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




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 compensation 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. You also will receive such employee benefits as may be authorized by law and the Bylaws of the [Medical Service, Research and Development Plan or Physician Referral Service]. The obligation for payment of all or any portion of the compensation that is payable from contracts, grants, gifts, bequests, or endowments is dependent upon receipt of those funds. The practice plan augmentation may be decreased during the budget period when the current income to the practice plan is insufficient to meet existing practice plan commitments.

You will not be reappointed to the faculty after the expiration of the stated period of appointment.

Please indicate acceptance of this appointment by signing and dating the attached copy of 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.

Chair of Department*

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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