Home > Training > Health Science Faculty (APM 671) > Complete Category I form
This article provides instructions on how to fill out a Category I prior approval form. When completing the form, provide detailed information about your involvement in the outside professional activity and upload supporting documentation, as needed. Once the Category I form is submitted, it will process through your campus's approval workflow. You will receive an email notification if the form is returned to you and once a final decision has been made on your Category I request.
Click and drag the Category I form to the right to view the fiscal year. If you submitted the Category I form in the wrong fiscal year, you can delete it and submit it in the correct fiscal year.
To request prior approval for a category I activity:
Form Question | Description |
(a) General description of the business [required] |
Enter a description of the business. |
(b) Web address [optional] |
Enter the web address of the company with which you will be working. |
(c) Nature of your relationship to the entity [required] |
Select all options that apply.
|
(d) Description of the nature of your participation [required] |
Please provide enough details for the non-technical reviewer to be able to understand the nature of your participation with this outside activity. If your explanation exceeds the number of characters allowed, write your description in a word document and upload it to the "Notes" tab at the top of the page. |
(e) Start & end date for which you are seeking approval. [required] | Select the dates in which you are seeking approval to engage in the activity. Please note approvals are generally granted for one Academic / Fiscal year, but may be granted for a longer term, up to three years. Check your campus help site for campus specific information. |
(f) Estimated number of hours, engaging in activity before permission. [required] |
|
(g) Notes [optional] |
Upload supporting documentation or add additional notes regarding the activity. |
Health Science Faculty (APM 671)
Complete Category I form
Renew Category I form
Recall Category I form
Complete Student Involvement form
Request Exceed TH form
Multiple Exceed TH forms
Form is returned to you
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UC Berkeley
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Last Modified: 2023-08-08 13:15:08.365845-07