Request Appointment Change

Please fill out this form to request a change or extension for an administrative or support staff position. Note: any field denoted by * requires a response before the form can be successfully submitted.

If you are looking to request a new position, please fill out the Position Request Form instead.

Name of submitter *

First

Last

Email of submitter *

Department, Lab, Center or Institute *

Position information

Name of appointee *

First

Last

MIT ID # of appointee *

Current position title *

Current appointment end date *

Current salary/hourly rate *

Proposed position title (write NA if not different) *

Proposed effective date *

Proposed end date *

Proposed salary/hourly rate (write NA if not different) *

Justification for changes requested *

Please include as much detail as possible.

Funding

Appointments in science should only be charged to accounts that are supervised by your unit. You can look up where accounts are supervised by finding the account here: https://rolesweb.mit.edu/cost_object_info.html

Salary distribution upon effective date of change (Please list all information in the following format, with each cost object on a new line: COST OBJECT - % of salary - Account Balance - DLCI where account resides) *

Funding notes

File Upload

Click or drag a file to this area to upload.

Name

Academic Departments

Helpful Resources

Contact

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Request Appointment Change

Position information

Funding