S A M P L E
Bulleted items are suggestions of what could be included on the form

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 candidate 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:  Mo & Yr

 

 

 

 

! academic degrees
!
certification/licensure information
! academic awards/fellowships received as student
! date of tenure

 

III. TEACHING

A. Teaching Experience

Institution Position and Description Dates:  Mo & Yr
From     To

 

 

 

 

! WSU/other colleges or universities
!
visiting professorships
! teaching assistantships
! elementary/secondary school teaching (describe responsibilities for non-college teaching positions)

 

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

Institution

Position and Description

Dates:  Mo & Yr
From    To

 

 

 

 

! business/industry employment
! sabbatical activities

 

C. List of courses taught:

Title

Institution 

Dates

 

 

 

 

! include WSU and other college's courses taught
! organize by year OR by institution
! ongoing clinical faculty/guest lecturer responsibilities

 

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

! organize by year OR
!
organize by content area (discipline/pedagogy/etc.)
OR
!
organize by level (state/regional/national/international)
! narrative statement of how your teaching philosophy has developed/changed

 

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

! summarize student/peer evaluations (frequency, general level of performance)
! department chair assessment of performance
! faculty teaching award recipient or finalist (not nominations for awards)

 

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

! development of new programs or courses or instructional areas
!
new pedagogies (WAC/SPEAC/others)
! technology-based changes (Internet, television, CAI, multimedia, etc.)
! implementation of student research projects
! interdisciplinary teaching projects
! narrative statement of how these innovations have impacted your teaching

 

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

! workshops related to discipline/expertise
!
grants to improve teaching effectiveness
! serving on graduate committees
! supervision of student teaching/senior thesis/honors projects

 

IV. SCHOLARSHIP

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

! separate refereed and nonrefereed
!
note if accepted for publication but not published (in progress, put in next section)

 

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

! works in progress/written results (state intended future)
!
course modules or handbooks
! grant reports
! thesis or dissertation
! newsletters

 

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.

! cross-reference if papers/addresses resulted in publications (Section IV A.)
!
organize material according to year OR level (international/national/regional/state/local)

 

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

! creative works which were developed for papers/addresses (multi-media, video, etc.)
!
other creative works

 

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

! national/state/local (RSPG) awards
! include paragraph on project impact/outcome

 

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

Institution/Work Description Dates

 

 

 

! post-masters/post-doctoral degrees or certificates
!
professionally-related work experience (after MS/PhD)
! specialized training (accreditation, focus groups, facilitation, leadership, multi-media, etc.)
! include description of experience/benefit of experience

 

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

! reviewer of texts, manuscripts
!
editorial boards/editor/associate editor
! ongoing unwritten research efforts (alone or with colleagues)

 

V. PROFESSIONALLY-RELATED SERVICE

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

Assignment Dates

 

 

 

! organize by level (university, college, department) OR by year
!
advisor positions to student groups or department
! graduate program committees

 

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).

! department chair, not committee chair
!
conference director
! project director
!
head of accreditation/regents review/strategic planning/evaluation/etc. teams
! other conference functions (session or workshop chair, speaker introductions)

 

C. Positions held or membership in professional organizations.

Organization  Dates

 

 

 

! list by organization with positions/offices beneath organization name
!
honorary/scholarly organizations (Phi Kappa Phi, etc.)

 

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

! state boards, public schools, public agencies, other colleges or universities
!
volunteer or paid efforts
! regional judge for discipline

 

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

Title Audience Dates

 

 

 

! focus on non-professional groups (civic, volunteer, etc.)

 

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

! consulting for campus or off-campus groups
!
cross-reference with other work experience (Sections III B., IV F.)

 

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

Speechmaking (include dates).

! nominee for organization awards (not teaching)
!
board positions
! civic organization efforts
! fund-raising efforts (personal donations)
! student recruitment efforts
! development/coordination of continuing education workshops

 

VI. RELEVANT ACTIVITIES NOT COVERED ELSEWHERE

Include here any pertinent information not adequately covered previously.

! WSUSA (Weber State University Student Association) involvement
!
activities related to tenure or promotion criteria not listed earlier