Without Salary (WOS) Online Request Checklist

1. Complete WOS Online request through portal https://apps.uth.edu/wos/

  • Online forms include: Criteria Form online, Chair Letter, TMB screenshot, CBC (if applicable), Current
    CV … if Associate Prof. or Prof rank also includes 2 reference letters

2. Online forms: Compliance training ONLY required for Non-UTH employees (MD Anderson (MDA**) employees are exempt)

  1. WOS Form online: Fill out General Information. E-mail address is required
    • Non-employee or MDA: (non GME residents/fellows)
      • Title: always match MDA titles, do NOT include a modifier
      • Title: non-employees MUST include adjunct modifier (ex: Adjunct Instructor)
    • Cross appointment: (UTHSC- GME residents/fellows, Staff Physicians)
      •  Title: double check that adjunct modifier is used preceding title, note “staff physician” when applicable
  3. Criteria Form: To be completed by faculty online
  4. Chair Letter: Requesting department chair writes a letter to the medical school Executive Dean (John
    F. Hancock) recommending the appointment and includes the educational/academic background of
    the appointee as well as the reason for the appointment.

    • Letter must include specific duties and contributions along with requesting title rank.
  5. Reference Letters: required for Associate Professor and Professor rank only. Letters to be addressed to the medical school Executive Dean (John F. Hancock).
    • Cross appointments: internal letters, outside the appointees department, at the same rank
      or higher than that proposed for the appointee.
    • Non-employee or MDA**: letters at the same rank or higher than that proposed for the
      appointee.
  6. CBC (criminal background check): upload email from HR with clearance or explanation of CBC not
    required. Contact: UTHealth: Elena Cumpian, 713-500-3364, Elena.Cumpian@uth.tmc.edu

    1. Cross appointments: required if appointee has not had one within the past 12 months.
    2. Non-employee: required, request submitted to HR by department.
    3. MDA: contact Debbie Brown, 713-745-0965, debbrown@mdanderson.org.
  7. TMB (Texas Medical Board) Review Completed: If faculty has a TMB license, upload the screenshot to
    the documents section. Link to TMB License search page.
  8. CV (curriculum vitae): current required

3. Submit Packet to Faculty Affairs online

Additional Information:
• Adjunct modifier before rank (all appointments must include the adjunct modifier, except MDA**)
• Appointment letters are sent directly to appointees via e-mail from the system once Dean approves.
• Cross appointments receive a revised MOA (memorandum of appointment), from SDR (sent directly to
their DMO’s), once their WOS appointment is approved by Dean’s office, an automated e-mail is sent to
SDR with the cross appointment details.

Incomplete submissions will be sent back to department for corrections.

Dec-23

**MDA-MD Anderson