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FACULTY MODIFIED DUTIES SEMESTER FORM USC Columbia Faculty Member Name: College/School: Campus Address: Modified duties requested for the period: Academic Year Fall term: full semester or partial
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How to fill out modified duties semester form:

01
Start by carefully reading the instructions on the form. Make sure you understand the purpose and requirements of the form.
02
Provide your personal information, such as your name, student ID, and contact details. This will ensure that the form is properly identified and processed.
03
Indicate the semester for which you are requesting modified duties. This is important for the administrative staff to effectively schedule your workload.
04
Clearly state the reasons why you require modified duties for the specified semester. Provide relevant details, such as medical conditions, family responsibilities, or any other circumstances that may affect your ability to carry out regular duties.
05
If applicable, provide supporting documentation to validate your request. This may include medical certificates, letters from healthcare professionals, or any other relevant documents.
06
Specify the specific modifications or adjustments you are requesting for your duties. Be clear and specific about what tasks or responsibilities you are seeking to modify.
07
If applicable, list any alternative duties or responsibilities you are willing and able to undertake during the specified semester. This will demonstrate your commitment to contributing to the organization or institution.
08
Review all the information you have provided on the form to ensure its accuracy and completeness.
09
Sign and date the form to certify that all the information provided is true and correct.
10
Submit the completed form to the appropriate administrative department or person responsible for processing modified duties requests.

Who needs modified duties semester form:

01
Students who are experiencing a temporary or long-term physical or mental health condition that impairs their ability to perform regular duties.
02
Students who have significant family responsibilities that require them to have modified duties for a particular semester.
03
Students who need to juggle multiple commitments, such as part-time jobs or community involvement, and require adjustments to their workload.
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Modified duties semester form is a document that allows students or employees to request accommodations or adjustments to their responsibilities or workload for a specific academic semester or period of time due to medical reasons or temporary disabilities.
Students or employees who require accommodations or adjustments to their duties or workload due to medical reasons or temporary disabilities are required to file a modified duties semester form.
To fill out the modified duties semester form, you need to provide your personal information, including your name, contact details, and identification number. Additionally, you should describe the medical reasons or temporary disabilities that require accommodations or adjustments, specify the semester or period of time for which the form is applicable, and outline the requested modifications or accommodations needed.
The purpose of the modified duties semester form is to ensure that students or employees with medical reasons or temporary disabilities can request and receive necessary accommodations or adjustments to their duties or workload, allowing them to continue their academic or work responsibilities effectively.
On the modified duties semester form, you need to report your personal information, medical reasons or temporary disabilities requiring accommodations, the duration or semester of the requested modifications, and the specific adjustments or accommodations needed to fulfill your duties or workload.
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