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UNIVERSITY OF HAWAII COMMUNITY COLLEGES 2020 - 2021 (Kauai Community College)

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1.1
Revised 07/2020
UNIVERSITY OF HAWAI‘I COMMUNITY COLLEGES
2020 - 2021
Application For (applicant to check one):
Tenure only at Rank _________
Tenure and Promotion to Rank _________ (actions evaluated separately)
Promotion only to Rank _________
Tenure with Automatic Promotion (without separate application) from Rank 2 to 3
PART I. ELIGIBILITY (Information to be certified by Dean/Assistant Dean for both
tenure and promotion applicants.)
Name of Applicant: ______________________________________________
College: ______________________________________________
Subject Area: ______________________________________________
Initial Probationary Appointment at College:
Rank: C-_______ Initial Appointment Date: ____________________
Appointment Type: (check one) __ 9-month or __ 11-month
Present UH Appointment: (If different from above)
Rank: C-_______ Effective Date: ____________________
Appointment Type: (check one) __ 9-month or __ 11-month
Complete the item below if faculty member is applying for tenure.
Tenure Consideration is (check one):
Appropriate since the applicant is in the 5th probationary year of service.
Prior to initially designated year. See Chancellor's approval for shortening of
probationary period dated ______/______/________. (Article XII, Section C of the
Agreement). A copy of the approved shortening is attached (pages 1.2 to 1._____).
After initially designated year. See Chancellor's approval for extension of
probationary period dated ______/______/_________. (Article XII, Section C of the
Agreement). A copy of the approved extension is attached (pages 1.2 to 1._____).
Signature: ____________________________________ Date: ____________________
Dean
Print Name: ___________________________________
2.1
Applicant: ___________________________________
College: ____________________________________
PART II. CERTIFICATION (To be completed by Applicant)
A. I have read Articles XII, XIV and XV of the UHPA/UH Agreement, as appropriate.
Signature ______________________________ Date ____________________
Applicant
B. On the matter of consultation with my Department/Division Chair/Unit Head
regarding my tenure and/or promotion application (check as appropriate):
1. I did consult.
2. I was not able to consult (give reasons) ___________________________
3. I did not request consultation.
Signature ______________________________ Date ____________________
Applicant
C. Use of Guidelines:
1. For “Tenure Only” and “Tenure and Promotion” applicants
(please select one of the following):
a. I hereby apply for tenure and certify that I have read the current
Guidelines for Tenure for the University of Hawai‘i Community
Colleges and that I understand them.
b. I have read the current Guidelines for Tenure for the University of
Hawai‘i Community Colleges. I certify that I understand them, but
do not wish to apply for tenure. I further understand that I will be
given a one-year terminal contract as provided for in Article XII,
Section F, of the Agreement.
2. For “Promotion only” applicants. (Please select one of the following):
a. I believe I meet the minimum qualifications for the next higher
rank. I therefore wish to be considered for promotion.
b. I do not meet the minimum qualifications for the rank for which I
am applying, but wish to be considered for promotion based on a
request for waiver of minimum qualifications. A copy of the
approved waiver is attached (pages 2.3 to 2._____).
Signature ______________________________ Date ____________________
Applicant
2.2
Applicant: ___________________________________
College: ____________________________________
D. I certify that all the information provided in my dossier is true and verifiable.
Signature ______________________________ Date ____________________
Applicant
E. Notification Address:
In the event it should be impractical to notify me of the University's decision by
personal delivery, I ask that notice be mailed to the address given below. I
understand that if I provide no address below, mailing will be to the last recorded
residence on file in the Human Resources Office and shall constitute effective
notification.
Signature ______________________________ Date ____________________
Applicant
Spring Address: .
(until May 31)
Summer Address: .
(If different from
above)
3.1
Applicant: ___________________________________
College: ____________________________________
PART III. DIVISION ASSESSMENT (To be completed by the Division/Departmental
Personnel Committee)
Assessment of Strengths and Weaknesses
The DPC's written assessment (a recommendation is optional) of the
applicant's strengths and weaknesses is attached. (pp. 3._____ to 3._____)
Signature ______________________________ Date ____________________
DPC Chair
Print Name: _____________________________
4.1
Applicant: ___________________________________
College: ____________________________________
PART IV. DIVISION / DEPARTMENT CHAIR
This is to acknowledge that in accordance with Article XII, G.2.c., I have not
participated in the deliberations of the DPC nor influenced the DPC’s written
assessment. My separate and independent written assessment and
recommendation is attached. (pp. 4._____ to 4._____)
Signature ______________________________ Date ____________________
Division / Department Chair
Print Name: _____________________________
5.1
Applicant: ___________________________________
College: ____________________________________
PART V. DEAN OR EQUIVALENT
My separate written assessment and recommendation is attached.
(pp. 5._____ to 5._____)
Signature ______________________________ Date ____________________
Dean or Equivalent
Print Name: _____________________________
6.1
Applicant: ___________________________________
College: ____________________________________
PART VI. TENURE AND PROMOTION REVIEW COMMITTEE (TPRC)
RECOMMENDATION (to be filled out by the Chair of the TPRC)
A. Recommendation
