Original – Graduate School Copies – (1) Nominee, (2) Department Chair Revised: October 24, 2018
Nomination for Appointment to the Graduate Faculty
INSTRUCTIONS: Fill out the top section and only include the Department Chair’s signature prior to submitting to the Graduate School
for Tenure-Track Graduate Faculty appointments, which are till separation from the university. For all other nominees, fill out the entire
form and attach the nominee’s CV. The Chair’s justification should directly refer to departmental graduate faculty guidelines. Refer to
Policy 4.17 for description of GF categories and nomination process.
Name of nominee _____________________________________________ myWSU ID* _____________________ Phone __________
Nominating Department Box
Dept. Chair’s Name ________________________________________ Email Phone
Membership Status Requested: See instructions at top
Graduate Faculty AFS – Affiliate Graduate Faculty (Attach CV)
Tenure-Track
Non-Tenure-Track (Attach CV)
Department/College Committee: NON-TENURE-TRACK GRADUATE FACULTY & AFS NOMINEES ONLY
Support requested membership Do NOT support requested membership (attach explanation)
Committee Chair (Signature) ______________________________________________________________ Date ___________________
Department Chair: ALL NOMINEES
Suggested membership duration (Non-Tenure-Track Graduate Faculty & AFS Nominees only) _________________________________
Chair (Signature) _______________________________________________________________________ Date ___________________
For Non-Tenure-Track Graduate Faculty and AFS nominees ONLY, please attach an explanation detailing how the nominee does or
does not meet the departmental criteria for the appropriate graduate faculty category.
Academic Dean: NON-TENURE-TRACK GRADUATE FACULTY & AFS NOMINEES ONLY
Support requested membership Do NOT support requested membership (attach explanation)
Date __________________ Academic Dean (Signature) ________________________________________________________________
Graduate Dean: ALL NOMINEES
Membership approved in _______________________________ Membership disapproved
(indicate membership category)
Membership duration _______________________ Comments ___________________________________________________________
Graduate Dean (Signature) ________________________________________________________________ Date ___________________
* If the nominee does not have a WSU ID, please provide social security number ______________________, date of birth _____________________,
and information regarding ethnicity and race (optional): Is the applicant Hispanic or Latino? Yes No Select one or more of the following
racial groups: White, Black or African American, Asian, Native American or Alaskan Native, Native Hawaiian or other Pacific Islander.
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