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(Name of Chair or Department Head) (Title) (Name of Department) New
York University (NYU building) (Street address) New York, New York (Zip
code) (Today's date) Dear (Chair's Name),
This represents my formal request to teach in the 20__-20__ academic year. In the current year
I am teaching ___ courses. I have been employed as an adjunct in this department for not fewer than six (6) consecutive
semester [or, I have been employed as an adjunct in this department for not fewer than six (6) years teaching at least
one semester per year] and I fulfill the qualifications for re-appointment as set forth under the provisions of Article
X, paragraph A of the contract between the University and ACT-UAW Local 7902. Thank you,
(Your name) (Email address) (Home address) (Phone number)
CC: ACT-UAW Local 7902
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