ࡱ>  <bjbj 7ËË4T....4b..$& "q|SaaaFaaaa]Q,;a0.af#5f#af#a8a/lZK.f# :  SEQ CHAPTER \h \r 1KINGSBOROUGH COMMUNITY COLLEGE of The City University of New York PROMOTIONAL DATA FORM EXPLANATIONS AND INSTRUCTIONS I. Submission of Forms Both the application for academic advancement and the promotional data form must be completed by the candidate for advancement. A new application must be filed each year that a faculty member requests consideration for advancement. The data form must initially be completed in full; the form is arranged so that material may be added to it to bring it up to date for each subsequent request for advancement. It is therefore important that all information be typed and entered on the data form in chronological order within each category. II Verification of Information Verification must be supplied wherever specified on the data form. ONLY VERIFIED INFORMATION WILL BE CONSIDERED. All verification must be submitted to the file by the deadline date for application. a) Verification of completed degrees and course work must be in the form of official transcripts. Progress on advanced degrees consisting of work other than courses must be verified either through transcripts or official letter from the Registrar, Department Chairperson, or dissertation sponsor. Please note that for degrees in progress, a completed listing of the requirements for the degree as they apply to you must be included. Verification of these requirements may consist of the official bulletin of the institution or other official publication and written statements by the Department Chairperson or the dissertation sponsor. b) The best verification of publication is the publication itself. Copies of a printed book or a journal or off-prints of an article are equally acceptable. Should copies of a book or journal be scarce, a copy may be lent to the file for the period of promotional consideration. Photocopies of articles are acceptable. Such a copy should also include the table of contents page of the journal. c) Published reviews are important in determining the value and stature of a book. No review should be listed on the data form unless a copy of it has been included in the file. d) Acceptance of books, articles, stories, poems, etc., are also worthy of inclusion in the data form, but are not to be considered as equivalent to material already published. Verification of acceptances must consist of copies of correspondence from the publisher or publication indicating unequivocal acceptance. III Professional Activities a) Contributions to scholarly or professional meetings and conventions must be verified by submission of the official printed program indicating the nature of the contribution (paper, panel discussion, symposium, etc.) b) Listing of membership on departmental, college or university committees should include the name of the chairperson of the committee; this individual may be consulted by the personnel and advancement committees for evaluation of your service to the committee. Any unusual problem or matter requiring further explanation should be referred directly to the Office of the Dean of Faculty well in advance of the deadline date. revised 5/07 KINGSBOROUGH COMMUNITY COLLEGE of The City University of New York APPLICATION FOR ACADEMIC ADVANCEMENT NOTE TO THE APPLICANT: A separate application must be filed for each promotional consideration. Pursuant to your application, your record as a teacher at 911 Community College - including classroom teaching, committee work, work with students, and other pertinent activities - will be examined and evaluated by the appropriate departmental and college committees dealing with personnel and advancement. Outside educational and professional involvements which you list on the data form will also be considered. In addition, graduate work, publications, research, and other forms of professional development are significant in determining your readiness for advancement. Accordingly, all such activities must be listed on the data form and all corroborative