Kinesiology & Athletics Division

Kinesiology & Athletics

Faculty & Staff Use ONLY

Use this form to report Fall, Winter or Spring Part Time Status or Overload requests.

Part Time/Overload Schedule Request

Faculty/Staff Information * Note Required Fields
*Full Name:
Email: Re-enter Email:
*Office Phone:
*Home Phone:

Fall Quarter:
Not Available	I am not available for Fall (I am aware not teaching one quarter could reduce my total load for the year).
List ALL classes you are willing to teach in order of preference, e.g. DANC 1A, 4A, 20 etc.:
Number of classes requested for this quarter (annual load < or = 55%, usually a max. of 5 classes):
My ONE preference is (choose ONE and explain, e.g. TIMES, BACK-TO-BACK, # OF PREPS, LOCATION, etc):

Winter Quarter:
Not Available	I am not available for Winter (I am aware not teaching one quarter could reduce my total load for the year).
List ALL classes you are willing to teach in order of preference, e.g. DANC 1A, 4A, 20 etc.:
Number of classes requested for this quarter (annual load < or = 55%, usually a max. of 5 classes):
My ONE preference is (choose ONE and explain, e.g. TIMES, BACK-TO-BACK, # OF PREPS, LOCATION, etc):

Spring Quarter:
Not Available	I am not available for Spring (I am aware not teaching one quarter could reduce my total load for the year).
List ALL classes you are willing to teach in order of preference, e.g. DANC 1A, 4A, 20 etc.:
Number of classes requested for this quarter (annual load < or = 55%, usually a max. of 5 classes):
My ONE preference is (choose ONE and explain, e.g. TIMES, BACK-TO-BACK, # OF PREPS, LOCATION, etc):

Human Validation -