HR 4.30-L (rev. 4/95)
The University of North
Carolina at Wilmington
EXCHANGE PROGRAM LISTING
And Record of Exchange Agreement
This form should be completed by any department that may benefit from a workload-sharing agreement.
SECTION I: EXCHANGE PROGRAM LISTING (Completed by department requesting an exchange.) ===================================================================== Supervisor: __________________________ Department Head: _______________________
Telephone: __________________________ Telephone: _______________________
Division: __________________________
Department:
_______________________ =====================================================================
Description of Exchange Position Needed: (Enter a brief
description of the position duties.)
=====================================================================
Education or Experience Required: (Indicate the minimum
education and/or experience required.)
====================================================================
Times & Dates Exchange Needed:
=====================================================================
Requesting Department Head: ____________________________
Date: _________________ ====================================================================
SECTION II: EXCHANGE AGREEMENT (Completed
by departments entering into an Exchange Agreement.) Specify
details of the exchange agreement. At minimum, include names and position
titles of employees to be exchanged, a brief description of the work to
be performed, and the times and dates of the exchange. Attachments may
be used when necessary.
AUTHORIZATION:
Department Head: ______________________________________ Date: _________________
Department Head: ______________________________________ Date: _________________
Research Administration: ________________________________
Date: ________________
(If contract/grant involved)
Human Resources: ______________________________________ Date: ________________