Term Line Renewal Request

Department Name

Name and Title of Term Faculty Member

Current PCN

Name and Title of Requestor

Your Email

Current Salary

Length of requested contract For example, 1 semester, 1 year, 2 years, or 3 years, etc.

If renewing for more than one year, what is the end date?

Year/Month/Day

Assessment Provide a brief assessment of the faculty member’s job performance up to this point.

Why Renew This Position? Explain why the position needs to be

Proposed AWP Indicate proposed AWP allocations in each area (Instruction, Service, and RCA) and which courses the instructor will likely teach.

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