Recommendation to Appoint
Visiting Associate Professor/Professor
Visiting Fellow/Senior Fellow
Visiting Academic/Scholar/Artist
Admin Contact Person in Faculty/School/Centre
Name
Phone
Email
Applicant Details (Current CV of applicant MUST be attached when submitting this form)
Courtesy Title
Given Name(s)
Family Name
Date of Birth
Telephone Number
Email Address (non CSU)
Gender
Male
Female
Address (non CSU)
Line 2
City
State
Postcode
Country
Appointment details
Staff Number
New appointment
Visiting Position Title
Campus
Faculty/Division/Office
School/Section/Centre
Appointment From
Appointment to
Purpose for Visit (for visa requirements)
Field of Research Code 1
Notional Appointment Fraction % What is this?
Comments: eg name of research project
FOR 1 %
Field of Research Code 2
FOR 2 %
Email Address of Key Contact
Key CSU Contact for Visitor
Any charges incurred by the appointee during the duration of their visit e.g. internet usage costs, should be charged to
account code:
Complete the following if arrival to/and or departure from Australia are different from the appointment dates
Arrival Date
Departure Date
Account Code for Visa Nomination Fee
Privileges
Yes
Library Services (CSU card required)
Yes
IT Access
No
On-site Building & Facilities Access
No
(CSU card required)
Yes
No
Financial Arrangements - Only complete this section if a stipend is to be paid. Please contact your HR Liaison
Officer regarding accommodation and stipend.
Visiting titleholders may receive a stipend to cover travel and living expenses as detailed below.Stipends are paid in arrears
and may be paid either fortnightly or monthly and are administered by the Travel Office, Division of Finance.
Yes (Complete this section)
Is a Stipend to be paid?
No (Go straight to Authorisation)
To be paid as a contribution towards the following expenses: (Amount (AUD$))
Travel Expenses
Account Code
Living Expenses
Account Code
Total Expenses
Funding Source
Endorsement, Recommendation and Authorisation
Endorsement:
Endorsement of the Head of School/Director before submitting for approval. Attach applicant's CV to email when submitting.
Please contact your HR Liaison Team for any international visiting appointments.
Head of School/
Director
Name
Signature
Date
Recommendation and Authorisation:
Submit to the appropriate Band 7 delegate for approval of Visiting Fellow, Visiting Senior Fellow, Visiting Academic, Visiting
Scholar or Visiting Artist and recommendation of Visiting Professor or Visiting Associate Professor.
In the event that the appointee incurs any work-related costs whilst visiting on invitation the University, I hereby guarantee
that the Faculty/School/Section/Centre will accept responsibility for payment of same.
Band 7
Who is this?
Name
Signature
Date
Submit to appropriate DVC for approval of Visiting Associate Professor or Visiting Professor
Band 8
Deputy Vice Chancellor
Name
Date
Signature
Following approvals
Submit for Approval
Last reviewed: April 2017
Submit via Email to [email protected]
(be sure to also attach current CV,
Passport and Data Collection Form)
Asset ID # 149758