MULTIPLE POSITION POLICY SUMMER ASSIGNMENTS REPORTING FORM The Board of Trustees’ Statement of Policy on Multiple Positions limits a full-time faculty member’s assignments during the annual leave period in the summer to a maximum of three-ninths of the faculty member’s annual salary. In order to ensure compliance with this limitation, the faculty member must complete this form and submit it to his/her Department Chair before beginning any summer assignments and provide an updated form if any changes occur. Please note that there is an additional restriction that compensation for any single month during the summer may not exceed 1/9th of the faculty member’s annual salary. 1. Summer Teaching AssignmentsX=-$ # HoursHourly Rate2. Summer Non-Teaching AssignmentsX=-$ # HoursHourly Rate3. Summer Chair Assignment&=-$ Annual salary# Hours Worked4. Summer Grant Salary5. Other CUNY Summer Employment6. Total Summer Compensation from CUNY (Add 1 through 5)-$ 7. Permissible Summer Compensation from CUNY-$ Annual salaryNOTE: Line 6 must be less than Line 7. Signature of Faculty Member DateSignature of Department Chair DatePrint Name