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APPLICATION FORMFOR PROMOTION OF FACULTY MEMBERS
Department of__________________________:
College of______________________________:
PART ONE
Resume (Curriculum Vitae(
First Father Grandfather Family
_______________ _____________ ___________ Name:____________
Nationality__________________________:
For those on contract with University:
Contract Date: / / Hijra / / Gregorian
Personal [ ]Other Contract Type[ ] :
Employed in another country? [ ] Yes [ ] No
__________________________________________If yes, Name the
Employer:
____________________________________________Current Academic
Rank:
Date of Promotion to or Appointment in Current Academic
Rank:
Day Month Year
_________ __________ __________ Hijra
_________ __________ __________ Gregorian
Kingdom of Saudi ArabiaMajma'a University
ACADEMIC COUNCIL
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Applying for Rank of: Associate Professor: [ ]
Professor: [ ]
Did you apply for this rank before [ ] Yes [ ] No
If yes, how many times did you apply for this rank?
Information on previous times: (if any)
Number of Academic Council Meeting:
________________________________
Academic Year: _______________________________ Date: / /
Hijra
Number of Academic Council Meeting:
________________________________
Academic Year:_______________________________ Date: / /
Hijra
Applicants Academic Degrees:B.A./B.Sc.
University:____________________________
College:_______________
University Location ( City / State /
Country ):_______________________
Date of Obtaining Degree: / / Hijra / /Gregorian
Major: ________________________
M.A./M.Sc.:
University:____________________________
College:_______________
University Location ( City / State /
Country ):_______________________
Date of Obtaining Degree: / / Hijra / / Gregorian
Master s Study Method: Courses [ ] Thesis [ ]
Both [ ]
Title of Masters Thesis(if any):
__________________________________
Advisor s Name:
_____________________________________________
Major:_________________________ Minor:
______________________
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Ph.D.or ( Fellowship ):
University:____________________________
College:_______________
University Location ( City / State / Country
):______________________
Date of Obtaining Degree: / / Hijra / / Gregorian
Title of Ph.D.
Dissertation:_____________________________________
Advisor's Name:
_____________________________________________
Major:_________________________ Minor:
______________________
PART TWO
PESEARCH WORK
Research Work Submitted for Promotion:
A) Papers Published in Academic, Specialized, and Refereed
Journals: _
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
_
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_
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_
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_
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_
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_
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_
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_
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_
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_
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_
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_
____________________________________________________________________
B) Papers Accepted for Publication in Academic, Specialized, and
Refereed
Journals:
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_
____________________________________________________________________
_
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_
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_
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_
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_
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____________________________________________________________________
_
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_
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_
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_
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_
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C) Papers Submitted to Academic and Specialized Conferences
Which
Have Been Refereed and Published in Full in the Conference
Proceedings
[Only one unit is accepted]:_
_____________________________________________________________________
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
D) Papers Which Have Been Refereed and Published or Accepted
for
Publication by Universities Research Centers [Only one unit is
accepted]:
_
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
E) Refereed Books Which Include Textbooks, Scientific
References,
Edited Classical Books, and Translated Books [Only one unit
is
accepted]:_
____________________________________________________________________
_
____________________________________________________________________
_
_____________________________________________________________________
____________________________________________________________________
F) Patents:_
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
G) Creative Works [Only one unit is accepted]:
_
_____________________________________________________________________
____________________________________________________________________
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_
____________________________________________________________________
_
____________________________________________________________________
[ ] No papers extracted from any scientific works are included
in the research
work submitted for promotion.
PART THREE
Research Work Not Submitted for Consideration for Promotion
Only to be mentioned without enclosing:
A) Papers Published Prior to Obtaining the Ph. D ( if any):
_
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
B) Papers Extracted from Master's or Ph.D. Theses or any
scientific
works (if any):
_
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
C) Other Unrefereed Works:
_
_____________________________________________________________________
____________________________________________________________________
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_
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
D) Papers Published While Working as Assistant Professor: (for
those
applying for promotion to Full Professor rank):
_
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
PART FOUR
Employment and Administrative History . (Dates should be
specified by:
D/M/Y)
1) Employment History (in Descending Order - Last Given First):_
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
2) Administrative Assignments (in Descending Order):
_
_____________________________________________________________________
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_
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_
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_
____________________________________________________________________
3) Scholarships and Awards (if any):_
____________________________________________________________________
_
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_
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_
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____________________________________________________________________
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PART FIVE
Participation in Conferences, Symposia Other Activities:
1) Participation in conferences and symposia other than those
mentioned in
PART TWO/B. Please give names, dates, places, and your mode of
participation
in them:
A) Conferences:_
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
B) Symposia:_
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
2) Other Activities:
A) Membership of Scientific Associations:_
_____________________________________________________________________
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
B) Committees:_
____________________________________________________________________
_
____________________________________________________________________
_
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_
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C) Councils:
_
____________________________________________________________________
_
____________________________________________________________________
_
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_
____________________________________________________________________
D) University and Community Service:
1) University Service:
_
_______________________________________________________________
______________________________________________________________
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_
______________________________________________________________
_
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_
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_
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2) Community Service:_
______________________________________________________________
_
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_
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PART SIX
TEACHING LOAD
Teaching load for the last four academic years including the
semester in which
the faculty member is applying for promotion: (Information on
teaching load
and others should be checked by the Department Chairman, Summer
Term is
excluded).
Semester: .. Academic Year: / Hijra
Course Cr. Hrs.( Please enclose)
Applicant's average of teaching Load for the last four academic
years (eight
semesters): .
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Average of teaching load for the department's members for the
semester in
which the faculty member is applying for promotion:
Name of Applicant:____________________________
Signature of Applicant:_________________________
Contact telephone:_____________________________
Date: / / Hijra - / / Gregorian
PART SEVEN
For official Use Only
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