Wayne State University

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03-4 Consulting By University Faculty And Research Personnel - Attachment B

FACULTY AND RESEARCH PERSONNEL CONSULTING REPORT FORM

Name_______________________________________________ Calendar Year__________________________

University Title_______________________________________ Unit__________________________________

Average Hours of Consulting Per Week ___________________

     

  

Description of Consulting

Agency1

Date

Time

Date of Approved Exception to Policy2

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1 If the consulting activity is of a professional character and is covered by a body of professional regulations which makes the consulting relationship confidential, cite the nature of the work and the applicable professional regulations.

2 Request for prior approval of exceptions to consulting policy should be submitted and approved on Form A.