University of Pittsburgh

Administrative Checklists

Affiliated Faculty New Appointments - Clinical Prefix

  1. Completed New Appointment Form or completed ER if already in system
  2. Chair Letter
  3. Signed Appointment Letter for New Affiliated Faculty Members
  4. Copy of signed Social Security Card
  5. Completed University of Pittsburgh Residency Certification Form/Address Change
  6. Certificate of English Language Fluency for Teaching
  7. Curriculum Vitae
  8. Supplemental Information Form
  9. Copy of Offer Letter (Faculty paid by UPP Only)
  10. MD License (Faculty paid by UPP Only)
  11. Indicate salary in "Remarks Section" (Faculty paid by UPP Only)

NOTE: Appointments at the associate and professor levels require review by the appropriate School of Medicine appointments and promotions committee.

THE COMPLETED EMPLOYEE RECORD (ER) MUST BE SUBMITTED WITH ORIGINAL AND ONE COPY OF ALL SUPPORTING DOCUMENTATION