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Clinical Research Associate Salary

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					University of Colorado SOM                                 Contact Name                                                                   Contact Phone

Faculty Recommendation Form                                      Position #                              Posting #                                 Today's Date
Use this form to confirm all personnel actions, except for Research Associate Series actions. Use RA/FRF for those actions.
NAME                                                                                                                                           EMPL ID# (OR POI #)
                                               (Last)                                   (First)                      (MI)     Degree
CAMPUS BOX #                                             OFFICE PHONE

OFFICE ADDRESS
(if off-campus)
PRIMARY EMAIL                                                                                            ALT EMAIL

HOME ADDRESS

HOME PHONE                                                       DOB                                GENDER                                     CITIZENSHIP

DEGREES                      MD          PhD            MPH/MSPH                Other Masters            BA/BS          RACE/
ATTAINED                     DO          RN             CNA                NP          PsyD              JD             ETHNICITY
                             DDS         PharmD                  CRNA      CNM         Other
        Primary Department (or outside School/Campus)                                                                       Secondary Department
PRIMARY DEPT                                                                                   SECONDARY DEPT

DIVISION/SECTION                                                                               DIVISION/SECTION

CENTER/INSTITUTE                                                                               CENTER/INSTITUTE

                                                                              REQUESTED ACTION(S)
EFFECTIVE DATE OF ACTION:                                                                      ENDING DATE OF ACTION (if applicable):
       New Appointment - Primary                   Regular to Clinical                    Sabbatical request                             Leave of Absence Request
       New Appointment - Secondary                 Clinical to Regular                    Return from Sabbatical                        Return from Leave of Absence
       Reappointment - Primary                     Administrative change                  Transfer between depts - From:
       Promotion                                   Salary adjustment
                                                                                          Transfer between divisions - From:
       Tenure Award                                FTE Change
       Termination - Reason:                                                              Other

       Answer the following three questions if regular faculty member is resigning :
       Is there a non-compete agreement in place?        Yes     No        Where is the faculty member going?
       Will their next position cause them to violate the terms of the non-compete agreement?                                  Yes        No
           CURRENT STATUS (Leave blank if new appt )                                                                         PROPOSED STATUS
Rank                                                                                           Rank

Appt Type                                                                                      Appt Type

Faculty Type                                                                                   Faculty Type

Appt Location                                                                                  Appt Location
Choose the location where the majority of their salary/benefits are paid or, if unpaid, where Choose the location where the majority of their salary/benefits are paid or, if unpaid, where
they perform the majority of their teaching, research or clinical services.                   they perform the majority of their teaching, research or clinical services.
Status of Appt:             Visiting-Awaiting Approval                   Visiting-Temp         Status of Appt:                 Visiting-Awaiting Approval               Visiting-Temp
(If applicable)             Tenure Awaiting Approval                                           (If applicable)                 Tenure Awaiting Approval
Admin Appointment (state below, e.g., Chair, Vice Chair, etc.)                                 Admin Appointment (state below, e.g., Chair, Vice Chair, etc.)


For faculty members who receive a paycheck from the VA, how many                               For faculty members who receive a paycheck from the VA, how many
eighths are they employed at the VA, e.g., 5, 6 etc.?                                          eighths are they employed at the VA, e.g., 5, 6 etc.?

 What is the total % FTE for this faculty member's                                                What is the total % FTE for this faculty member's position,
 position, including Univ and affiliate responsibilities?                         % FTE           including Univ and affiliate responsibilities?
                                                                                                                                                                                  % FTE
 (Note: volunteer positions are 0% FTE)                                                           (Note: volunteer positions are 0% FTE)

                                Salary paid by University                                                                        Salary paid by University


DIV HEAD/CTR DIRECTOR                    DATE                      PRIMARY DEPT CHAIR                           DATE                                DEAN                      DATE


                                                                   SECONDARY DEPT CHAIR                       DATE
      HR Approval                                                  FACULTY AFFAIRS USE ONLY
      Non-compete/waiver signed                         MPA signed                                Oath signed                            Data entry                       Ltr #_______
Original-Dean's Office                        Pink-Fac Affairs                        Blue-Bus Affairs                          Goldenrod-Dept.                    Canary-Division


                                                                                                                                                                Revised 9/2009
RACE/ETHNICITY

American Indian or Alaskan native
Asian or Pacific Islander
Black or African American
Hispanic
White
Other

