REVIEW SHEET FOR MAJOR FACULTY ACTIONS - FOR NEW FACULTY
SCHOOL: ___________________________________ DEPARTMENT: _____________________________________________________________
NAME: _________________________________________________________________________________________________________________
CURRENT INSTITUTION: __________________________________________________________________________________________________
CURRENT POSITION: _____________________________________________________________________________________________________
TENURE STATUS AT CURRENT INSTITUTION (if applicable): Tenured Tenure track Non tenure
ACTION(S) PROPOSED (check all that apply):
Not applicable
□ ADMINISTRATIVE APPOINTMENT (Chair)
□ APPT. W/ TENURE
□ APPT. ON TENURE TRACK
PROPOSED RUTGERS TITLE(S): ___________________________________________________________________________________________
DEPARTMENTAL VOTE (if applicable): ______________________________ SCHOOL COMMITTEE VOTE: _______________________________
PROPOSED MAJOR TEACHING DUTIES: ___________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
PROPOSED MAJOR CLINICAL DUTIES: ______________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
PROPOSED MAJOR SERVICE ACTIVITIES: ___________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
PROPOSED MAJOR RESEARCH/SCHOLARSHIP ACTIVITIES: ____________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
EXTERNAL FUNDING AS PRINCIPAL INVESTIGATOR:
Current
Total (started within the past five years)
Federally-funded:
No. _________
Direct amt. $ ____________
No. _________
Direct amt. $ ____________
Industry-funded clinical trials:
No. _________
Direct amt. $ ____________
No. _________
Direct amt. $ ____________
Other:
No. _________
Direct amt. $ ____________
No. _________
Direct amt. $ ____________
No. _________
Direct amt. $ ____________
EXTERNAL FUNDING AS CO-PRINCIPAL INVESTIGATOR (Optional):
No. _________
Direct amt. $ ____________
LIFETTIME PUBLICATIONS: Peer-reviewed journals: No. of original papers: _________
No. of original papers as principal author: _______
No. of review articles: _______ No. of editorials, other invited articles: _______ No. of books: _______ No. of book chapters: ______
OTHER ACCOMPLISHMENTS, HONORS, AWARDS, ETC.: _______________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________
________________________________________
DEAN’S or CHAIR’S NAME
_________________________________________________________________________
DEAN’S or CHAIR’S SIGNATURE
DATE
Revised: July 1, 2013