Section II. Appendix A.
Download this form in PDF Format.
Appointment to membership on the graduate faculty is in accordance with the "Policies and Procedures for Graduate Faculty Membership" (Section II, Item 1) .
Submit one (1) completed copy of this form, with a copy of a current vita of the candidate, to the Dean of the Graduate School. The vita must show compliance with all of the department's graduate faculty membership criteria. A copy of the fully signed form will be returned to the department and college offices.
Proposed Member: __________________________________________________________
Soc. Sec. No.: ______________________________ Academic Rank: ___________________
Department: ________________________________________________________________
Check One: ____ tenured or tenure-track ___ temporary ____ other(e.g., adjunct)
Present Graduate Faculty Membership:
____ none ____ provisional ____ full ____ senior
Proposed Graduate Faculty Membership:
____ provisional ____ full ____ senior
By his/her signatures, the department chair and committee representative attest that the voting members of the departmental committee evaluating this graduate faculty candidate's credentials were non-provisional graduate faculty members, a majority of whom were senior members of the graduate faculty, and that the department chair was not a voting member.
Department Chair: ____ Appointment recommended ____ not recommended
_______________________________________ ____________________ ________________
Signature, Department Chair Telephone No. Date
Department Committee: ____ Appointment recommended ____ not recommended
_______________________________________ ____________________ ________________
Signature, for the Dept. Committee Telephone No. Date
College Dean: ____ Appointment recommended ____ not recommended
_______________________________________ ____________________ ________________
Signature, Dean of the College Telephone No. Date
Graduate School Dean: ____ Appointment approved ____ not approved
(If provisional membership, approval is through _________________________)
_______________________________________ _______________
Signature, Dean of Graduate School Date
Form approved by the Dean of the Graduate School, April 1, 1994; modified July 30, 1999
Please e-mail comments and suggestions to
webmaster@niu.edu
Last Updated: 7/30/99