*Lab Instructor ID:
Contact Hours Per Lab Session:
Lab Sessions:
Total Hours:
PLEASE NOTE: A lab instructor appointed in this category is treated the same as a permanent lab instructor and is paid according to the URFA contract Appendix A, Article 10. If they should be paid as a “Lab Assistant”, please select the Teaching/Lab Assistant option instead.
Teaching Assistant Lab Assistant
*Teaching/Lab Assistant ID:
*Teaching Assistant:Teaching Assistant 1 (90+ hours) Teaching Assistant 2
*Level of Appointment:Other 4th Year Masters PhD
Please indicate the total number of hours assigned for this class. NOTE: The hours will be divided into equal payments for each pay period in the semester.
*Hours Assigned by Dept. Head:
*Is This Posting Closed?: No Yes
*Course Type: Online Live-streamed Live/Blended Video Conference Summer University Blended Regional College Evenings Weekends UR Early Face-to-Face *Credit Hours: 1.5 3 6 9 15
Stipend: 1 1.25 1.5
*Instructor ID:
Academic staff member teaching courses as part of regular teaching load Academic staff member teaching courses as an overload Sessional Stipend applies
*JV Sess II/III blended amount to FOAPAL:
Individual possesses:
Does this class have co-instructors? Yes No
*Co-Instructor Name: If you have a Co-Instructor, submit this form and then complete the form again for the other Co-Instructor.
*Payment Arrangement: 50/50 60/40 70/30 75/25 Other
*Appointment ID:
Associate Dean Faculty Member
*Supervisor Name:
*Phone Number:
*Faculty:
*Orientation:
Additional notes
*Authorized By (Name and Title):
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