ࡱ> DFC1 bjbjXX V*:qh:qh% 8$$"&<RRRV"X"X"X"X"X"X"$%A(j|"|"RR4"RRR"@V"rzT R`Uj""0"2(Bv(  d(r!|"|""( X X: Send by email to Nicole Deming, Assistant Dean for SOM Faculty Affairs and Human Resources ( HYPERLINK "mailto:nicole.deming@case.edu" nicole.deming@case.edu) Faculty Member: First name Middle Initial Last name Degree(s) ǿմý Academic Department: ǿմý Rank: __________________ Outside appointment: Proposed adjunct or clinical ____________________ appointment at ____________ rank name of outside institution Brief description of external duties: % Time Commitment: ______ Number of Days on Campus: _______ End Date: _______________ 1. A letter from the faculty member to the department chair requesting the outside appointment and describing the teaching, research, and other responsibilities at the outside institution and an estimate of the approximate percentage of full-time effort required. 2. A letter from the department chair to Dean Gerson indicating his or her support and requesting approval of the outside appointment. 3. The faculty members current CV. From the ǿմý Faculty Handbook: III. Non-University Activities of Faculty Members During the Contractual Period* A. Faculty members may extend their professional development by accepting opportunities for outside consulting and similar services in their fields of specialization. B. The following activities are examples of customary faculty duties and do not constitute consulting or similar services: 1. Participation on federal grant proposal study sections and similar peer review of grant proposals, 2. Participation in review of publications and other scholarly and editorial duties, 3. Participation in meetings and conferences of academic and professional societies 4. Participation in a governmental commission, board, task force, or other such working group 5. Going to another site to access facilities necessary to perform University research or other duties. 6. Going to another site for accreditation, audits, reviews, etc. in furtherance of a university research, academic, or service program 7. Scholarly talks, panels, and other speaking engagements to disseminate research results and other academic or creative expressions C. Consulting and similar services must not be permitted to interfere through conflict of interest or otherwise with a faculty member's commitment to the University. (The full text of the University's conflict of interest policy will be found in Chapter 4.) D. Although the number of hours a faculty member devotes to consulting and similar services cannot be fixed precisely, an average of four working days per month (including travel time) during the individuals contract period is reasonable. E. Each faculty member shall keep his or her department chair or dean informed of the nature and extent of his or her consulting and similar services. F. All consulting and similar services that would represent potential conflicts with a faculty member's normal university duties, including time commitments in excess of an average of four working days per month, require advance approval by his or her department chair or, in a school without departments, the dean (or a designee of the chair or dean). G. A faculty member may not hold appointment in another educational institution without written approval in advance by the Provost; request for approval should be directed to the faculty member's department chair or, in a school without departments, the dean (or a designee of the chair or dean). H. The rights and obligations of faculty members with respect to patents and copyrights are covered in separate university policy and procedural statements. (See Part Two, Section I of this Chapter.) *approved by the Board of Trustees 10/9/73, approved by the Faculty Senate 3/31/03, approved by the University Faculty 4/23/03, approved by the Board of Trustees 5/19/03; approved by the Faculty Senate 3/28/19, approved by the Board of Trustees 6/1/19 For Faculty Affairs office us: Approved by department chair: ________________________________________________ Approved by Dean, SOM: _____________________________________________________     APPLICATION FOR ǿմý APPROVAL OF ADJUNCT OR CLINICAL APPOINTMENT AT ANOTHER EDUCATIONAL INSTITUTION  DATE \@ "M/d/yyyy" 9/12/2022 \]p    , - . A C M ` u جyjZyh8h85CJOJQJ^Jh8h&CJOJQJ^Jh8>*CJOJQJ^Jh&6CJOJQJ^Jh8CJOJQJ^Jh&>*CJOJQJ^Jh&CJOJQJ^J hHNhl>0JCJOJQJ^Jhl>hl>CJOJQJ^Jhl>CJOJQJ^Jjhl>CJOJQJU^Jh(CJOJQJ^J#- . 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