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Majma'a University
ACADEMIC COUNCIL
APPLICATION FORM
FOR PROMOTION OF FACULTY MEMBERS
__________________________:Department of
______________________________:College of
PART ONE
(Resume (Curriculum Vitae
First
Father
Grandfather
____________ :_______________
Family
_____________
Name
___________
__________________________: Nationality
:For those on contract with University
Contract Date:
[
Hijra
:Personal
[
[
Gregorian
] Yes
] No
Month
Year
_________
__________
__________
_________
__________
__________ Gregorian
Hijra
Associate Professor:
[ ]
Professor:
[ ]
Did you apply for this rank before
[ ] Yes
[ ] No
If yes, how many times did you apply for this rank?
Hijra
Major: ________________________
M.A./M.Sc.:
University:____________________________
College:_______________
Advisor s Name:
_____________________________________________
Major:_________________________ Minor:
______________________
Gregorian
[ ]
Ph.D.or ( Fellowship ):
University:____________________________
College:_______________
Title of Ph.D.
Dissertation:_____________________________________
Advisor's Name:
_____________________________________________
Major:_________________________ Minor:
______________________
Gregorian
PART TWO
PESEARCH WORK
Research Work Submitted for Promotion:
A) Papers Published in Academic, Specialized, and Refereed Journals:
_ ____________________________________________________________________
_ ____________________________________________________________________
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_ ____________________________________________________________________
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_ ____________________________________________________________________
_ ____________________________________________________________________
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F) Patents:
_ ____________________________________________________________________
_ ____________________________________________________________________
_ ____________________________________________________________________
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_ ____________________________________________________________________
_ ____________________________________________________________________
[ ]
No papers extracted from any scientific works are included in the research
PART THREE
Research Work Not Submitted for Consideration for Promotion
Only to be mentioned without enclosing:
A) Papers Published Prior to Obtaining the Ph. D ( if any):
_ ____________________________________________________________________
_ ____________________________________________________________________
_ ____________________________________________________________________
_ ____________________________________________________________________
_ ____________________________________________________________________
_ ____________________________________________________________________
_ ____________________________________________________________________
_ ____________________________________________________________________
PART FOUR
Employment and Administrative History . (Dates should be specified by:
D/M/Y)
PART FIVE
Participation in Conferences, Symposia Other Activities:
1) Participation in conferences and symposia other than those mentioned in
PART TWO/B. Please give names, dates, places, and your mode of participation
in them:
A) Conferences:
_ ____________________________________________________________________
_ ____________________________________________________________________
_ ____________________________________________________________________
B) Symposia:
_ ____________________________________________________________________
_ ____________________________________________________________________
_ ____________________________________________________________________
2) Other Activities:
A) Membership of Scientific Associations:
_ ____________________________________________________________________
_ ____________________________________________________________________
_ ____________________________________________________________________
_ ____________________________________________________________________
B) Committees:
_ ____________________________________________________________________
_ ____________________________________________________________________
_ ____________________________________________________________________
_ ____________________________________________________________________
C) Councils:
_ ____________________________________________________________________
_ ____________________________________________________________________
_ ____________________________________________________________________
_ ____________________________________________________________________
_ ______________________________________________________________
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_ ______________________________________________________________
2) Community Service:
_ ______________________________________________________________
_ ______________________________________________________________
_ ______________________________________________________________
_ ______________________________________________________________
_ ______________________________________________________________
_ ______________________________________________________________
PART SIX
TEACHING LOAD
Teaching load for the last four academic years including the semester in which
the faculty member is applying for promotion: (Information on teaching load
and others should be checked by the Department Chairman, Summer Term is
excluded).
Semester: ..
Academic Year:
Course
Hijra
Cr. Hrs.
( Please enclose)
Applicant's average of teaching Load for the last four academic years (eight
semesters): .
Average of teaching load for the department's members for the semester in
which the faculty member is applying for promotion:
Name of Applicant:____________________________
Signature of Applicant:_________________________
Contact telephone:_____________________________
Date:
Hijra -
PART SEVEN
For official Use Only
Gregorian