Summer 2025 Appointment Request Form

    Name(Required)
    Department(Required)
    Are you requesting Summer salary?(Required)

    Teaching

    Will you be teaching this summer?(Required)

    Research

    Will you be doing research this summer?(Required)

    Please complete the fields below for the pay periods you plan to work. Click the + sign at the far right to add additional rows.

    • Please review your grant award budgets. If the summer salary you are requesting is different than what was originally established at the time of award set up, please consult with Margaret Webster about modifying your paid effort commitments.
    • To enter split/multiple funding lines, please click the plus sign on the far-right side of the form. It will allow you to add as many funding strings as you need.
    • To view your current biweekly pay rate, click this link to open MyUW Earnings Statement in a new window.
    MAY C - 05/18/2025 - 05/31/2025
    Will you be working?
    % Working (hours worked)
    Funding
    Comments
     
    JUN A - 06/01/2025 - 06/14/2025
    Will you be working?
    % Working (hours worked)
    Funding
    Comments
     
    JUN B - 06/15/2025 - 06/28/2025
    Will you be working?
    % Working (hours worked)
    Funding
    Comments
     
    JUL A - 06/29/2025 - 07/12/2025
    Will you be working?
    % Working (hours worked)
    Funding
    Comments
     
    JUL B - 07/13/2025 - 07/26/2025
    Will you be working?
    % Working (hours worked)
    Funding
    Comments
     
    AUG A - 07/27/2025 - 08/09/2025
    Will you be working?
    % Working (hours worked)
    Funding
    Comments
     
    AUG B - 08/10/2025 - 08/23/2025
    Will you be working?
    % Working (hours worked)
    Funding
    Comments
     
    AUG B FTE is for week one of bi-weekly, week 2 is academic year appointment and not reflected on this form.
    Electronic Signature Consent(Required)
    Please acknowledge the following statement: