University of Illinois College of Medicine



TENURE SYSTEM (RT AND CT TRACK)PROMOTION FORMS-- sample version appropriate for mid-probationary review preparation – *CANDIDATE’S PERSONNEL/APPOINTMENT INFO. MUST BE ENTERED AS LISTED IN BANNER/HR FRONT END*Candidate: Last Name, First Name & Middle (if applicable)UIN #: UIN #College: Select College for Primary AppointmentRegional Site: Select Regional SiteDepartment: Unit Name%FTE: %FTE%Joint Appointment College: Select Joint College (if applicable)Regional Site: Select Regional SiteSelect Joint Unit Type: Joint Unit Name%FTE: %FTE%Courtesy Appt. (0%FTE/UNPAID): Select Courtesy Appt. CollegeSelect Courtesy Unit Type: Courtesy Unit Name(s)Present Personnel Appointment:Tenure Code Legend:1-6 = Tenure Track YearQ = Q-ContractRank: Select RankJoint Rank: Select Joint RankTenure Code: Select CodeJoint Tenure Code: Select Joint CodeCourtesy Rank (0%FTE-Unpaid) (if applicable): Select Courtesy RankProposed Personnel Action:Rank: Select RankJoint Rank: Select Joint RankTenure Code: Select CodeJoint Tenure Code: Select Joint CodeTable of Contents for Materials Contained in the Dossiercover sheet1 TOC \o "1-3" \h \z \u ACADEMIC AND EMPLOYMENT INFORMATION PAGEREF _Toc445135538 \h 31.Nature of Present Appointment PAGEREF _Toc445135539 \h 32.Education PAGEREF _Toc445135540 \h 33.Post-Doctoral Information PAGEREF _Toc445135541 \h 34.Licensing and/or Certifications PAGEREF _Toc445135542 \h 35.Academic & Professional Positions Since Terminal Degree and Post-Doctoral Training PAGEREF _Toc445135543 \h 4STATEMENT OF COLLEGE/UNIT NORMS, EXPECTATIONS, AND STANDARDS OF EXCELLENCE PAGEREF _Toc445135544 \h 5STATEMENT OF UNIT NORMS, EXPECTATIONS, AND STANDARDS OF EXCELLENCE PAGEREF _Toc445135545 \h 6I.TEACHING ABILITY AND PERFORMANCE PAGEREF _Toc445135546 \h 7A.ACTIVITIES PAGEREF _Toc445135547 \h 71. Annual Report of Faculty Teaching Effort PAGEREF _Toc445135548 \h 72.Graduate Students PAGEREF _Toc445135549 \h 82.a.Graduate Student Advising and Supervision PAGEREF _Toc445135550 \h 82.b.Graduate Student Exam Committee PAGEREF _Toc445135551 \h 83.Undergraduate Advising and Supervision PAGEREF _Toc445135552 \h 84.Residents and Post-Doctoral Fellows Supervised PAGEREF _Toc445135553 \h 95.Direction of Research Associates, Visiting Scholars, and Technicians PAGEREF _Toc445135554 \h 96.Contributions to Instructional Techniques, Software and Teaching Materials PAGEREF _Toc445135555 \h 10B.EVALUATION OF TEACHING AND RELATED ACTIVITIES PAGEREF _Toc445135556 \h 111.Summary of Student Evaluations of Faculty Teaching* PAGEREF _Toc445135557 \h 112.Formal Recognition of Distinction in Teaching PAGEREF _Toc445135558 \h 123.Candidate's Statement on Teaching Goals, Approaches and Accomplishments PAGEREF _Toc445135559 \h 12II.RESEARCH/SCHOLARSHIP ABILITY AND ACHIEVEMENT PAGEREF _Toc445135560 \h 13A.HONORS AND AWARDS ETC SINCE RECEIVING TERMINAL DEGREE PAGEREF _Toc445135561 \h 13B.INVITED COLLOQUIA PAGEREF _Toc445135562 \h 13C.OTHER EVIDENCE OF RECOGNITION PAGEREF _Toc445135563 \h 13D.LICENSING/CERTIFICATION SINCE RECEIVING TERMINAL DEGREE PAGEREF _Toc445135564 \h 13E.SPONSORED RESEARCH ACTIVITIES PAGEREF _Toc445135565 \h 14F.PUBLICATIONS, PAPERS, AND OTHER SCIENTIFIC, CREATIVE OR SCHOLARLY WORKS PAGEREF _Toc445135566 \h 151.Publications or Other Creative Work Relevant to the Discipline – (Before ) PAGEREF _Toc445135567 \h 152.Publications or Other Creative Work Relevant to the Discipline – (Since) PAGEREF _Toc445135568 \h 163.Work Completed and Accepted for Publication PAGEREF _Toc445135569 \h 174.Work in Progress PAGEREF _Toc445135570 \h 185.Papers and Poster Sessions Presented at Professional Meetings PAGEREF _Toc445135571 \h 196.Other Scientific Contributions, Creative or Scholarly Works PAGEREF _Toc445135572 \h 19G.CANDIDATE'S STATEMENT OF CURRENT AND PLANNED RESEARCH, CREATIVE OR SCHOLARLY WORK PAGEREF _Toc445135573 \h 20III.SERVICE PAGEREF _Toc445135574 \h 21A.ADMINISTRATIVE RESPONSIBILITIES PAGEREF _Toc445135575 \h 21B.SERVICE TO THE DEPARTMENT/COLLEGE PAGEREF _Toc445135576 \h 21C.SERVICE TO THE UNIVERSITY PAGEREF _Toc445135577 \h 21D.SERVICE RELATED TO PATIENT CARE PAGEREF _Toc445135578 \h 21E.SERVICE RELATED TO STUDENTS PAGEREF _Toc445135579 \h 21F.SERVICE TO THE PROFESSION/DISCIPLINE PAGEREF _Toc445135580 \h 21G.PUBLIC SERVICE PAGEREF _Toc445135581 \h 21H.CANDIDATE'S STATEMENT OF CURRENT AND PLANNED SERVICE ACTIVITIES PAGEREF _Toc445135582 \h 22IV.CANDIDATE'S STATEMENT OF INTERDISCIPLINARY WORK - OPTIONAL PAGEREF _Toc445135583 \h 23ACADEMIC AND EMPLOYMENT INFORMATION1.Nature of Present Appointmenta.Percentage of time (total UIC employment):100% FORMCHECKBOX Other FORMCHECKBOX FORMTEXT ????? %b.Optional - Official distribution of effort:Teaching (include clinical): FORMTEXT ?????