Graduate Faculty Appointment Request

Graduate Faculty Appointment Request

Last Name

First Name

UK ID Number (last three digits)

Date of Initial UK Appointment

/ Month / Day Year

Current Academic Rank of the Applicant

Assistant Professor Associate Professor Full Professor

Graduate Faculty Status Requested

Initial Appointment as an Associate Member 3-Year Renewal as an Associate Member Full Member

Graduate Program Requested

Second Program (if applicable)

Normally, an Assistant Professor is not eligible for Full Graduate Faculty status. Please provide justification in the text box, or upload it below.

Upload Justification

Internal Approvals

Please check the boxes below to confirm that this request has been approved by graduate faculty in the program(s), the chair/director of the program(s), and the dean of the college(s).

Approved by the Program Graduate Faculty Approved by the Program Chairs/Directors Approved by the College Dean

Please provide the contact information for the chair(s) of department(s) listed above.

Chair/Director Name

Chair/Director Email

Second Chair/Director Name (if applicable)

Second Chair/Director Email

Contact Information for Person Preparing the Request

Name

Email

Please attach the applicant's most recent CV in PDF format here.