Approved by Cabinet: 3/8/94 
 
 
 
UNIVERSITY OF THE VIRGIN ISLANDS 
 
PROFESSIONAL SERVICE AGREEMENT 
 
 
 
 
Date: 
 
 
 
Name of Person: 
 
 
 
Title: 
 
 
 
Social Security or Tax ID Number 
 
 
 
 
   
 
Address: 
 
 
 
 
 
 
 
 
Telephone/Fax: 
 
 
 
Duration of Agreement: 
See Attachment 
 
   
Description of Service: 
See Attachment 
 
 
 
 
 
 
 
Amount of Payment of Honorarium: 
$ 
 
 
Account Chargeable: 
                         Contracted Services________________ 
   
 
Account Number: 
_______                             _______________________ 
 
 
 
________________________ 
________________________ 
Division/Department Head 
Consultant 
 
 
________________________ 
________________________ 
Component Head 
President