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Office of the Provost
Lafayette College
Adjunct and Overload Request Form

Department Heads and Program Chairs should use this form to request Adjuncts and Overloads for the following semester. In general, requests must be received by mid-February for fall semester requests and by mid-September for spring semester requests.

Your contact information:

First Name:

Last Name:

Primary Department/Program:

COMPLETE Email Address:

Phone number:

Your title (Department Head, Assistant Department Head, Program Chair):

Semester and Year of the Request (e.g., Fall 2023):

Select the appropriate request:

Adjunct, New Hire
Adjunct, Rehire
Faculty Overload

Adjunct/Overload Request 1

First Name of Adjunct/Faculty:

Last Name of Adjunct/Faculty:

Their E-mail address:

Courses and number of sections they will teach:

Explanation for request:

Any other relevant information or comments: