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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1If 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.

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