FLORIDA COMMUNITY COLLEGE AT JACKSONVILLE



FLORIDA STATE COLLEGE AT JACKSONVILLE

FACULTY RECOMMENDATION (FULL-TIME)

It is recommended that:       SS#: XXX-XX-     

be appointed to Full-Time Faculty Position of:       Position Number      

from Position Title (if applicable):       Position Number      

Position is Regular Temporary

Ending Date:      

Campus/Room#:       Phone/Extension:      

STATUS

Appointment Transfer Re-employment Administrative Transfer Reorganization

EMERGENCY CONTACT

Name:       Address (include City, State and Zip):      

Relationship:       Telephone (day):       Telephone (evening):      

ADMINISTRATIVE RECOMMENDATION/APPROVAL

Dean, Associate Dean (Print Name/Signature): __________________________________________________ Date: _____________

Program Manager or IPM (Print Name/Signature): _______________________________________________ Date: _____________

Campus President or MPSS Division Vice President: _____________________________________________ Date: _____________

Approved for Processing:

Employment Section: Date: ________________

Records Section: Date: ________________

__________________________________________________________________________________________________________

ATTACHMENTS

Application Total Compensation Form Workload Document Calendar of Work Days

Official transcript(s) from all degree granting institutions; Proof of high school completion for non-degreed applicants

Work Experience Verification, if applicable Copy of State Occupational License or Industry Certification/License, if applicable

All other required employment paperwork will be completed in Human Resources within three (3) days of the faculty members beginning date.

FLORIDA STATE COLLEGE AT JACKSONVILLE

FACULTY RECOMMENDATION (FULL-TIME)

Name of Person Recommended      

Position       Total Number of Applicants      

|Interviewed Applicants (Name in Alpha Order) | |JUSTIFICATION FOR RECOMMENDATION |

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______________________________ Signature

|Finalist Applicants in Alphabetical Order |

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Interviewed by (Name and Title):       Date:      

Comments      

Interviewed by (Name and Title):       Date:      

Comments      

Remarks of Current or Most Recent Employer:      

Person Contacted:       Date:      

Name of Person Recommended      

FACULTY CREDENTIALING INFORMATION

In addition to the completion of this Faculty Credentialing information the following must also be included, if applicable:

• Official transcript(s) from all degree granting institutions bearing the seal of the institution, the signature of the registrar, and descriptive course titles. Proof of high school completion for non-degreed applicants;

• For International institutions, a copy of the Foreign Evaluation Verification Letter from an approved NACES agency;

• For occupational credentialing, a copy of the non-expired State Occupational License or Industry Certification/License;

• For occupational and adult education credentialing, verification of work experience submitted on the employer’s business stationery, including specific beginning and ending dates and job titles held during the last 3-5 years;

|FSCJ Course(s) |Qualifying Coursework |

|Qualified to Teach| |

| |Course # |Title |University/College |Verified Accredited |Undergrad Hours|Grad |

| | | | | | |Hours |

|      |      |      |      | |      |      |

|      |      |      |      | |      |      |

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TOTAL            

Academic Record

|University/College |Location |Date of |Degree |Major |

| |City, State |Graduation | | |

|      |      |      |      |      |

|      |      |      |      |      |

|      |      |      |      |      |

State Occupational License or Industry Certification/License

|Agency Name |Type of Certificate/License |License Number |Issue/Expiration |Status |Name on |

| | | |Date |Active/Expired/Revoked |Certificate/License |

|      |      |      |      | |      |

|      |      |      |      | |      |

Verification of Work Experience

|Job Title |Dates of Employment |Employer |

|      |      |      |

|      |      |      |

|      |      |      |

Evaluation completed by (Print Name):       Title      

____________________________________________ Date _____________________________________________

Signature

Approval Signatures ______________________________________________ Title ___Instructional Dean_______________

______________________________________________ Title ___Campus President________________

LOQ/LOV Attached - Based on the information presented       is qualified to teach the specified course(s) based on demonstrated competencies, life experiences, public recognition, honors, awards and/or achievements.

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Human Resources Department Only

Level:______ Salary:____________ SVA:___________

___________Compensation __________Records Area

DSC: _________________ BSC: __________________

Beginning Date: ________________________________

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