FY24: University of Colorado Employee Pay Request

Fiscal Year 2023-2024

College of Arts & Media

University of Colorado Employee Pay Request

This form to be used for payments to all University of Colorado Faculty, Staff, and Student Employees

For services after July 1, 2023

Name of Individual Submitting Request*

First Name

Last Name

Email of Individual Submitting Request*

Date/Time

Is this purchase related to advertising or marketing?*

Yes No

Description of Services:*

Please describe what purpose this expenditure will serve. Why is it necessary and how does it further the University's goals?*

Date(s) of Services:*

Total Cost of Services*

University of Colorado Employee Name:*

University of Colorado Employee Email:*

University of Colorado Employee ID# *

Employee's Supervisor's Email *

University of Colorado Employee Type:*

University of Colorado Faculty/Staff University of Colorado Student Employee

Please ask, do not guess!

Is this request tied to a Faculty Development Grant (ORS/CAM/etc.)?*

Yes No

Please upload your approved grant documents, including your itemized budget.*

No File Chosen

File uploads may not work on some mobile devices.

Which approved category does the proposed additional work fit into:*

Teaching Overload: Additional Courses Teaching Overload: Curricula Development Teaching Overload: On-line Course Coordination Teaching Overload: Continuing Education / Extended Studies / CU Succeed Other teaching related activities beyond normal teaching load Administrative Appointment

Will the additional work be counted towards service?*

Yes No

NOTE: All additional pay for students, staff, and faculty is subject to a higher tax rate than regular pay that will be automatically deducted. Contact CAM People Operations/HR for rate and expected payment.

Please notify your student of this policy so they know what to expect.

Please attach quote or estimate for services (not required for guest lecturers).

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File uploads may not work on some mobile devices.

Name of person authorizing/requesting work*

First Name

Last Name

Email of person authorizing/requesting work*

What department/area are you requesting to purchase from?*

Visual Arts Galleries (Emmanuel and Experience Galleries) Music Entertainment & Industry Studies Film & Television Dean's Office

Select Area Head:*

Singer/Songwriter - Evan Reeves Performance - Paul Musso Recording Arts - Lorne Bregitzer Music Business - Storm Gloor MEIS Core Purchase MEIS General Purchase

Choose MEIS General Purchase if you are requesting funds for non-course related supplies/services

Select SpeedType purchase will be charged to:*

61012660 Visual Arts Instruction 61025544 Visual Arts Program Fees

Other:

Select SpeedType purchase will be charged to:*

61047711 Emmanuel Gallery Operating 62985455 Emmanuel Gallery Auxiliary 63400315 Emmanuel Gallery Foundation 61001751 DPAC Galleria

Other:

Select SpeedType purchase will be charged to:*

61012662 MEIS Instruction (Use for faculty concerts/performances & goods/services not directly related to a course) 61013969 MEIS Program Fees (Use only for course related goods and services - guest lectures, class supplies, etc.) 61085967 MEIS Core Program Fees (Use only for goods and services necessary to maintain Core functions)

Other:

Select SpeedType purchase will be charged to: *

61085967 MEIS Core Program Fees (Use only for goods and services necessary to maintain Core functions)

Other:

REQUIRED Course Catalog Number:*

REQUIRED Course Catalog Number:

Select SpeedType purchase will be charged to:

61066072 Film Instruction 61066306 Film Program Fees

Other:

REQUIRED Course Catalog Number:*

REQUIRED Course Catalog Number: *

Is there a known Conflict of Interest for this purchase?*

Yes No

Please attach approved COI form.*

No File Chosen

File uploads may not work on some mobile devices.

Conflict of Interest Evaluation form can be found here: https://www.cu.edu/psc/forms/conflict-interest-evaluation-coi, and is to be completed by an individual at the level of department chair or above who is in a supervisory position to the individual whose conflict is being evaluated. Reference the Administrative Policy Statement (APS) Fiscal Code of Ethics and the University of Colorado Procurement Rules for more information.

Please note that any purchases made with program fees MUST comply with the current CAM program fee purpose:

All students enrolled in at least one College course are assessed this per credit hour fee which covers the cost of art models, guest lecturers, instructional equipment and supplies, and course-related activities and events such as field trips and student exhibitions. It also covers costs associated with operating, staffing, remodeling, and maintaining program labs and computer labs.

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Requestor Information

Services

Authorizer of Work

SpeedType

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