Revised 2/2011f

A5: REQUEST FOR TENURE

Two copies of this form, one copy of D-RE and a curriculum vitae must be submitted to Faculty Welfare Committee by March 1st
Faculty Welfare Committee forwards one copy of this form and the attached vita to the Dean.
The department chair completes and submits Summary Sheet for Tenure to the Dean.
The Dean submits all documentation to the Provost.

Section I: Background Information

Date of Request:

Name:

Department:

Current Rank:

School:
Is promotion request being
submitted concurrently?
Yes
No (circle one)

Date of appointment to full time faculty status in rank:

Date of appointment to tenure-track status:

Section II: Probationary Period

A. Is the candidate being recommended for tenure with a contractually reduced probationary
period? If so, attach supporting documentation.
B. Is the candidate being recommended for tenure prior to the penultimate year of the
probationary period?

Yes No (circle one)

Yes No (circle one)

Section III: Summary of Ratings and Points.

Areas of Evaluation
1, Teaching
2. Scholarship/Creative Activity/Research
3. Service

5. Professional Integrity

Rating (circle)
U S C O
U S C O
U S C O
U S

4. ASL Proficiency Interview

ASLPI rating:
Date of ASLPI:
SCPI Rating:
Date of SCPI:
Targeted ASLPI rating of 2.5 or SCPI rating of Advanced is
required. If the rating is below the required score, please
provide additional documentation.

No Unsatisfactory rating in any of the above areas

Section IV: Department Chairs Certification

The procedures and criteria stipulated in the University Faculty Guidelines have been followed in formulating this request.

Department Chair:

Date:

Section V: Faculty Welfare Committee Certification (To be completed by Faculty Welfare Committee member only)
In accordance with the UF Guidelines, this faculty member

IS IS NOT (circle) eligible for the requested tenure.

If not, explain nature of conflict:

Faculty Welfare Committee:

Date:

Section VI: Administrative Approval

Recommended

Not Recommended

Dean:

Date:

Recommended

Not Recommended

Provost;

Date: