WEBER STATE UNIVERSITY

Autobiographical Form

Private

Instructions: This Autobiographical Form has been developed to provide candidates for promotion or tenure with the opportunity to present their qualifications in a concise and orderly manner. Candidates should include in this form, data which indicate how they have met the appropriate evaluative criteria. Supporting documentation, such as individual student evaluation forms, copies of publications, etc., should not be placed in the Professional File. These support documents should be maintained in a separate file by each candidate. All candidates are responsible for reviewing the ranking and tenure criteria to insure completeness of their files.

I. OVERVIEW

The candidates will provide a brief (two pages or fewer) summary of their work. Candidates should address the three areas, Teaching, Scholarship and Service. This summary should not just repeat the information contained in the autobiographical form, but should highlight the candidate's accomplishments in each area.

II. DEMOGRAPHICS

Name                             

Present Position:

Date of Appointment:

College:

Department/Program:

Terminal degree in your field:

Education:

Institution                      Discipline                      Degree Earned                      Dates

III. TEACHING

Name:

A. Teaching Experience

Institution                          Position & Description                          Dates: Mo & Yr From To

B. Other employment or academic experience which has contributed significantly to your position at Weber State University.

                                                                                                                    Dates
Institution                                 Position & Description                                  From To

C. List of courses taught:

Title                                          Institution                                           Dates

D. Development of teaching through travel, participation in conferences, workshops, seminars, short courses, etc. (include dates).

E. List evaluations, scholarships, awards, and other honors received in recognition of teaching (include dates).

F. Teaching innovations (not merely updates) and/or developments (include dates).

G. Other teaching activities germane to your position (include dates).

IV. SCHOLARSHIP

Name:                                 

A. Published books, articles, reviews, notes, etc. (use full reference notation:  author(s) title, press, date).

B. Unpublished manuscripts, thesis, dissertation, within-institution reports, etc. (author(s), title, date, intended future of the work).

C. Papers and/or addresses to professional groups (use full reference notation: Author(s), title, organization, where presented, date). Note: only include addresses to professional groups, not community groups.

D. Creative productions, e.g., painting, music, theater, etc., (include dates).

E. Research projects and grants (describe and indicate dates).

F. Post-terminal degree professional education and/or professionally related work experience.

Institution\Work                                      Description                                    Dates

G. Other scholarly activities (describe and include dates).

V. PROFESSIONALLY RELATED SERVICE

Name:                         

A. Departmental, college, university, administrative, academic, senate, committee assignments, etc. Note if position of chair was held.

Assignment                                                                                          Date

B. Academic or nonacademic administrative performance as program director, department chair, director of substantial grant, center director, or any position which involved supervision of human and/or financial resources (include dates)

C. Positions held or membership in professional organizations.

Organization                                                                                 Date

D. Professionally-related community service (include dates).

E. Speechmaking to community (nonprofessional) groups in the area of the candidates's expertise (include dates and audience).

Title                                              Audience                                               Date

F. Consulting and/or work experience (include dates)

G. Other professionally-related activities or service best described as public relations for the university that benefitted the university exclusive of Section E.

VI. RELEVANT ACTIVITIES NOT COVERED ELSEWHERE

Name:                                           

Include here any pertinent information not adequately covered previously.