Brown University
Pre-Select Appointments can be made to fill the unexpected departure of faculty, an urgent clinical need, or to develop a new program. Please complete this form and send it to Liz Boynton in BMFA at Elizabeth_Boynton@Brown.edu
Once the pre-select appointment has been approved by the Dean and Brown University, the following will be required to process the appointment:
• FPA Form
• Hospital Support Letter (if applicable)
• Last Page of Compliance Report
• Job Description
• Resignation Letter (if applicable)
• CV
• Teaching Evaluations (if available)
• Letters of Reference (3)
|Name of Candidate: |Department: |
|Type of Appointment Requested: |Check box |Track Requested: |Check box |
|Assistant Professor | |Teaching Scholar | |
|Associate Professor | |Research Scholar | |
|Professor | |(Research) | |
|Please describe the purpose of the pre-select appointment. Please attach CV. |
| |
|Please answer the following questions to justify your request for this pre-select appointment: |
|If you were to do a search to fill this position how would you describe the required qualifications? |
| |
|What unique expertise/qualifications does this candidate possess that makes him/her more desirable for this position than any other candidate that would emerge |
|in a pool of candidates responding to a national search? |
| |
|How will this individual contribute specifically to the academic mission and programs across the department, medical school and university? |
| |
|How does the recruitment of this individual further our goal for a more diverse BioMed faculty? |
| |
|What is the specific reason that you have opted to request a pre-select appointment vs. including this individual as a candidate in an approved search? |
| |
|(Department Chair) I approve this pre-select request: |Yes | |No | |
|Department Chair Comments: |
Department Chair Signature
|(Associate Dean) I approve this pre-select request: |Yes | |No | |
|Associate Dean Comments: |
Associate Dean Signature
|(Dean of Medicine & Biological Sciences) I approve this pre-select request: |Yes | |No | |
|Dean Comments: |
Dean of Medicine and Biological Sciences Signature
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