STATE UNIVERSITY OF NEW YORK COLLEGE AT BROCKPORT
OFFER SUMMARY FOR NEW PROFESSIONAL APPOINTMENT
EMPLOYEE’S NAME: ________________________________________________
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State University Of New York College At Brockport
OFFER SUMMARY FOR NEW PROFESSIONAL APPOINTMENT
EMPLOYEE NAME: _______ ___________________________________________________
DATE OF BIRTH: _______________________ SS #: ________________________________
DEPARTMENT / PROGRAM: ___________________________________________________
BUDGET TITLE: _____________________________________________________________
LOCAL TITLE: _______________________________________________________________
OBLIGATION (CALENDAR OR COLLEGE YEAR): ________________________________
LENGTH OF INITIAL APPOINTMENT (TERM): ___________________________________
BEGINNING SALARY: ______________________ VETERAN: _____ YES _____ NO
YEARS OF PRIOR SERVICE CREDIT TOWARD PERM APPOINTMENT: _____________
(SATISFACTORY FT PRIOR SERVICE AT ANY ONE COLLEGE OF THE UNIVERSITY – 3 YRS MAX ALLOWED)
COMPUTER/OFFICE EQUIPMENT: _____________________________________________
____________________________________________________________________________
OTHER EQUIPMENT: _________________________________________________________
OTHER START-UP/SUPPORT COSTS: ___________________________________________
__________________________________________________________________________
MOVING EXPENSES TO BE REIMBURSED: YES ____ NO ____ MAXIMUM: ________
OTHER AGREEMENTS/PROVISIONS: __________________________________________
____________________________________________________________________________
IF SELECTED, HEALTH INSURANCE BEGINS ON 43RD DAY OF EMPLOYMENT (subject to contract negotiations). FOR MORE INFORMATION ON BENEFITS, SEE WWW.BROCKPORT.EDU/HR/BENEFITS
HIRING MANAGER: ___________________________________ DATE: _______________
Employment at The College at Brockport is subject to the favorable result of a background investigation and where applicable, confirmation of appropriate credentialing. I understand that a formal offer of employment is contingent upon verification of credentials, final budgetary approval and a formal, written offer of employment from the President.
EMPLOYEE SIGNATURE: ______________________________ DATE: _______________
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