UNIVERSITY OF NEBRASKA AT OMAHA

OFFICE OF GRADUATE STUDIES

GRADUATE FACULTY NOMINATION FORM

 

1. Name Social Security Number
2. Academic Rank Department/School
3. College or Division Campus
Mailing Address
Office Phone Number
4. Highest earned degree Major Field
Institution granting Year Conferred / /


Title of dissertation (or thesis) for terminal degree

OR
Description of other scholarly or creative project for terminal degree.

5. If the highest degree earned, as described above, is not the degree normally considered terminal in the nominee's academic discipline, what is? Describe in detail the basis on which this nominee is recommended as having the clear equivalent of that degree and provide supporting materials


6. In what way(s) is the nominee to be actively involved with graduate student research?

In what department/school or program?

In what way(s) is the nominee to be actively involved with graduate teaching?

In what department/school or interdepartmental area?

7. What is the evidence of scholarly activity and potential beyond teaching on the part of the nominee. (Attach separate sheet if necessary; enclose documentary evidence.)

a. List publication and manuscripts that have been submitted to and/or accepted by scholarly journals. Indicate whether or not journals are refereed and give current status of manuscripts (i.e., submitted, accepted, etc.)


b. List creative production in professional discipline other than publications. Provide available evidence of acceptance by peers within the discipline.


c. List scholarly presentations made at professional meetings. Designate which presentations were invited and which were competitively selected.


d. Indicate the current involvement of the nominee in scholarly research and/or creative activity.


e. List other publications, books and evidence of scholarly activity.


8. I have seen and assent to material submitted, with the exception of those materials for which I have signed waivers of access.

Name of Nominee

Signature

9. Endorsements:

I am familiar with the training and abilities of the nominee and certify that he or she is fully qualified to carry out the responsibilities of a member of the Graduate Faculty.

Name of Nominator Department
Graduate Faculty

Signature Date / /

Name of Graduate Committee Chair
Department/School or Area

Signature Date / /

I endorse the nomination and certify that the nominee as part of his or her regular duties is to be actively involved in graduate student research and/or graduate teaching.

Name of Nominee's Department Chair/School Director

Signature Date / /

Name of Nominee's Dean or Director

Signature Date / /



Campus Dean for Graduate Studies

I approve this nomination I defer this nomination.

Signature Date / /


Dean of the Graduate College

I approve this nomination. I defer this nomination.

Signature Date / /


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