Summary Of Action Form

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Appendix G: Summary of Action Form
(Template)
Request for:
____
Continuing Appointment and Promotion to Associate Professor
____
Continuing Appointment
____
Promotion to Full Professor
on behalf of _________________________________________________________________________
(name of candidate)
of the department of ____________________________in the __________________________________
(name of department)
(name of school)
Departmental Recommendation
Date of faculty meeting _______________________
Results of departmental vote:
For
Against
Abstain
Tenured Faculty
______
______
______
Non-Tenured Faculty
______
______
______
Total Faculty Vote
______
______
______
Chair’s Recommendation
____ Approve ____ Disapprove
__________________________________________
(Chair’s signature)
(Date)
Second Level Academic Review Committee
___________________________________
Date of Meeting ____________________________
(name of committee)
Results of vote:
For
Against
Abstain
Faculty Vote
______
______
______
Dean’s Recommendation
____ Approve ____ Disapprove
__________________________________________
(Dean’s signature)
(Date)
Date of Meeting ___________________________
Council on Promotions and Continuing Appointment
Results of vote:
For
Against
Abstain
Total Vote
______
______
______
__________________________________________
(
CPCA Chair’s signature)
Provost’s Recommendation
____ Approve ____ Disapprove
__________________________________________
(Provost’s signature)
(Date)
President’s Action
____ Approve ____ Disapprove
__________________________________________
(President’s signature)
(Date)

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