HEALTH AFFAIRS FORM 2
FOR PRACTICE PLAN FACULTY APPOINTMENT
ONLY AS PROFESSOR, ASSOCIATE PROFESSOR,
ASSISTANT PROFESSOR, OR INSTRUCTOR

 

 Name and Address                                                                              Date

MEMORANDUM OF APPOINTMENT, 20__ - ____ Fiscal Year

The Board of Regents of The University of Texas System has authorized your appointment to the following position at The University of Texas ____________________________________:

 

Academic Title

Tenure Status

   

Department

Period of Appointment

Percent Time

Budget Period

       

Base
Compensation

Practice Plan Augmentation

Other
Compensation

Total
Compensation

       

This appointment is subject to the provisions of the Rules and Regulations of the Board of Regents of The University of Texas System, Regental and U.T. System policies, the rules and regulations of the University, and applicable state and federal laws and regulations. The total compensation is the gross amount for the indicated budget period only and is subject to deductions required by state and federal law and, if permitted by law, other deductions that you may authorize. The obligation for payment of all or any portion of your compensation that is payable from contracts, grants, gifts, bequests, or endowments is dependent upon receipt of those funds. You also will receive such employee benefits as may be authorized by applicable laws and by the Bylaws of the [Medical Service, Research and Development Plan or Physician Referral Service]. The stated compensation may be increased or decreased in subsequent budget periods on the basis of your performance of assigned duties and responsibilities, your research grants and contracts, professional achievements, and fees billed and collected for professional services.  Practice plan augmentation may be decreased during a budget period when the current income to the practice plan is insufficient to meet the existing practice plan commitments.

Please indicate acceptance of this appointment by signing and dating this Memorandum in the space indicated below and return it to the Office of the ___________________ by _________________, 20__, in order that your name may be placed on the payroll for the next fiscal year.

A revised Memorandum will be sent if there is a change in your status during the indicated budget period.

_________________________________
Chair of Department*

_________________________________
President

I accept this appointment ___________________________________
Date: ________________________

* If the administrative unit does not have a Chair substitute the title of the head of the unit.

Last Updated:  April 21, 2000
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