%Research: FORMTEXT ?????%Student/Resident Services: FORMTEXT ?????%Patient Care: FORMTEXT ?????%Public Service: FORMTEXT ?????%Administration: FORMTEXT ?????%Other: FORMTEXT ?????%(specify) FORMTEXT ?????2.Educationa.Highest degree: FORMTEXT ?????b.Year awarded: FORMTEXT ?????c.Institution: FORMTEXT ?????d.Department: FORMTEXT ?????e.Dissertation/thesis title: FORMTEXT ?????f.Thesis Advisor Name: FORMTEXT ?????3.Post-Doctoral Information(Clinicians should include residency/fellow training.)a.List Post-Doctoral appointments: FORMTEXT ?????b.Name of Post-doctoral Advisor: FORMTEXT ?????4.Licensing and/or CertificationsProvide a list of all professional licensing and/or certifications with dates.(If pending, give expected date of completion.)1) FORMTEXT ?????2) FORMTEXT ?????3) FORMTEXT ?????4) FORMTEXT ?????5) FORMTEXT ?????5.Academic & Professional Positions Since Terminal Degree and Post-Doctoral TrainingList in chronological order academic, professional, and other relevant positions held SINCE the terminal degree and Post-doctoral training, with inclusive dates, rank or title, and name of institution. Include information for appointment at UIC and account for gaps in academic career, if pertinent. If necessary, attach extra page(s), numbered as 5a, 5b, 5c and so on.#DatesRank/TitleInstitution/Organization1 FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????2 FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????3 FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????4 FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????5 FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????6 FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????7 FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????8 FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????9 FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????10 FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????11 FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????12 FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????13 FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????14 FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????15 FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????STATEMENT OF COLLEGE/UNIT NORMS, EXPECTATIONS, AND STANDARDS OF EXCELLENCECOLLEGE NORMS(NOTE: please insert the information for the appropriate rank/track from the College of Medicine Norms Statement []) FORMTEXT ?????STATEMENT OF UNIT NORMS, EXPECTATIONS, AND STANDARDS OF EXCELLENCEPlease insert the information for the appropriate rank/track from the department’s norms statement.If the unit does not have department-specific norms, indicate that the department follows the College of Medicine Norms. FORMTEXT ?????I.TEACHING ABILITY AND PERFORMANCEA.ACTIVITIES1. Annual Report of Faculty Teaching EffortName: FORMTEXT ?????Department: FORMTEXT ?????Date report prepared: FORMTEXT ?????Probationary year of candidate: FORMTEXT ?????(if applicable)DESCRIPTION OF TEACHING ACTIVITIES(Provide additional detail in the sections cited in parentheses.)ScheduledContactHours perYearPreparationHours perYearTotal Hoursper Year1.0Course and program planning, organization and coordination1.1Classroom/Laboratory course FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????1.2Clinical clerkship FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????1.3Residency or fellowship FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????1.4Continuing medical education FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????2.0Lectures and seminars2.1Course leading to profession or graduate degree FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????2.2Course for residents or fellows FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????2.3Continuing medical education FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????2.4Course leading to undergraduate degree FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????2.5Course leading to technical certificate FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????3.0Laboratory or other scheduled small group teaching3.1Planner, coordinator, supervisor of the session FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????3.2Supportive role in laboratory or small group session FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????4.0Clinical teaching/attending4.1Undergraduate clinical teaching FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????4.2Resident