Langston University

Application for Promotion and Tenure Form

Submitted by

School of: ______

______

Dean

To

The Langston University Tenure and Promotion Committee

Date: ______

Re: ______

Name of Candidate: ______

Department: ______

Current Rank: ______

Rank Applied For: ______

Applying of Tenure Yes______No______(check one)

Note: The information requested on this form represents the type and nature of evidence required for tenure and/or promotion, but in no way prevents the candidate from submitting additional information that is pertinent to the process. Additional space may be used as needed to complete this form. The applicant is strongly advised to consult the Faculty Handbook to become familiar with examples of tenable pieces of evidence for tenure and/or promotion.

(1) Has Candidate been reviewed for this promotion before? Yes ____ No ______

(2) List names of departmental level committee members recommending candidate be approved or denied tenure and/or promotion:

______

______

(3) List Chairperson’s vote on candidate: ____For; ____Opposed; ____Abstaining

(4) Chairperson’s Recommendation (Chairperson Sign appropriate line)

Recommend ______Date ______

Do Not Recommend ______Date ______

(5) Summary Information Concerning Candidate

Name: ______Date: ______

Department: ______Date ______

Graduate Faculty Membership ______

Full ______

None ______

Tenured ______No; ______Yes Date of Award ______

I. Academic Credentials

Education:

INSTITUTION AND LOCATION / DEGREE / YEAR(s) / FIELD OF STUDY

Continuing Education:

Title / Sponsoring Organization / Date

II. Honors/Awards

Organization / Awards/Honors/Scholarships / Date

III. Length of Service

A.  Academic Appointments at Langston University:

Department / Academic Rank / Date

B.  Academic Appointments at Other Institutions:

Institution Academic Rank Date

______

______

______

______

C.  Other Employment Related to Candidates Professional Activity:

Employer / Location / Position / Date

IV. Teaching:

A.  Teaching Responsibilities Category:

A list of courses taught (with enrollments) each semester since the last promotion. Use additional space if necessary).

No. / Course Number & Title / Enrollment / Total Enrollment / Credit Hours / Total Credit Hours / Level of course / Teaching
Load

B.  Special Courses Taught (Honors, Seminars, Intersession, Special Problems Directed:

No. / Course Number & Title / Enrollment / Total Enrollment / Credit Hours / Total Credit Hours / Level of course / Teaching
Load

C.  Extent of Involvement in Innovative Curricular Development, Experimentation in Teaching Methods, and Other Meaningful Efforts to Improve Instructional Programs:

______

______

______

______

D.  Evaluation of Teaching Effectiveness (Please attach official Langston University summaries of Student Evaluation of Faculty Teaching Effectiveness, and peer evaluation of teaching for the last three (3) years)

______

______

______

E.  Thesis Directed (Include Title, Author, and Date for Each):

______

______

______

F.  Service on Graduate Examining Committee/ McCabe Honors Thesis Committee (list titles and students):

______

______

______

______

G.  Supervision of Clinical activities, Recitals, or Ensembles (list titles and students)

______

______

______

V. Research and Other Creative Activities

A.  Memberships in Professional, Honorary, and Learned Societies:

Organization Dates Offices Held Dates

______

______

______

B.  Research Activities (List titles of projects and status)

______

______

______

C.  Proposals Submitted to Outside Agencies for Funding

Agency / Project / Date / Amount / Action (Approved/Rejected)

D.  Research Grants Awarded by Langston University: (List project date, amount awarded):

Project / Date / Amount Awarded / Accepted/Rejected

E.  Publications (Please cite only those produced within the last six (6) years. Attach copies.

i) Refereed Articles:

______

______

______

______

ii) Non-Referee Articles:

______

______

______

______

______

iii) Articles submitted but not yet published (cite completely including date):

______

______

______

______

______

iv) Manuscripts in Preparation (List title, expected completion date):

______

______

______

______

______

v) Books Published (cite completely):

______

______

______

vi) Chapters in Books (cite completely):

______

______

______

______

vii) Government and Technical Reports

______

______

______

viii) Presentations at Professional Meetings

______

______

______

ix) Presentations at Public Meetings and in/on Mass Media

______

______

______

x). Attendance at meetings of Associations, Learned Societies, etc.

______

______

______

______

xi). Creative Activities Other than Publications and Presentations:

______

______

______

VI. Service

A.  Departmental Service (Include supporting statement from Chairperson)

______

______

______

______

B.  University Service (Indicate role (e.g., chair) and include statements from Committee chairpersons)

______

______

______

______

C.  Administrative assignments by semester (e.g., coordinator of introductory level courses, laboratories, etc.)

______

______

______

______

D.  Student Service (e.g., Sponsorship of student club, mentoring etc.)

______

______

______

______

E.  Involvement in consulting activities (List agency, dates, level of remuneration, etc.):

______

______

______

______

______

______

______

______

VII: Miscellaneous Activities

Please list activities and accomplishments deemed meritorious but not covered in other sections (e.g., consulting).

______

______

______

______

______

______

1