The TPRC assigned to review this application is familiar with the "Criteria for
Tenure/Promotion" contained in the Guidelines for Tenure/Promotion.
After consideration of the evidence and the prior assessments, the TPRC voted
as follows:
Number voting tenure and/or promotion be granted __________
Number voting tenure and/or promotion not be granted __________
Signature ______________________________ Date ____________________
TPRC Chair
Print Name: _____________________________
B. Statement
A statement summarizing the TPRC's evaluation and any minority reports are
appended (pp. 6._____ to 6._____).
7.1
Applicant: ___________________________________
College: ____________________________________
PART VII. REQUEST TO EXAMINE DOSSIER (to be filled out by applicant and
Chancellor, if there is negative recommendation)
A. APPLICANT
1. I wish to examine my dossier as a result of notification by the Chancellor
that it contains a negative recommendation.
Signature ______________________________ Date ____________________
Applicant
2. I acknowledge having examined the dossier and will will not
submit written comments and additional material to the Chancellor by
4:30 p.m. on ______/______/________.
Signature ______________________________ Date ____________________
Applicant
B. CHANCELLOR
1. I acknowledge receipt of written comments and additional materials from the
applicant. These materials have been appended as pp. 7._____ to 7._____,
and will be transmitted with the dossier to the TPRC.
Signature ______________________________ Date ____________________
Chancellor
Print Name: _____________________________
C. TPRC Response to Written Comments and Additional Material
The TPRC has considered the comments and additional material submitted by
the applicant and responds as follows:
Reaffirms its original recommendation, as indicated on p. 6.1; and explained in
the statement appended on pp. 7._____ to 7._____ (optional)
Recommends as follows, as explained in the statement appended on
pp. 7_____ to 7._____.
.
7.2
Applicant: ___________________________________
College: ____________________________________
Number voting that tenure and/or promotion be granted __________
Number voting that tenure and/or promotion not be granted __________
Signature ______________________________ Date ____________________
TPRC Chair
Print Name: _____________________________
8.1
Applicant: ___________________________________
College: ____________________________________
PART VIII. CHANCELLOR’S RECOMMENDATION / DECISION
A. For Tenure Applications only
1. Certification of Continuing Need:
I certify that there is continuing need for the services in the position to
which the applicant is being considered for tenure.
Yes
No
B. My recommendation / decision is:
Tenure with automatic promotion be granted
Tenure with automatic promotion not be granted
Tenure be granted
Tenure not be granted
Promotion be granted
Promotion not be granted
Signature ______________________________ Date ____________________
Chancellor
Print Name: _____________________________
9.1
Applicant: ___________________________________
College: ____________________________________
PART IX. GENERAL INFORMATION (To be completed by Applicant)
A. Educational Background
Type
Awarded
Field
Institution
Highest Degree/
Certificate
Other Degrees/
Certificates
Type
Period Attended
Institution / Organization
Specialized
Training
(non-degree)
Type
Date
Awarded
Date Effective
Awarding Agency
Professional
License /
Certificate
9.2
1
Applicant: ___________________________________
College: ____________________________________
B. List of courses taught in the past four (4) years (List the most recent courses first.
Non-instructional faculty need not complete this item unless they have been
assigned courses.)
Academic
Year
Course
Alpha/No.
Course
Title
No. of
Sections
No. of
Students
C. List of Assigned Time (list most recent assigned time first).
Academic
Year
Duties Assigned
Credit
Equivalent
9.3
2
Applicant: ___________________________________
College: ____________________________________
D. UH Employment History at College
Give in reverse chronological order, dates of significant personnel actions since
appointment. These include prior range advancements, promotions, leaves
without pay (indicate purpose), periods of broken service, and beginning date of
probationary service if different from date of initial hire.
Date(s) Personnel Actions
1.
2.
3.
4.
5.
6.
7.
8.
10.1
Applicant: ___________________________________
College: ____________________________________
PART X. ENDEAVORS
A. Statement on Endeavors
The general outline provided below has been specifically designed to be
non-prescriptive in nature; to encourage independent judgment; to allow
for creativity on the part of each applicant; and to demonstrate
professional accomplishments, viewpoints, attitudes and outlook as a
community college educator. Each faculty member is responsible for
clearly showing how he/she fully meets the expectations of the rank and
criteria at which tenure/promotion is requested. The faculty member
must include a clear rationale for his/her selection of activities and a
substantive interpretation of the results.
The information to be provided would normally include descriptions of:
1. Primary duties
2. Professional/self-development activities
3. College/community service activities
4. Leadership abilities
Other appropriate endeavors, if any, may be included in the
dossier. Append and paginate pages as required.
B. Supporting Materials (Optional). Supporting materials, if submitted, are
to be organized in separate appendices. The information must be
pertinent to the narrative portions of the application. Other supporting
materials, if requested by any reviewing bodies, shall also be organized
for easy reference.
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UNIVERSITY OF HAWAII COMMUNITY COLLEGES 2020 - 2021 (Kauai Community College)

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Completed 3 February 2021

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