Graduate Faculty Membership Application
INTERNAL (UTOLEDO) APPLICANTS ONLY COMPLETE THIS SECTION
Faculty Rank _______________________________________
College ___________________________________________
Other, specify _____________________________________
Are Tenured or in a Tenure Track Position?
Rocket ID __________________________
Department _________________________________________
Mail Stop __________________________
Full Time or Part Time?
EXTERNAL (NON-UTOLEDO ) APPLICANTS ONLY COMPLETE THIS SECTION
Institution/Compa
ny
Affiliation _________________________________________________________________________________
Department/Division/Unit ______________________________________________________________________________________
Mailing Address ______________________________________________________________________________________________
UT Department/ Program Affiliated with __________________________________________________________________________
Graduate Faculty Membership ApplicationRevised202030
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ALL APPLICANTS C OMPLETE THIS SECTION
Full Name [First Middle Last] _______________________________________________________________________
Highest Degree _________________________________________________________________________________________
Date Attained ______________ Is this the Terminal Degree in your Discipline?
Yes
No
Email ________________________________________________________________________________________________________
Email
GraduateCollegeGraduateFacultyMembership@utoledo.edu or
University Hall 3240, Mail Stop 933
Fillable PDF. Download, complete and save. Digital signatures
and email submission strongly preferred. All signatures and CV
attachment required. Incomplete applications will be returned.
Return to the College of Graduate Studies
Applicant Section
MEMBERSHIP INFORMATION:
CURRENT MEMBERS, CHECK YOUR STATUS
VIEW MEMBERSHIP CATEGORIES
Application Type
Current Membership Status
Membership Applying For
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Complete this section by selecting requested privileges ONLY If applying for Special Membership .
Teach graduate level courses (not including thesis, scholarly project and dissertation research)
Teach graduate level courses (including thesis, scholarly project and dissertation research).
Serve on, but not chair, Master's advisory committees, comprehensive examination committees, graduate projects/internships.
Serve on, but not chair, Doctoral advisory committees, comprehensive examination committees, graduate projects/internships.
Serve on and chair Master's advisory committees.
Serve on and chair Doctoral advisory committees.
Other: _________________________________________________________________________________________________
List Graduate advising, research supervision, and thesis, project, and/or dissertation committee membership during the last seven
years. List names of students, degree, date, and subject area. If not at The University of Toledo, please indicate where. If additional
space is needed, please indicate “See Attached” and attac
h additional documents.
a. Served as a major advisor
Graduate Faculty Membership ApplicationRevised 202030
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b. Served as a committee member
List other activities in graduate level teaching, scholarship, and research grants during the last seven years. If additional space
is
needed. Please indicate “See attached” and attach additional documents.
Applicant's Name ______________________________ Signature __________________________
Date _____________
Graduate Faculty Membership ApplicationRevised 202030
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signature
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Summary appraisal and recommendation with membership category specified by Department Chairperson.
Applicant does not have Terminal Degree in the same Discipline as (s)he will be teaching.
For those graduate faculty applicants holding less than a terminal degree, outline how the applicant meets the university's
minimum threshold of five years of experience or demonstrated skills in the same area in which the potential instructor will be
teaching. This may include breadth and depth of experience in real-world relevant situations to what the faculty is teaching and/or
industry credentials.
Chairperson's Name ______________________________ Signature _________________________ Date _____________
Graduate Faculty Membership ApplicationRevised 202030
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In
d
ic
at
e membership level you are endorsing for the applicant:
Department Chair and College Dean Section
Select One
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signature
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Summary appraisal and recommendation with membership category specified by College Dean.
Dean's Name ______________________________ Signature _______________________________ Date
______________
COLLEGE OF GRADUATE STUDIES USE ONLY
RECEIVED DATE _________________ COMPLETE INCOMPLETE & RETURNED DATE _________________
REASON _______________________________________________________________________________________
Graduate Faculty Membership ApplicationRevised 202030
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Indicate membership level you are endorsing for the applicant:
Select One
Select One
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signature
click to edit
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