TSOM Faculty Administrative Payment Request
In the instance where there are no predetermined administrative assignments included in one's current contract, faculty are required to notify the Thornton Business Office of any participation in activities outside of their contracted load. In order to record and process payment for these, please indicate the hours and date(s) worked in regard to the reported administrative duties or the total pay for the event reported.

Examples include: Work that is strictly outside of one's current contract load, such as ongoing assignments to serve on a Thornton committee, one-off attendance to required department meetings, participation in on-campus audition weekend, or participation in end of semester juries if appropriate.
Sign in to Google to save your progress. Learn more
Email *
Name of Faculty to Receive Admin Payment *
Name of Chair or Department Coordinator
*
Academic Department
*
Example: Music Industry Program
Semester *
Example: Fall 2025 or Spring 2026
Date and Total Hours of the Administrative Activity or Total Pay for the event. *
Example: 12/3/25 from 3-5pm; 2 hours total
Description of Administrative Activity *
Examples include:
  • Service: "Composed for X event (event name/date/time/total hours or total pay)"
  • Administrative: "One-off attendance to required X meeting (dept. meeting name/date/time/total hours)"
  • Teaching Overload: "Guest lecturer for X course (course name/date/time/total hours)"
PPGG ID to Charge *
Department account # to charge for the payment; confirmed by relative Chair or Department Coordinator. If you do not have this information, please enter "unsure". 
Comments
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of University of Southern California.

Does this form look suspicious? Report