material and verifications on the data form must be included in your personnel file. Any material not listed on the data form or not included in the file by the stated deadline will not be considered by the personnel and advancement committees. Furthermore, the absence of verification of any degree or activity which establishes your eligibility for advancement will bar consideration of your application during this academic year. Finally, the College may enlist outside assessment of any material you present in the interest of your advancement. * * * I hereby request that I be considered for advancement to the rank of ___________________________________________ effective September 20_________________. ______________________________________________ _____________________________________________ Name (Please print) Department ______________________________________________ _____________________________________________ Signature Present Rank ______________________________________________ _____________________________________________ Date Years in present rank as of August 31 next revised 5/07 PROMOTIONAL DATA FORM 1. List all degrees, publications, and activities chronologically. All subsequent applications for advancement will be based on this form and material added to it. NAME __________________________________________ SOCIAL SECURITY NO.____________________________ ADDRESS _______________________________________ TELEPHONE ____________________________________ TOWN, STATE,ZIP CODE ___________________________________________________________________________ INITIAL APPOINTMENT AT KCC: ________________ 20______ RANK AT INITIAL APPOINTMENT ________________ RANK: (Insert dates.) Lecturer: Sept. 20__: Instructor: Sept. 20__: Asst. Prof.: Sept. 20__: Assoc. Prof.: Sept. 20__. HEO Series: Asst to HEO: _____ 20___: HEO Asst: ______ 20___: HEO Assoc.: ____ 20___. CLT: ____ 20___: Senior CLT ____ 20___. OTHER: (List titles and dates.) __________________________________________________________________ ____________________________________________________________________________________ TENURE Sept. 20_____ CCE Sept. 20____ EDUCATION: (List chronologically all undergraduate and graduate degrees COMPLETED.) DEGREE (LIST EXACT TITLE)SUBJECT OR AREAINSTITUTIONDATETYPE OF VERIFICATION SUPPLIED TITLE OF MASTERS THESIS: ________________________________________________________________________ TITLE OF DOCTORAL DISSERTATION: ________________________________________________________________ TEACHING AND EMPLOYMENT OUTSIDE KCC: (List Chronologically.) INSTITUTIONRANK F/T - P/TINCLUSIVE DATES (Mo./yr.)VERIFICATION SUPPLIED OTHER EMPLOYMENT: (List only activities related to present position or subject.) EMPLOYERPOSITION OR TITLEINCLUSIVE DATESVERIFICATION SUPPLIED PROMOTIONAL DATA FORM (Continued) Name ________________________ Date___________ 2. EDUCATION IN PROGRESS: (Fill out a separate page 2 for each degree in progress.) DEGREE ________________________ SUBJECT OR AREA _______________________ INSTITUTION _______________ REQUIREMENTS FOR THE DEGREE: (Below indicate all requirements for the degree, as specified. The catalogue or publication dealing with the degree requirements must be submitted, as well as copies of any pertinent correspondence with the institution on your requirements and/or status.)  VERIFICATION SUPPLIED TOTAL COURSE CREDITS REQUIRED: ________________ ______________________ TOTAL NUMBER OF CREDITS TRANSFERRED TO PRESENT PROGRAM CREDITS FORM (Name of Institution) ________________________________ ________ ______________________ FORM (Name of Institution) ________________________________ ________ ______________________ NUMBER OF CREDITS PASSED: (Do not enter unless transcript has been supplied) VERIFICATION VERIFICATION AS OF _____20____: ____CR. _____________________ AS OF ____ 20____: ____CR. ______________________ AS OF _____20____: ____CR. _____________________ AS OF ____ 20____: ____CR. ______________________ AS OF _____20____: ____CR. _____________________ AS OF ____ 20____: ____CR. ______________________ AS OF _____20____: ____CR. _____________________ AS OF ____ 20____: ____CR ______________________ ALL COURSE WORK COMPLETED: DATE_________________________ ______________________  LANGUAGE EXAMS REQUIRED______ NOT REQUIRED______ VERIFICATION SUPPLIED 1) ________________________________________ PASSED: ____ 20___ ______________________ 2) ________________________________________ PASSED: ____ 20___ ______________________ 3) ________________________________________ PASSED: ____ 20___ ______________________ 4) ________________________________________ PASSED: ____ 20___ ______________________ QUALIFIED EXAM (FOR ENTRANCE INTO PROGRAM) REQ. ____ NOT REQ.____ PASSED: DATE ____________ ______________________ COMPREHENSIVE OR CANDIDACY EXAMS PASSED: DATE:___________ ______________________ DISSERTATION OF THESIS: NAME AND TITLE OF PRINCIPLE SPONSOR _______________________________ TITLE ACCEPTED: TITLE ____________________________________________ _______________________________________________ DATE ACCEPTED ______ OUTLINE OR PROSPECTUS ACCEPTED; DATE________________ CHAPTERS ACCEPTED: CHAPTER ________ NO. OF PAGES ______ DATE ACCEPTED _________ ______________________ CHAPTER ________ NO. OF PAGES ______ DATE ACCEPTED _________ ______________________ CHAPTER ________ NO. OF PAGES ______ DATE ACCEPTED _________ ______________________ CHAPTER ________ NO. OF PAGES ______ DATE ACCEPTED _________ ______________________ CHAPTER ________ NO. OF PAGES ______ DATE ACCEPTED _________ ______________________ SCHEDULED DATE OF DEFENSE ________________________ revised 5/07 PROMOTIONAL DATA FORM (Continued) Name __________________________ Date __________ 3. PUBLICATIONS: (List chronologically within each category.) BOOKS: CO-AUTHORSHIP (with___) TITLEPLACE, PUBLISHER, DATE VERIFICATION 1)2)3)4)5)6)7)8) REVIEWS: Reviews may not be listed unless included in the file. Personnel and advancement committees may also add published reviews to the file prior to the deadline for submission of material.) REVIEW OF: Number of book entry above) AUTHORPUBLICATIONDATE ADDITIONAL DATA FORM (Continued) Name ____________________________ Date _____________ 4. CONTRIBUTIONS TO BOOKS OR JOURNALS: (List under TYPE--article, review, short story, poem, etc.) TYPECO-AUTHORSHIP (WITH_____)TITLEPUBLICATION DATE (Include name of book ed. & pub)VERIFICATION SUPPLIED ACCEPTANCES: (Under DATE indicate anticipated date of publication) BOOKS: CO-AUTHORSHIP (with____) TITLE PLACE, PUBLISHER, DATE VERIFICATION SUPPLIED ACCEPTANCES OF CONTRIBUTIONS TO BOOKS OR JOURNALS:(List under TYPE--article, review, short story, poem,etc.) TYPECO-AUTHORSHIP (With ______)TITLEPUBLICATION DATE (Include name of book ed. & pub.)VERIFICATION SUPPLIED ADDITIONAL DATA FORM (Continued) Name ____________________________ Date _____________ 5. PAPERS READ AND PRESENTATIONS MADE AT CONVENTIONS AND MEETINGS OF LEARNED AND PROFESSIONAL SOCIETIES OR ORGANIZATIONS. (PROGRAMS MUST BE SUBMITTED) SCHOLARLY PAPERS AND PRESENTATIONS TITLE OF PAPERORGANIZATION - SECTIONTYPE OF MEETINGDATEVERIFICATION SUPPLIED OTHERS  DEPARTMENTAL ACTIVITIES: MEMBERSHIP ON DEPARTMENTAL COMMITTEES (List chronologically.) ACADEMIC YEARNAME OF COMMITTEENAME OF CHAIRPERSON OF COMMITTEEVERIFICATION  DEPARTMENTAL PROJECTS AND ACCOMPLISHMENTS ACADEMIC YEARACTIVITYVERIFICATION ADDITIONAL DATA FORM (Continued) Name ____________________________ Date _____________ 6. COLLEGE-WIDE ACTIVITIES (List chronologically.) ACADEMIC YEARCOUNCIL AND COMMITTEE MEMBERSHIPNAME OF CHAIRPERSONVERIFICATION  COLLEGE-WIDE PROJECTS AND ACCOMPLISHMENTS: ACADEMIC YEARACTIVITYVERIFICATION UNIVERSITY-WIDE ACTIVITIES (List chronologically.) ACADEMIC YEARACTIVITYVERIFICATION ADDITIONAL DATA FORM (Continued) Name ____________________________ Date _____________ 7. ACADEMIC AND PROFESSIONAL HONORS (including prizes, awards, grants, scholarships, fellowships, consultancies, honorary titles and degrees, prestigious invitations and elections. List chronologically.) 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