UW-Madison, Request for Authorization to Recruit Form

PVL #

Request for Authorization to Recruit (RAR) updated 8/20/08
Institution: UNIVERSITY OF WISCONSIN-MADISON
(APO use only) For Board of Regents Consideration on: __________________________________
Submit this request to the Academic Personnel Office. Regent approval is required when proposed salary range exceeds above $310,944 (75% of President's current salary), or when initiating recruitment for a Provost/Vice Chancellor/Dean. (This form must be received by the Academic Personnel Office three weeks before the date of the next Regent's meeting.)
Type of Request: Check appropriate box(es).

	Proposed salary exceeds above $310,944
	Provost/Vice Chancellor/Dean recruitment

1.	Official University Title of Position:
2.	Division/College/School - Department/Project:
3.	Description of Duties: (Maximum of 8 lines for this field)

4.	Recommended Salary Range & Basis:
5.	Source of Funds:

6.	New Position Replacement If replacement, indicate name and salary of former incumbent:

	(name of former incumbent)	(salary of former incumbent)

7.	Brief justification of Salary Range: (Maximum of 6 lines for this field)

8.	Approved by:

	______________________________	_________	____________________________	_________
	(Dean/Director)	(date)	(Chancellor/Vice Chancellor)	(date)
9.	Authorization to Recruit (Approved) (Denied) by the Regents/Vice President's Office on ____________

	__________________________________		__________________________
	(Signature)		(title)