Insert Name of Candidate

University of South Florida

INSTRUCTOR CAREER PATHPROMOTION APPLICATION

Academic Year 2017-18 / Effective 2018-19

I. Candidate INFORMATION

NAME: / TITLE
(Dr., Mr., Ms.):
COLLEGE: / Arts & Sciences / MAIL POINT: / CPR 107
DEAN: / Eric M. Eisenberg, Ph.D. / MAIL POINT: / CPR 107
DEPARTMENT: / MAIL POINT:
CHAIR/DIRECTOR: / SCHOOL:
Initial Date of USF Employment / ______
Month/Year
I am seeking Promotion to Level II (Senior Instructor) / Years in Rank as Level I Instructor _____
I am seeking Promotion to Level III (Master Instructor) / Years in Rank as Level II Instructor ______

______

Candidate’s SignatureDate

______

Chair/Director SignatureDate

II. ASSIGNMENTS

Activity Type / % Effort Assigned
(5 yr. Avg.) / Primary, Secondary, or Tertiary Responsibility
TEACHING
ADVISING
RESEARCH
SERVICE
ADMIN.
OTHER
[Indicate]
  1. Education

InstitutionField of StudyDegreeDate

  1. Other Education(institutes, short courses, etc.)
  1. Honors, Awards, etc.

D. Employment

List current position first, including military service. All changes in position or title at a given institution should also be shown.

PlacePosition/TitleTime Period

IIi.assigned Duties of Candidate
To be completed and/or verified by Candidate.

Assigned duties normally consist of teaching, research/creative activity, and service. However, some candidates may have been assigned additional duties.

Notes:

Level II applicants: Include assigned duties during your promotion earning years at the University of South Florida.

Level III applicants: Please list assigned duties in the past fiveyears or since last promotion, whichever is the more recent.

If the assignments reflect extraordinary or unusual circumstances, the Department Chair or other appropriate administrative officer should append a brief explanatory narrative for benefit of the reviewers.

ExcelTable(must be filled out online (most recent years first), printed, and placed behind this page)

IV. Candidate Narrative

Describe the accomplishments that support your case for promotion. You may wish to connect theseaccomplishments to your assigned duties and percentage of effort for each (as indicated on page two of this application). Attach additional sheets if necessary paginated as 5a, 5b.

V. Courses Taught

In order to provide reviewers with an overview of teaching experience, list all courses (with

course numbers and titles) taught while at USF, but list each only one time.

Notes:

Level II applicants: Please list courses taught during your promotion earning years at the University of South Florida.

Level III applicants: Please list courses taught in the past fiveyears or since last promotion, whichever is the more recent.

VI.EVALUATIONS BY DEPARTMENT, COLLEGE, AND DEAN

Please attach copies of candidate’s annual evaluationsfor each promotion earning year for Level II applicants, and the last five years for Level III applicants. Both should be ordered with the most recent years first.

In comparison with faculty in similar positions with similar assignments, indicate the candidate's performance in the following chart (evaluations must include all assigned duties including service). Use the following legend to complete the evaluation table below. PROVIDE A DEFINITIVE EVALUATION (that is, do NOTindicate that a candidate is Strong/Outstanding or Satisfactory/Strong. State Outstanding or Satisfactory).

O
ST
SA / =
=
= / Outstanding
Strong
Satisfactory / W
UN
NA / =
=
= / Weak
Unacceptable
Not Applicable
Activity Type / Department
Faculty Committee / Department
Chair/Director / College
Committee / College Dean
Teaching
Advising
Research
Service
Administrative
Other

Guidelines for Evaluations:

  • Behind this page, each reviewing body should append a narrative to support the evaluation.
  • Each narrative should include a careful analysis of the evaluation with rationale and reasons

for positive and/or negative evaluation.

  • The narratives should be appended in the order of review (department faculty committee, department chair, college committee, college dean). Paginate pages.

Reviewers / Name / Signature / Date
Dept. Fac Cmte Chair
Dept.Chair/Director
College Cmte Chair
Dean or Designee / Elizabeth Bell, Assoc. Dean

RECOMMENDATIONS AND SUBMISSION FORM TO OFFICE OF THE PROVOST

ON THE CANDIDACY FOR PROMOTION

Academic Year 2017/2018

APPLICANT NAME: / Dr./Mr./Ms.
COLLEGE: / Arts and Sciences
DEAN: / Eric M. Eisenberg
DEPARTMENT:
CHAIR:
Initial Date of USF Employment:______
Application for:
____ Promotion to Level II Instructor ____ Promotion to Level IIIInstructor
____ Years in rank as Level I Instructor ____ Years in rank as Level II Instructor
Department Committee (if applicable)
____ The Committee’s recommendation is to APPROVE advancement to the level requested.
____ The Committee’s recommendation is to DENY advancement to the level requested.
Committee Chair: ______Signature: ______Date: ______
Department Chair/Director
____ My recommendation is to APPROVE advancement to the level requested.
____ My recommendation is to DENY advancement to the level requested.
Committee Chair: ______Signature: ______Date: ______
College Committee Chair
____ The Committee’s recommendation is to APPROVE advancement to the level requested.
____ The Committee’s recommendation is to DENY advancement to the level requested.
Committee Chair: ______Signature: ______Date: ______
College Dean
____ My recommendation is to APPROVE advancement to the level requested.
____ My recommendation is to DENY advancement to the level requested.
Name: Elizabeth ell, Associate Dean Signature: ______Date: ______

VII.CV

1.Behind this page, insert CV.

2. Paginate. Begin with page 1.

VIII.SUPPORTING DOCUMENTS

Please provide: (1) Copies of your Student Evaluation Comments. Include any material you feel is relevant to an assessment of your performance/productivity within your areas of assigned duties):

Instructor Career Path Promotion Application

Revised: December 5, 2017Page 1