An official form used to complete the procedures for part-time contracting with non-full-time Saudi faculty members who are assigned to teach at Qassim University in addition to their original employment. The form includes: the faculty member's academic and professional data, qualifications, rank, and original institution, the number of contracted teaching hours and proposed courses, and the faculty member's declaration of commitment to the requirements of part-time contracting. The form is used to verify that the regulatory conditions for part-time contracting are met before it is submitted to the Permanent Academic Affairs Committee and the Scientific Council. It is considered the primary documentation basis for the part-time contracting file. It targets non-full-time professors and the deanships of colleges requesting the contract.