Zero Dollar Request Form Zero Dollar Request Form Step 1 of 2 50% I certify that our department has completed a check to ensure that an independent contractor/paid employment position is not appropriate in this circumstance.* Yes Name of Visiting Appointee* First Last Employee ID (If Applicable) UDDS* Begin Date* MM slash DD slash YYYY Expected begin date of zero-dollar appointment.End Date* MM slash DD slash YYYY Expected end date of zero-dollar appointment. Initial appointment cannot be more than two years.Proposed Title* Proposed Job Code* Please explain why this job code/title is appropriate vs. Honorary Associate/Fellow (OT006)* UW Mentor* Please explain what the benefit is to the department, its faculty, programs, or students for this zero-dollar request. What services/expertise does the individual provide the project and/or department? Will the individual be working in person, hybrid, or remotely? Will they be working locally, or out-of-state? Why is a net-ID essential to the work being done?*Why is a zero-dollar position appropriate vs. a paid position?* Please attach a copy of the visitor's current vitae and any other supporting information you deem helpful to this request.Max. file size: 11 MB.Please indicate the candidate's source of financial support. Since this is a zero-dollar appointment, the university needs to know how the individual is being paid.* Please note that typing your name in <span Faculty/Academic Contact* First Last Person authorizing the request for a zero-dollar appointment.Date* MM slash DD slash YYYY Department Chair/Director* First Last Requestor Name* Requestor Email*