Revised 2-06-2020
This form to be completed by the Chair and approved by the Dean for each faculty/adjunct/GTA hired. Include this form and faculty
transcripts in the hiring packet forwarded to the Provost’s office. This form is available on the Academic Affairs website.
DOCUMENTATION OF QUALIFICATIONS FOR A FULL-TIME (FT)
OR PART-TIME (PT) FACULTY APPOINTMENT
Date: Faculty Member’s Full Name:
Status (check one): ___Full time ___Part time ___Adjunct (includes GTA)
Rank (to include titles of impermanence such as Visiting):
Department and College: Dept: / College:
Teaching Discipline: Beginning semester:
Must List Course Assignments and Level of Instruction (e.g.,lower division, upper division, graduate) during current academic year:
___________________________________________________________________________________________________________
Qualifications
The following information must be filled in for all graduate degrees:
Note: ‘Issued to Student’ transcript does not qualify as original, SACSCOC approved transcript.
Graduate Degrees
Name of Degree:
Year granted:
Name of University:
Field/Discip
line:
Please circle one response below (Note: transcripts ‘issued to student’ is not an original):
Original Transcript enclosed: Y N Copy enclosed: Y N
Name of Degree:
Year granted:
Name of University:
Field/Discipline:
Please circle one response below (Note: transcripts ‘issued to student’ is not an original):
Original Transcript enclosed: Y N Copy enclosed: Y N
Name of Degree:
Year granted:
Name of University:
Field/Discip
line:
Please circle one response below (Note: transcripts ‘issued to student’ is not an original):
Original Transcript enclosed: Y N Copy enclosed: Y N
Name of Degree:
Year granted:
Name of University:
Field/Discip
line:
Please circle one response below (Note: transcripts ‘issued to student’ is not an original):
Original Transcript enclosed: Y N Copy enclosed: Y N
Credentials: The faculty member is qualified to teach in the position due to (select one):
___ Holds a Master’s degree and 18 graduate hours in the discipline.
___ Holds a Master’s degree in the discipline
___ Holds 18 graduate hours in the discipline (GTAs only)
___ Holds a terminal degree in the discipline
___ Other
(Dean or Chair letter of support and documentation of the following applicable waivers is required):
___ Work experience ___ Professional licensure
___ Certificates ___ Honors & Awards
___ Excellence in Teaching ___ Other competencies
___ Faculty Vita enclosed
APPROVALS: Dept. Chair Date:
Dean Date:
Provost
Date:
SACSCOC
Liaison
Date:
(This do
cument and the corresponding original transcripts remain in the Office of the Provost for SACSCOC accreditation purposes)
