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Effective – Enter the Beginning date of the Academic Year or the Beginning date of the House Officer’s period of Appointment if it does not Begin July 1.
Funds End Date – Enter the Ending date of the Academic Year or the Ending date of the House Officer’s period of Appointment, if it does not end June 30.
Rate of Pay
- from $ - If promoting or level is changing, Enter the current Hourly pay rate (available on the )
  - Enter an “X” in the Hourly box. If not promoting or level is not changing, leave blank.
to $ - Enter the new hourly pay rate if promoting (available on the ); Enter the Current pay rate if there is no change to the hourly pay rate.
- Enter an “X” in the “Hourly” box.
On the basis of
- Period of Appt - Enter an “X” in the “From” and “To” boxes

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