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: TO: WESTERN CAMPUS COMMITTEE ON ACADEMIC RANK
APPLICATION FOR ADVANCEMENT IN RANK FROM
ASSISTANT PROFESSOR TO ASSOCIATE PROFESSOR
Name
Major Teaching Area
Date Initially Employed Full-Time
Date of Receipt of Rank of Assistant Professor
I certify the information contained in this application is true and accurate, to the best of my knowledge.
SignatureDateCopy to Assistant Dean (Counseling, Library)and/orCopy to Associate Dean
Promotion in Rank
APPLICATION: ASSISTANT PROFESSOR TO ASSOCIATE PROFESSOR
*Educational Criteria: (Check as appropriate)
Earned DoctorateInstitutionDate AwardedMajor Area of StudyMasters DegreeInstitutionDate AwardedMajor Area of StudyBachelors DegreeInstitutionDate AwardedMajor Area of Studyand*Legal or Professional LicenseAwarding AgencyDate ReceivedName of LicensePlus Thirty Additional Semester Hours*Areas of StudyInstitution(s)Date(s)Hours*Attach copies of transcripts and/or license to support the above. Teaching or Professional Experience
DatesPosition(s)tototoOther Related Work ExperienceDatesDescriptiontototo
COMMITTEE RECOMMENDATION
Applicant
is hereby
Recommended/Not RecommendedRecommended/Not Recommendedfor promotion in academic rank from
ASSISTANT PROFESSOR TO ASSOCIATE PROFESSOR
Rationale and Summary Statement:CommitteeChairpersonDate
Members:
ASSOCIATE DEANS RECOMMENDATION
Applicantis herebyRecommended/Not Recommendedfor promotion in academic rank from
ASSISTANT PROFESSOR TO ASSOCIATE PROFESSOR
Rationale and Summary Statement: Associate DeanDate
DEANS RECOMMENDATION
Applicantis herebyRecommended/Not Recommendedfor promotion in academic rank from
ASSISTANT PROFESSOR TO ASSOCIATE PROFESSOR
Rationale and Summary Statement: DeanDate
Attachments
Faculty Supportive Statements
Student Supportive Statements and Evaluations
Assistant Dean and/or Associate Deans Recommendation
Deans Recommendation
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