F2.18
LAMAR STATE COLLEGE-PORT ARTHUR
FACULTY INFORMATION REPORT
Name __________________________________________ Semester _____________________
Rank and/or Title Presently held _____________________________________________________
Department _________________________________ Full-time ________ Part-time _________
Office Bldg and Room # __________________________ Office Telephone ________________
Name of Spouse (if applicable) _______________________ Residence Telephone ______________
Residence Address _______________________________________________________________
_______________________________________________________________________________
THE FOLLOWING FOR NEW EMPLOYEES AND CHANGE OF STATUS ONLY
Year Employed ___________________ Year Given Present Rank ________________
Degrees Held
Institution(s) Awarding Degree
Year Awarded
Major
Professional Certification and/or License:
INSTRUCTIONS:
This form is to be completed the first day of each semester by all faculty members including part-time teachers and
teaching fellows. The information will be used to update all personnel records as well as the printed college catalog.
DISTRIBUTION: (Send one copy to each of the following offices)
Office of the Vice President for Academic Affairs
Office of the Dean
Office of the Department Chair
Office of the Personnel Director