&
Request for New Parent Appointment Extension for Non-Tenure-Line Academic Council and Medical Center Line Faculty
(See Sections 2.1.D(2) b and 2.5.C of the Faculty Handbook for the full text
of the New Parent Extension policies http://facultyhandbook.stanford.edu)
TO BE COMPLETED BY THE FACULTY MEMBER:
Instructions to Faculty Member: please fill out this form and submit it to your Department Chair for approval (or in the case of Schools without departments, to your School Dean’s Office)
Name: __________________________________________________________________
Title: ___________________________________________________________________
Department/School: ________________________________________________________
Date of birth or arrival of child: ______________
Signature: ______________________________Date of Request: _____________________
TO BE COMPLETED BY THE DEPARTMENT:
Instructions to Department: Please submit the completed New Parent Extension form along with a Recommendation for Amendment of Professorial Appointment form (Appendix C) to the Dean’s Office to request an extension to the appointment.
Date Received: ______________ Department Chair Signature:_______________________________
TO BE COMPLETED BY THE SCHOOL DEAN'S OFFICE:
Date Received : ________________
End date of current appointment: _________________
Extension Date (NTL/MCL only): ________________
Previous final date of time toward tenure by length of service (TL only): __________________
New final date of time toward tenure by length of service (TL only): _____________________
Approved: _________________________________ Date: _________________________
cc: Faculty member
Department chair
Dean’s office