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* 1. Name (Person completing the form should be a representative for the deans office):

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* 2. College & Department

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* 3. Name of Faculty Member for whom retention request is being made

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* 4. Is there an existing offer letter for this individual? Please upload here

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* 5. Research/Creative Expertise of faculty member for whom retention request is being made.

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* 6. Academic Experience of faculty member for whom retention request is being made.

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* 7. Outreach/Engagement Expertise for faculty member for whom retention request is being made

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* 8. Attach CV for faculty member for whom retention request is being made

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* 9. Reason for request

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* 10. Total salary request

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* 11. Amount requested from Provost Office

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* 12. Amount requested by the College

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* 13. Amount to be contributed by the Department/Program

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* 14. Salary comparison with other faculty in the department with time in rank.

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* 15. Explanation of any currently available lapsed salary in the college/department.

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* 16. If necessary, is the college/department willing to utilize some or all of the currently available lapsed salary or all or some of the lapsed salary of the next open line in the department/college for this request?

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* 17. Please confirm that this request has been routed through the chair of the department and the appropriate dean (s).

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