1
Rev 9/09/2015
Campus:
LSU
Date
Submitted:
_________________
Stopped Tenure Clock from ___/_____ - ___/_____
Non-mandatory Review
Early Review
Campus Split: % LSU:
% Ag PBRC HSCNO:
_______
PROMOTION/TENURE REVIEW REQUEST
Name: LSU ID:
Department: College:
Present Rank/Title: Last Appointment Date:
[Academic & Administrative, if applicable]
Appointment Status
Pay Basis
Tenured
Term
AY
FY
Graduate Faculty Status
Member
Associate
None
Review for promotion to rank of:
Effective date
________________________________
with tenure
_________________________
Education
Institution
Degree
Date Awarded (mm/yyyy)
Professional Experience [include experience acquired at any of the LSU campuses]
Institution
Rank
Period of Appointment
-
-
-
-
-
Years of Service
In LSU
System:
In present
rank:
Elsewhere:
2
Candidate: ____________________________________________________________
I.) RECOMMENDATION BY DEPARTMENT
Evaluation by the Tenured/Senior Department Faculty:
The individual's qualifications in the following areas should be considered for each
reviewing authority to make a valid and discriminating judgment: (1) Instructional
ability, (2) Scholarly and research activity, and (3) Participation in departmental,
college, and university activities
.
I.A.) Current distribution of academic staff within the
department/division:
Title
Number of Faculty
Professor
Associate Professor
Assistant Professor
Instructor
I.B.) Vote of the tenured/senior department faculty on the proposed
action:
Vote
Number of Votes
Favorable
Opposed
Abstained
Absent
3
Candidate: _____________________________________________________________
I. C.) Written Evaluation by the Tenured/Senior Department Faculty:
Written Evaluation
by the
Tenured/Senior Department
Faculty (Continued)
4
Written Evaluation
by the
Tenured/Senior Department
Faculty (Continued)
5
6
Candidate: _______________________________________________________________
I.D.) Written Evaluation by Unit Leader:
Unit Leader Signature:
Date: ___________
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signature
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Candidate:
II.) RECOMMENDATION BY COLLEGE
II.A.) College Advisory Committee Vote:
# Favorable
# Opposed
# Abstained
II.B.) Written Evaluation by Dean/Director:
Dean/Director Signature: Date:
7
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signature
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Candidate:
III.) RECOMMENDATI ON BY PROVOS TS ADVISORY COMMITTEE
III.A.) Evaluation of Proposed Action by Graduate School:
Graduate Council
Favorable
Opposed
Abstained
Grad 1
Grad 2
Grad 3
Grad 4
Grad 5
III.B.) Written Evaluation by Graduate School [include explanation for split vote]:
Graduate School Dean Signature: Date:
8
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signature
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Candidate:
DEPARTMENT ACTION
*Attach required recommendation
SIGNATURE PAGE

Recommended Not recommended
Unit Leader Signature: Date:
COLLEGE ACTION
*Attach required recommendation

Recommended Not recommended
Dean Signature: Date:
SPLIT APPOINTMENT CAMPUS ACTION Ag Pennington

HSCNO

Recommended Not recommended
Authorized Signature: Date:
PROVOSTS ADVISORY COMMITTEE ACTION

Recommended Not recommended
Graduate School Dean Signature: Date:
CAMPUS ACTION

Recommended Not recommended
Executive Vice President & Provost Signature: Date:
PRESIDENTIAL ACTION
Approved
Denied
President Signature: Date:
9
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signature
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signature
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signature
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signature
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