teaching rounds FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????4.3Combined resident/medical student rounds FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????4.4Ad hoc clinical teaching FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????5.0Research training/independent study5.1Medical student FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????5.2Masters degree candidates FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????5.3Ph.D. candidate FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????5.4Resident FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????5.5Postdoctoral fellow FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????6.0Counseling/guidance6.1Medical or graduate student FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????6.2Resident or fellow FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????7.0Educational committee work7.1Local education committee FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????7.2College/campus education committee FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????7.3Education committee for national organization FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????8.0Curriculum development FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????9.0Other (describe on a continuation page) FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????TOTALS FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Please note: Hours attributed to teaching should be reported separately from clinical and research time and correspond to the% effort engaged in teaching.2.Graduate Students2.a.Graduate Student Advising and Supervision FORMCHECKBOX Check here if none and explain#Name of StudentBeginning and Completion DatesDegree; Thesis Title; Role(director or committee member)1234567891011121314152.b.Graduate Student Exam Committee FORMCHECKBOX Check here if none#Academic Year# of Committees123453.Undergraduate Advising and SupervisionIncluding that related to medical students and to the Honors College. (List service and activities related to student organizations in Section 3, E.). FORMCHECKBOX Check here if none#Name of StudentSemester and YearNature of Advising/Supervision (e.g – independent study, Honors College Capstone, Honors College Fellow work)123456789104.Residents and Post-Doctoral Fellows Supervised FORMCHECKBOX Check here if none#NameBeginning and Ending DatesNature Supervision123456789105.Direction of Research Associates, Visiting Scholars, and Technicians FORMCHECKBOX Check here if none#Name of Research AssociatesBeginning and Ending DatesNature Supervision12345678910 FORMCHECKBOX Check here if none#Name of Visiting ScholarsBeginning and Ending DatesNature Supervision12345678910 FORMCHECKBOX Check here if none#Name of TechniciansBeginning and Ending DatesNature Supervision123456789106.Contributions to Instructional Techniques, Software and Teaching MaterialsInclude the creation and implementation of new courses.The candidate should describe any special instructional techniques and new teaching materials he or she has developed. Indicate other unique contributions to instruction. The importance of innovation in instructional materials, as might be demonstrated by the creation of a new course, is recognized. Copies of instructional materials, prepared and used by the candidate, that are particularly innovative or that demonstrate the candidate’s excellence in teaching may be submitted for review (at the College level only) and should be described here. FORMCHECKBOX Check here if none FORMTEXT ?????B.EVALUATION OF TEACHING AND RELATED ACTIVITIESAt a minimum, information should be provided for courses taught in the past year.1.Summary of Student Evaluations of Faculty Teaching**It is inappropriate to ask current doctoral students or trainees supervised by the candidate to write a teaching evaluation for the candidate.Summarize below the results of student evaluations of the candidate’s overall teaching effectiveness for each teaching activity. Use forms from the Manual for Evaluating Teaching in the College of Medicine () for Student Evaluation of Classroom/Lab Teaching or Student Evaluation of Clinical Teaching as appropriate to gather the basic data. Additional documentation of student evaluations may be appended as summarized data. If narrative comments from student evaluations are included, all comments from all students in that course should be included.DEPARTMENTS MAY USE AN ALTERNATE FORM FOR SUMMARIZING STUDENT EVALUATIONS; HOWEVER, STUDENT EVALUATIONS MUST BE PRESENTED AS SUMMARIZED DATA.