GRADUATE FACULTY NOMINATION AND MEMBER RENEWAL FORM
ARKANSAS TECH UNIVERSITY
Faculty Name: ______________________________ Title: _______________________________
Dept./College: ______________________________ Program: _____________________________
Note: Curriculum vita which includes most recent scholarship activities must accompany nomination.
Recommended as: Indicate Term(s):
Full-time Faculty Fall
Adjunct Faculty Spring
Non-Teaching Role Summer
Must select one of the following two options:
1. Individual is qualified based on their credentials (degrees) under HLC guidelines? HLC Website
(Faculty qualifying here are assumed to be able to teach all courses in the curriculum of their program
Yes No
OR
2. Individual is qualified based on tested experience under HLC guidelines (i.e. training, job
experience, certifications, licenses, scholarship)? Yes No
For adjunct and/or non-regular faculty, list courses to be taught and relationship of course content to
specific tested experience.
Brief description of course content if catalog detail is lacking
For adjunct and/or non-regular faculty, please utilize back of form to explain in detail the tested
experience(s) in relation to course content to be delivered. Attach additional justification if necessary.
Department Head: ________________________________ Date: __________________
Dean of College: ________________________________ Date: __________________
Graduate Dean: ________________________________ Date: __________________
