Fillable Visiting Assistant Professor Nomination Form printable pdf download

UCLA Electrical Engineering Department

Visiting Assistant Professor Nomination Form

To be completed by faculty advisor

Candidate’s Name:____________________________________________________

Month and Year PhD Received:___________________________________________

Faculty Advisor:______________________________________________________

Percentage of support that the faculty advisor will provide:

[ ] 50% of total cost (candidate is required to teach two courses per year)

[ ] 75% of total cost (candidate is required to teach one course per year)

Fund name(s) and account number(s) to be used and expiration dates:

1. ____________________________________________________________________

2. ____________________________________________________________________

Undergraduate courses that the advisor believes the candidate is qualified to teach:

General Information:

1. Applicants must have a strong research record in their field of expertise and in areas

relevant to the research activities in the UCLA Electrical Engineering Department.

2. The successful candidates will be selected for an appointment term of two years only

as Visiting Assistant Professors. Terms are non-renewable.

3. The successful candidates are required to teach one or two courses per year as

lecturers in an area related to their field of expertise.

4. Successful candidates will receive $__________________ annually, plus benefits.

5. Nominations will be forwarded to the Non-Tenure Committee for evaluation only after:

A recommendation letter is received from the faculty advisor commenting

•

on the candidate’s research and teaching qualifications.

All signatures on this form are collected.

•

Appointment dates (to be completed by department):

From __________________________________To__________________________________

Signatures

By signing this form, the faculty advisor is acknowledging that he/she is aware of all the

conditions associated with this position and that the faculty advisor is granting the department

authority to charge his/her account(s), as necessary, to support this position according to the

percentage indicated on this form.

Faculty Advisor: _________________________________________Date:_______________

Accounting and Budget Officer: ____________________________Date:______________

Human Resources Officer: ________________________________Date:______________

Final approval to submit the case forward to the Non-Tenure Committee:

Department Chairman: ___________________________________Date:_______________

Visiting Assistant Professor Nomination Form