Adjunct Faculty Annual Reappointment Request

Adjunct faculty are not clinicians and are employed by another college or by a private organization and contributes to the education or research mission of the School of Medicine. If asked to teach, individuals must document at least 100 hours per year..

Once you have completed this form, please attest and click to submit (at bottom).

Name*
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Email*
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UConn School of Medicine Department*
Eligibility for Continued Faculty Appointment
To maintain eligibility for your faculty appointment you are expected to contribute to the education or research missions of the School of Medicine, and to document at least 100 hours per year in UConn School of Medicine programs, if asked to teach.
Academic Activity (check all that apply)*
- Medical Students
- Residents and Fellows
- Graduate Students
- Contribution to Research
- Administrative (related to education)
- Other
Attestation*
I attest that I contribute to the academic programs of the School of Medicine and do/will document at least 100 hours per year in UConn School of Medicine programs, if asked to teach.
- I attest
Name
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Office of Faculty Affairs

Adjunct Faculty Annual Reappointment Request

Eligibility for Continued Faculty Appointment

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