Review Procedures
    • See Librarian Call
    • Biography Form
    • UC Confidentiality Policy
    • Request for Access to Records

More Information

General Campus Information

University of California, Riverside
900 University Ave.
Riverside, CA 92521
Tel: (951) 827-1012

UCR LibrariesCampus Status
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Visit UCRMaps and Directions

Department Information

Academic Personnel
2148 Hinderaker Hall
Riverside, CA 92521

Tel: (951) 827-2933
Fax: (951) 827-3659
E-mail: academicpersonnel@ucr.edu

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