Administrative Services | Information Technology Services | Financial Aid | University Communications | Student Affairs

Institutional Equity and Diversity

Waiver Request Form

Waiver Request Form

Section I: To be completed by Department or Hiring Unit

Department/Hiring Unit:
Date: (mm/dd/yyyy)
Position Title: (including Area of Specialty)
Reason for Requesting a Waiver of Normal Affirmative Action Procedures: Emergency situation• where a pool of candidates cannot be developed immediately
Department/Hiring Unit wishes to secure a visiting faculty person with genuine professional distinction
Person has been appointed temporarily to fill a postion while a national search is being conducted

• An emergency situation occurs when there is insufficient time for a national search because someone must be performing the necessary functions within days or where there is no back-up personnel.
Name of Search Committee Chair
Email Address

Section II: To be completed by Director of Affirmative Action and Diversity Programs

Department/Hiring Unit:
Date: (mm/dd/yyyy)
Position Title: (including Area of Specialty)
Recommendation to Provost/Director of Human Resources: Approve
Deny
Comments:

Choose e-mail recipient:

Section III: To be completed by Provost/Director of Human Resources

Department/Hiring Unit:
Date: (mm/dd/yyyy)
Position Title: (including Area of Specialty)
Waiver Approved
Waiver Denied
Comments: