Section 1 of 1
Faculty-Member-at-Large nomination form
for potential Faculty Member at Large nominees to fill vacancies on the QCC Academic Senate.
Seven (7) signatures are required (per Senate Bylaws, Article I section 2).
Full-time faculty only may sign -- per Senate Bylaws, Article VI section 1a, this includes: full-time persons holding professorial titles, lecturers, and instructors.
To those signing to support a candidacy, please enter your email address below.
Seven (7) signatures are required (per Senate Bylaws, Article I section 2).
Full-time faculty only may sign -- per Senate Bylaws, Article VI section 1a, this includes: full-time persons holding professorial titles, lecturers, and instructors.
To those signing to support a candidacy, please enter your email address below.
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Your name? (last name, first name)
Your name? (last name, first name)
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Your department?
Your department?
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1.
Art & Design
2.
Biological Sciences & Geology
3.
Business
4.
Chemistry
5.
Communication, Theater, & Media Production
6.
Engineering Technology
7.
English
8.
Health, Physical Education, and Dance
9.
History
10.
Library
11.
Mathematics & Computer Science
12.
Modern Languages & Cultures
13.
Music
14.
Nursing
15.
Physics
16.
Social Sciences
17.
Student Affairs
18.
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Your rank?
Your rank?
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Professor
Associate Professor
Assistant Professor
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I have NOT received a letter of non-reappointment, nor have I submitted a letter of resignation.
I have NOT received a letter of non-reappointment, nor have I submitted a letter of resignation.
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The above statement is true.
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Nominee? (last name, first name)
Nominee? (last name, first name)
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Nominee's department?
Nominee's department?
Question Type
Short answer
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Date
Time
1.
Art & Design
2.
Biological Sciences & Geology
3.
Business
4.
Chemistry
5.
Communication, Theater, & Media Production
6.
Engineering Technology
7.
English
8.
Health, Physical Education, and Dance
9.
History
10.
Library
11.
Mathematics & Computer Science
12.
Modern Languages & Cultures
13.
Music
14.
Nursing
15.
Physics
16.
Social Sciences
17.
Student Affairs
18.
Add option
…
Answer key
(0 points)
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Nominee's rank?
Nominee's rank?
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
Multiple choice grid
Checkbox grid
Date
Time
Professor
Associate Professor
Assistant Professor
Doctoral lecturer/Lecturer
Instructor
Add option
or
add "Other"
…
Answer key
(0 points)
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