#Semester/TermCourseNumberCourse Title*Average Rating+ SD(n/N)1 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????2 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????3 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????4 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????5 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? 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FORMTEXT ?????19 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????20 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????21 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????22 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????23 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????24 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????25 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????26 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????27 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????28 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????29 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????30 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????*Average of students' ratings of the "Overall Teaching Effectiveness" (or equivalent) of the candidate, on a scale of 5 (Excellent) to 1 (Poor). SD = standard deviation; n = number of students who rated the candidate in that course; N = total number of students in that course.2.Formal Recognition of Distinction in TeachingPlease indicate nature of and criteria for recognition as well as the dates of awards. FORMCHECKBOX Check here if none FORMTEXT ?????3.Candidate's Statement on Teaching Goals, Approaches and AccomplishmentsThe candidate should explain his/her philosophy of education, describe the place of teaching in his/her career goals, assess his/her progress toward those goals, and describe his/her plan for future teaching activities.(Fit on one page; no smaller than 10 pt font. It can be included as a separate page numbered as the same page # as this page with “A” next to it and so on. (e.g. 1A, 1B, 1C), or typed below). FORMTEXT ?????II.RESEARCH/SCHOLARSHIP ABILITY AND ACHIEVEMENTA.HONORS AND AWARDS ETC SINCE RECEIVING TERMINAL DEGREE(List in chronological order) FORMCHECKBOX Check here if none FORMTEXT ?????B.INVITED COLLOQUIAIn chronological order, list invited colloquia since entering the tenure track. (post-doctoral data may not be included). Specify significance. (Do NOT list here presentations at professional meetings but place them under F5.) FORMCHECKBOX Check here if none FORMTEXT ?????C.OTHER EVIDENCE OF RECOGNITIONIn chronological order, list other evidence of recognition entering the tenure track. (post-doctoral data may not be included). FORMCHECKBOX Check here if none FORMTEXT ?????D.LICENSING/CERTIFICATION SINCE RECEIVING TERMINAL DEGREE FORMCHECKBOX Check here if none FORMTEXT ?????E.SPONSORED RESEARCH ACTIVITIESIn chronological order, list sponsored research activities since entering the tenure track. (post-doctoral data may not be included.) List all grant applications, even if unfunded. (Include here NIH/NSF/DoD grants, NEH Fellowships, Guggenheims, Great Cities Fellowships, CRB grants, Institute for the Humanities Fellowships, etc.) FORMCHECKBOX Check here if none#Date ofSubmissionRole of Candidate*AgencyTitle of ProposalAmount**RequestedAmount**FundedFunding Period1 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????2 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????3 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????4 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????5 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????6 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????7 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????8 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????9 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????10 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????11 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????12 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????13 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????14 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????15 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????16 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????17 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????18 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????19 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????20 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????21 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????22 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????23 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????24 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????25 FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????