Request for Substitute for Search in Progress

Form for submitting requests for substitutes while a search is in progress to the Dean of the School of Arts and Sciences
Department/Program *
Position Title:
Search for Replacement for (first and last name; position title; functional title):
Has a search been authorized?

Has a search been authorized? Yes No
Search for New Line:
Has a search been authorized?

Has a search been authorized? Yes No
Other: (to replace faculty member on Special Leave/unpaid leave or sick leave, for a completed search with a later than anticipated start date, for special cases, etc.)
Requested Effective Date for Substitute Requested Effective Date for Substitute / MM / DD YYYY
Justification for Substitute *