APPT TYPE

At-will
Indeterminate
Limited
Tenure Criteria (for affiliate faculty)
Tenured

RANK

REGULAR FACULTY TITLES
Assistant Professor
Assistant Research Professor
Associate Professor
Associate Professor Emeritus
Associate Research Professor
Distinguished Professor
Instructor
Instructor/Fellow (GME)
Instructor/Fellow (Non-GME)
Lecturer
Professor
Professor Emeritus
Research Instructor
Research Professor
Senior Clinical Instructor
Senior Instructor
Senior Research Instructor
Visiting Associate Professor
Visiting Professor

CLINICAL FACULTY TITLES
Assistant Clinical Professor
Associate Clinical Professor
Associate Clinical Professor Emeritus
Clinical Instructor
Clinical Professor
Clinical Professor Emeritus
Distinguished Clinical Professor
Sr. Clinical Instructor

OTHER FACULTY TITLES
Adjoint Assistant Professor
Adjoint Associate Professor
Adjoint Professor
Adjunct Assistant Professor
Adjunct Associate Professor
Adjunct Professor
Assistant Professor Attendant
Associate Professor Attendant
Fellow
Instructor/Fellow
Instructor Attendant
Professor Attendant
Professional Research Associate
Research Associate
Sr. Research Associate
Sr. Professional Research Associate

TERM REASON

Deceased
Exercise at-will option
Non-renewal
Resignation (see info below)
Retirement
Other

GENDER

Female
Male

FACULTY TYPE

Regular Faculty (>=50% FTE, Univ and Affiliates)
Regular-Other (paid outside of SOM)
Clinical-Paid (<50% FTE)
Clinical-Volunteer (unpaid)



APPT LOCATION

Univ of Colorado SOM
DHHA
Kaiser
NJH
PSL
TCH
VAMC
Other
CITIZENSHIP

US
Other
DEPT

Anesthesiology
Biochemistry & Molecular Genetics
Cell & Developmental Biology
Dermatology
Family Medicine
Immunology
Medicine
Microbiology
Neurology
Neurosurgery
Ob/Gyn
Ophthalmology
Orthopedics
Otolaryngology
Pathology
Pediatrics
Pharmacology
Physiology & Biophysics
Physical Medicine & Rehabilitation
Psychiatry
Radiation Oncology
Radiology
Surgery

Other Schools:
College of Nursing
Graduate School
School of Dental Medicine
School of Pharmacy
School of Public Health

Other Campuses:
UCB
UCCS
UC Downtown Campus
CENTER

Adult GCRC
Barbara Davis Ctr
Cancer Center
CCTSI
Center on Aging
CHSR
CLAC
Ctr for Human Nutrition
ERICRC
Given Institute
JFK Partners
Kempe Children's Ctr
OLAR
Peds GCRC
Webb-Waring

DIVISION

Medicine-Allergy/Asthma/Clin Imm
Medicine-Cardiology
Medicine-Clin Pharm & Toxicology
Medicine-CVP-Pulmonary
Medicine-Endocrinology, Metab & Diabetes
Medicine-Gastroenterology
Medicine-Geriatrics
Medicine-Health Care Policy & Research
Medicine-Hematology
Medicine-Infectious Disease
Medicine-Internal Medicine
Medicine-Medical Oncology
Medicine-Pulm Sciences & Crit Care
Medicine-Renal Med Diseases & Hypertension
Medicine-Rheumatology

Pediatrics-Administration
Pediatrics-Adolescent Med
Pediatrics-Allergy/Immun/Rheum
Pediatrics-BDC
Pediatrics-Cardiology
Pediatrics-CHAP
Pediatrics-Child Abuse/Neglect
Pediatrics-Clinical Genetics & Metabolism
Pediatrics-Clinical Translational Research Ctr.
Pediatrics-Community Pediatrics
Pediatrics-Critical Care
Pediatrics-Developmental Peds/CDU
Pediatrics-Emergency/Urgent Care/NOC
Pediatrics-NOC Pediatric Hospitalist
Pediatrics-TCH Pediatric Hospitalist
Pediatrics-Endocrinology
Pediatrics-Epidemiology
Pediatrics-Gastroenterology
Pediatrics-General Pediatrics
Pediatrics-Hematology/Oncology
Pediatrics-Human Medical Genetics Program
Pediatrics-Infectious Diseases
Pediatrics-JFK Partners
Pediatrics-JFK Partners/WIN Partners
Pediatrics-Mass Spec/Research Inst.
Pediatrics-Medical Education
Pediatrics-Neonatology
Pediatrics-Neurology
Pediatrics-Nutrition
Pediatrics-Nutrition (CNRU)
Pediatrics-Prevention Research Ctr.
Pediatrics-Pulmonary

