Request for AS Review of Faculty Assigned to a Hiring Committee
The DEPARTMENT CHAIR responsible for the position being filled is also responsible for completing this form.

Please tell faculty interested in being on a hiring committee to contact whomever is recruiting for that hiring committee (dean, chair of hiring committee, department chair, other designee) for consideration.

The Academic Senate Committee on Committees will review this Request Form to ensure transparency of the selection process and will contact the department chair once its review is complete (within 7 days). The Academic Senate Executive Committee will keep a file of the names of those faculty assigned to hiring committees.

Direct any questions to Mona Alsoraimi-Esperitu, Academic Senate Secretary at malsorai@sdccd.edu.
Name of Hiring Committee: *
Tell us the name of the committee (usually the department for the position being filled) that needs faculty to be appointed.
Your answer
Name of Position to be Filled: *
Example: Counselor, Math contract faculty, Librarian, English contract faculty, etc.
Your answer
Department Chair Name: *
Last Name, First Name of department chair making this request, in case we need further details. If your program area does not have a department chair, use a designee and make a note in the Comments section at the end of this form.
Your answer
Department Chair Email Address: *
Email address of department chair making this request: Sample: yourname@sdccd.edu
Your answer
List of Appointees to be Reviewed
Please fill out one line for each appointee, including all four items requested. Brief answers are ideal; when in doubt, please ask the appointees themselves for information (like # of years employed in the district).

Lines for eight possible appointees are included; use as many as you need. If your request exceeds 8 appointees, please continue with the same four items for each additional appointee in the comments box at the end of the form.

Note: "special qualifications/expertise" refers to what the appointee would bring to the table as a member of the hiring committee.

ALL APPOINTEES MUST HAVE CURRENT EEO TRAINING.
1) Appointee's information -- all FOUR items, please:
Name, department, years as contract/adjunct, special qualifications/expertise
Your answer
2) Appointee's information -- all FOUR items, please:
Name, department, years as contract/adjunct, special qualifications/expertise
Your answer
3) Appointee's information -- all FOUR items, please:
Name, department, years as contract/adjunct, special qualifications/expertise
Your answer
4) Appointee's information -- all FOUR items, please:
Name, department, years as contract/adjunct, special qualifications/expertise
Your answer
5) Appointee's information -- all FOUR items, please:
Name, department, years as contract/adjunct, special qualifications/expertise
Your answer
6) Appointee's information -- all FOUR items, please:
Name, department, years as contract/adjunct, special qualifications/expertise
Your answer
7) Appointee's information -- all FOUR items, please:
Name, department, years as contract/adjunct, special qualifications/expertise
Your answer
8) Appointee's information -- all FOUR items, please:
Name, department, years as contract/adjunct, special qualifications/expertise
Your answer
Comments or additional appointee information:
Use this space for comments and/or for additional appointees exceeding the number above; for the latter, be sure to include Name, department, years as contract/adjunct, special qualifications/expertise. This section may also be used to state the title of the designee if your program area does not have a department chair.
Your answer
Title 5 information:
Title 5 53203 (f) The appointment of faculty members to serve on college or district committees, task forces, or other groups dealing with academic and professional matters, shall be made, after consultation with the chief executive officer or his or her designee, by the academic senate. Notwithstanding this Subsection, the collective bargaining representative may seek to appoint faculty members to committees, task forces, or other groups.
Thank you!
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