Office of Research and Sponsored Programs

Faculty Additional Pay for Academic Year Appointments for Spring Break 2009; March 23-27, 2009

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To request Spring Break pay from your grant(s), please complete the information below. (fields marked with * are required)

Last Name*

First Name*

Department*

SFSU ID No.
(optional)

Email*

Phone*

Project Director Name
(if different from above)

Phone

Appointment 1

Grant account number:*

The dates for faculty to request additional pay for Academic Year Faculty Appointments during spring break are March 23-27, 2009 (5 days).

The fringe benefit rate for full time Acadmic Year Faculty is 9.451%. For faculty with less than full time appointments the benefit rate is 34.648%.

Appointment Start Date:

Appointment End Date:

Timebase:

Appointment 2

Grant account number:

Appointment Start Date:

Appointment End Date:

Timebase:

Are you teaching during Spring Break? No Yes

If yes, please list course and session information in comment section below.

Do you have Spring Break appointments at other CSU campuses or CSU auxiliaries (including SFSU Foundation) or through the College of Extended Learning? No Yes

If yes, please list details below.

Comments:

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