Semester Faculty Assignment Reporting Name(Required) Semester(Required) Year(Required) UFID - Numbers Only(Required) Email(Required) The following courses have been assigned to you: (This is exclusive of individual study section 6910, 6940, 2. 6971, 7979 and 7980. You will receive those assignments after the close of registration.)ListCourseNo. of Sections Add RemoveListLower +Upper +Graduate I and II +Graduate 3 (Health Ctr. only)= Total2. OTHER INSTRUCTIONAL ACTIVITIES -- Duties:Percentage: Progress Statement** 3. CLINICAL TEACHING (Restricted-See Reverse Side) -- Duties:Percentage: Progress Statement** 4. ACADEMIC ADVISEMENT (include specific indicators such as number of students, hours designated for advising) Duties:Percentage: Progress Statement** 5. A. DEPARTMENTAL RESEARCH -- Duties/Research Areas:Percentage: Progress Statement** B. ORGANIZED RESEARCH -- Duties/Research Areas:Percentage: Progress Statement** 6. PUBLIC/CLINICAL OR STATE MANDATED SERVICE -- Duties:Percentage: Progress Statement** 7. AGRICULTURAL EXTENSION SERVICE (IFAS only) -- Duties:Percentage: Progress Statement** 8. DEPARTMENTAL ADMINISTRATION --Duties:Percentage: Progress Statement** 9. GOVERNANCE -- Duties:Percentage: Progress Statement** 10. OTHER (only the categories on reverse of form may be listed) -- Duties:Percentage: Progress Statement** 11. TOTAL PERCENTAGE EMPLOYED The above assignments are tentative. The department chair or responsible unit administrator will be free to modify these percentages during the term If the needs of the department change. If the assignments are changed by 5% or more, this form will be modified, initialed and a copy will be given to the faculty member. Progress statements will be added after the semester is completed.Percentage Assigned to Research by Project (Optional):Project NumbersPercent Assigned Add RemoveTotal Faculty Approves(Required) I agree to the courses and assignments listed above.Faculty Member Signature - Typed(Required) Date(Required) Chair Approves(Required) I agree to the courses and assignments listed above.Department Chair Signature(Required) Date(Required) If you need to save the form to continue it later, select the Save and Continue button below. If you are finished, please click the Save and Continue button and input Brad's email, bbarbazuk@ufl.edu, on the next screen to finalize the form.CommentsThis field is for validation purposes and should be left unchanged.