Physical Medicine Rehabilitation-Assistive Technology
Physical Medicine & Rehabilitation-Physical Therapy Program

Psychiatry-Admin
Psychiatry-ARTS
Psychiatry-Behavioral Immunology
Psychiatry-BHWP
Psychiatry-Bipolar
Psychiatry-CeDAR
Psychiatry-Child-TCH
Psychiatry-CIC
Psychiatry-CTN
Psychiatry-Depr Ctr
Psychiatry-Developmental Research
Psychiatry-DPA
Psychiatry-DPRG
Psychiatry-Early Development
Psychiatry-Harris Program
Psychiatry-Inpatient Psych
Psychiatry-JFK
Psychiatry-Med Students
Psychiatry-MEG
Psychiatry-MRI
Psychiatry-NATP
Psychiatry-Neural RPR/PRCT
Psychiatry-NeuroPsychiatry
Psychiatry-NeuroPsychology
Psychiatry-Other CI Serv
Psychiatry-Outpatient
Psychiatry-P3-CMHIFL
Psychiatry-P3-CMHIP
Psychiatry-P3-DOC
Psychiatry-P3-Forensic
Psychiatry-Project Safe
Psychiatry-Psychology
Psychiatry-PsychoPharmacology
Psychiatry-Public Psych
Psychiatry-Residency
Psychiatry-Social Work
Psychiatry-Substance Dependence
Psychiatry-Util/Eval
Psychiatry-Wardenburg

Radiology-Diagnostics
Radiology-Interventional
Radiology-Neuroradiology
Radiology-Nuclear Medicine
Radiology-Pediatric Radiology
Radiology-Radiological Science
Radiology-Ultrasound Body Imaging

Surgery-Cardiothoracic Surg
Surgery-Emergency Medicine
Surgery-General
Surgery-GI Tumor & Endo Surg
Surgery-GI Tumor & Endo Surg -Trauma Surgery
Surgery-Pediatric Surgery
Surgery-Plastic & Recon Surg
Surgery-Podiatry
Surgery-Transplant
Surgery-Urology
Surgery-Vascular Surgery

LOA

Paid
Unpaid
Academic FTE Examples:

Full-time Assistant Professor who works entirely at the
University of Colorado:
Academic FTE
Total FTE:                     1.0              (Equals total effort and commitment
to SOM and affiliates, e.g., 0.4, 0.5, 1.0, etc.) State below what % of above FTE
is from each of the following sources; total should equal 100%:
   Univ of Colo              100%
   VA
   DHHA
   NJH
   TCH
   Other




Full-time Assistant Professor who works entirely at the
VA:
Academic FTE
Total FTE:                     1.0              (Equals total effort and commitment
to SOM and affiliates, e.g., 0.4, 0.5, 1.0, etc.) State below what % of above FTE
is from each of the following sources; total should equal 100%:
   Univ of Colo
   VA                        100%
   DHHA
   NJH
   TCH
   Other




Full-time Assistant Professor who works 7/8ths at the
VA and 1/8th at University of Colorado:
Academic FTE
Total FTE:                     1.0              (Equals total effort and commitment
to SOM and affiliates, e.g., 0.4, 0.5, 1.0, etc.) State below what % of above FTE
is from each of the following sources; total should equal 100%:
   Univ of Colo               13%
   VA                         87%
   DHHA
   NJH
   TCH
   Other
Clinical Instructor who works entirely at University of
Colorado
Academic FTE
Total FTE:                     0.4              (Equals total effort and commitment
to SOM and affiliates, e.g., 0.4, 0.5, 1.0, etc.) State below what % of above FTE
is from each of the following sources; total should equal 100%:
   Univ of Colo              100%
   VA
   DHHA
   NJH
   TCH
   Other

				
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