Department of Electrical Engineering

Short Term Appointment Request

To: Sherry Haley, Godzilla Trailer Rm. 114, MC 9505
From: (Contact Administrator)

Faculty Sponsor: EE Lab: CSL ICL ISL SSPL STAR

Visitor Name: Title/Affiliation:
CV Attached: Email ID Mail On File Fax (3-1882)

The department chair would like the sponsoring faculty to state the intended role expected of this visitor, including the reason this person is important to the laboratory:

Percent of effort: % Salary:
Account #: Course no./quarter:
Social Security #: Visitor's phone:
Visitor's office: Visitor's email:

Go to Request for Visiting Scholar Card