*List PI if other than candidate.**In multi-investigator projects, list both total amount and amount attributable to candidate, e.g., $123,000/$357,750. Indicate whether amount is total cost (TC), i.e. direct + indirect, or total direct cost (TDC). Funding and submissions are subject to verification by the Office of the Vice Chancellor for Research.F.PUBLICATIONS, PAPERS, AND OTHER SCIENTIFIC, CREATIVE OR SCHOLARLY WORKSUnderline senior author in all categories, and asterisk (*) refereed publications if listed in categories other than c. The senior author is defined as the major contributor to the publication. If there is a certain significance in the order of authors in multi-authored publications in the discipline, please provide a brief summary of the practice.1.Publications or Other Creative Work Relevant to the Discipline – (Before )Dated BEFORE Entering the Tenure Track a.Books and monographs FORMCHECKBOX Check here if none FORMTEXT ?????b.Edited volumes and translations FORMCHECKBOX Check here if none FORMTEXT ?????c.Articles in refereed journals(Do not abbreviate titles; give inclusive page numbers. If there is certain significance in the order of authors in multi-author publications in the discipline, please provide a brief summary of the practice). FORMCHECKBOX Check here if none FORMTEXT ?????d.Other articles, including bulletins and technical reports(Give inclusive page numbers.) FORMCHECKBOX Check here if none FORMTEXT ?????e.Chapters in books(Give inclusive page numbers.) FORMCHECKBOX Check here if none FORMTEXT ?????f.Book reviews(Give inclusive page numbers.) FORMCHECKBOX Check here if none FORMTEXT ?????g.Creative works(e.g., poetry, composition, exhibitions) FORMCHECKBOX Check here if none FORMTEXT ?????h.Patents FORMCHECKBOX Check here if none FORMTEXT ?????i.Other(e.g., notes and comments) FORMCHECKBOX Check here if none FORMTEXT ?????2.Publications or Other Creative Work Relevant to the Discipline – (Since)Dated SINCE entering the Tenure Track .a.Books and monographs FORMCHECKBOX Check here if none FORMTEXT ?????b.Edited volumes and translations FORMCHECKBOX Check here if none FORMTEXT ?????c.Articles in refereed journals(Do not abbreviate titles; give inclusive page numbers. If there is a certain significance in the order of authors in multi-author publications in the discipline, please provide a brief summary of the practice). FORMCHECKBOX Check here if none FORMTEXT ?????d.Other articles, including bulletins and technical reports(Give inclusive page numbers.) FORMCHECKBOX Check here if none FORMTEXT ?????e.Chapters in books(Give inclusive page numbers.) FORMCHECKBOX Check here if none FORMTEXT ?????f.Book reviews(Give inclusive page numbers.) FORMCHECKBOX Check here if none FORMTEXT ?????g.Creative works(e.g., poetry, composition, exhibitions) FORMCHECKBOX Check here if none FORMTEXT ?????h.Patents FORMCHECKBOX Check here if none FORMTEXT ?????i.Other(e.g., notes and comments) FORMCHECKBOX Check here if none FORMTEXT ?????3.Work Completed and Accepted for PublicationDo NOT include here provisionally accepted work or work submitted but not yet accepted. List, instead, under F.4.Underline senior author in all categories, and asterisk (*) refereed publications if listed in categories other than c. The senior author is defined as the major contributor to the publication. If there is certain significance in the order of authors in multi-author publications in the discipline, please provide a brief summary of the practice.a.Books and monographs FORMCHECKBOX Check here if none FORMTEXT ?????b.Edited volumes and translations FORMCHECKBOX Check here if none FORMTEXT ?????c.Articles in refereed journals (Do not abbreviate titles; give inclusive page numbers. If there is a certain significance in the order of authors in multi-author publications in the discipline, please provide a brief summary of the practice.) FORMCHECKBOX Check here if none FORMTEXT ?????d.Other articles, including bulletins and technical reports(Give length in pages.) FORMCHECKBOX Check here if none FORMTEXT ?????e.Chapters in books(Give length in pages.) FORMCHECKBOX Check here if none FORMTEXT ?????f.Book reviews(Give length in pages.) FORMCHECKBOX Check here if none FORMTEXT ?????g.Creative works(e.g., poetry, composition, exhibitions) FORMCHECKBOX Check here if none FORMTEXT ?????h.Patents FORMCHECKBOX Check here if none FORMTEXT ?????i.Other(e.g., notes and comments) FORMCHECKBOX Check here if none FORMTEXT ?????4.Work in ProgressAdd the designation “Submitted” to works presently under review but not yet accepted.Underline senior author in all categories, and asterisk (*) refereed publications if listed in categories other than c. The senior author is defined as the major contributor to the publication. If there is certain significance in the order of authors in multi-author publications in the discipline, please provide a brief summary of the practice.a.Books and monographs FORMCHECKBOX Check here if none FORMTEXT ?????b.Edited volumes and translations FORMCHECKBOX Check here if none FORMTEXT ?????c.Articles in refereed journals(Do not abbreviate titles; give inclusive page numbers. If there is a certain significance in the order of authors in multi-author publications in the discipline, please provide a brief summary of the practice). FORMCHECKBOX Check here if none FORMTEXT ?????d.Other articles, including bulletins and technical reports FORMCHECKBOX Check here if none FORMTEXT ?????e.Chapters in books FORMCHECKBOX Check here if none FORMTEXT ?????f.Book reviews FORMCHECKBOX Check here if none FORMTEXT ?????g.Creative works(e.g., poetry, composition, exhibitions) FORMCHECKBOX Check here if none FORMTEXT ?????h.Patents FORMCHECKBOX Check here if none FORMTEXT ?????i.Other(e.g., notes and comments) FORMCHECKBOX Check here if none FORMTEXT ?????5.Papers and Poster Sessions Presented at Professional MeetingsIn chronological order, list papers and poster sessions presented at professional meetings since entering the tenure track (post-doctoral data may not be included). (Clearly label poster sessions). FORMCHECKBOX Check here if none FORMTEXT ?????6.Other Scientific Contributions, Creative or Scholarly WorksIn chronological order list other scientific, creative or scholarly works since entering the tenure track. (post-doctoral data may not be included). FORMCHECKBOX Check here if none FORMTEXT ?????G.CANDIDATE'S STATEMENT OF CURRENT AND PLANNED RESEARCH, CREATIVE OR SCHOLARLY WORKNOTE: Recognize that reviewers later in the process are not disciplinary specialists.(Fit on one page; no smaller than 10 pt font. It can be included as a separate page numbered as the same page # as this page with “A” next to it and so on. (e.g. 1A, 1B, 1C), or typed below). FORMTEXT ?????III.SERVICEIn chronological order, list responsibilities and service since entering the tenure track. A.ADMINISTRATIVE RESPONSIBILITIES FORMCHECKBOX Check here if none. FORMTEXT ?????B.SERVICE TO THE DEPARTMENT/COLLEGE FORMCHECKBOX Check here if none. FORMTEXT ?????C.SERVICE TO THE UNIVERSITY FORMCHECKBOX Check here if none. FORMTEXT ?????D.SERVICE RELATED TO PATIENT CAREUse this section to describe contributions to university-related patient care services. Support letters from internal reviewers and colleagues who can evaluate the candidate's contributions to patient care and the health care team may be appended to this section. FORMCHECKBOX Check here if none. FORMTEXT ?????E.SERVICE RELATED TO STUDENTSUse this section to present activities related to student organizations, etc.; include student, academic, and research advising in SECTION I - TEACHING ABILITY AND PERFORMANCE) FORMCHECKBOX Check here if none. FORMTEXT ?????F.SERVICE TO THE PROFESSION/DISCIPLINEUse this section to describe non-university professional activities such as offices held in professional organizations, editorships, and other activities (i.e., grant review activity) from which the candidate gains national or international recognition. (See Part III, “Instructions,” Section 5.III. F.) FORMCHECKBOX Check here if none. FORMTEXT ?????G.PUBLIC SERVICE FORMCHECKBOX Check here if none. FORMTEXT ?????H.CANDIDATE'S STATEMENT OF CURRENT AND PLANNED SERVICE ACTIVITIESNOTE: The candidate should explain how these efforts fit into the department norms and policies. Clinicians should include current and planned patient care activities.(Fit on one page; no smaller than 10 pt font. It can be included as a separate page numbered as the same page # as this page with “A” next to it and so on. (e.g. 1A, 1B, 1C), or typed below). FORMTEXT ?????IV.CANDIDATE'S STATEMENT OF INTERDISCIPLINARY WORK - OPTIONALNOTE: The candidate should explain the nature of any interdisciplinary work.(Fit on one page; no smaller than 10 pt font. It can be included as a separate page numbered as the same page # as this page with “A” next to it and so on. (e.g. 1A, 1B, 1C), or typed below). FORMTEXT ????? ................
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