Merit Advancement to Professor Step vi

or

Above-Scale Data Summary

NAME:	DEPARTMENT:

(last name, first)

present status	proposed status

Rank & Step:

Salary Rate:

Years at Rank: Years at Step:

Rank & Step:

Salary Rate:

Effective Date:

A CURRENT, UP-TO-DATE HISTORY RECORD IS REQUIRED

INSERT IMMEDIATELY FOLLOWING THIS PAGE

BIOGRAPHICAL DATA:

DEGREE	DATE	INSTITUTION

CHANCELLOR'S ACTION: DATE:

DATA SUMMARY FOR PROFESSORIAL ADVANCEMENT NAME:
CERTIFICATION OF COMPLIANCE WITH BYLAW 55

(Please make all entries in the columns to the right)

Report to Vote	Primary Department:

Secondary Department

Indicate class of eligible voters under approved departmental procedures
for implementation of
Bylaw 55

Examples:
elected committee
tenure staff
entire staff, etc.

Secondary participation waived for the period effective

to

Number eligible
to vote:

Motion voted upon and proposed effective date:

Aye
Nay
Abstain
Absent
Other (Explain)

DATA SUMMARY FOR PROFESSORIAL ADVANCEMENT NAME:

TEACHING RECORD

COURSE PROGRAM CARRIED BY CANDIDATE DURING PRIOR ACADEMIC YEAR AND FALL OF CURRENT ACADEMIC
YEAR OR SINCE LAST ADVANCEMENT. WHICHEVER PERIOD IS THE LONGER, BUT WITH A REQUIRED MAXIMUM
REPORTING PERIOD OF FIVE YEARS.

Term,

Year	Course No. (1)	Title of Course	Required (2)	Enroll-ment	Other
Faculty
Participants (3)
Please attach additional sheet(s) as necessary

(1) If no undergraduate course is listed, please append statement of rationale for assignment of courses made to the candidate for the indicated period.

(2) Required for a major or to fulfill a lower division requirement.

(3) If other faculty participated, please append statement describing character and extent of candidate's participation.

DATA SUMMARY FOR PROFESSORIAL ADVANCEMENT NAME:

OTHER TEACHING ACTIVITIES SINCE LAST REVIEW:

GRADUATES WHO HAVE COMPLETED Ph.D. (OR OTHER TERMINAL ADVANCED DEGREE) AT UC DURING THE PRIOR FIVE-YEAR PERIOD UNDER PRINCIPAL SUPERVISION OF FACULTY MEMBER (THAT IS, FACULTY MEMBER WAS CHAIR OF DOCTORAL COMMITTEE):

NUMBER DURING SPECIFIED PERIOD:

CURRENT STATUS OF THESE DEGREE HOLDERS (IF KNOWN):

Name	Year Ph.D. Granted	Institutional Affiliation	Title

GRADUATES ADVANCED TO CANDIDACY FOR THE Ph.D. (OR CANDIDATES FOR OTHER TERMINAL ADVANCED DEGREES) CURRENTLY WORKING UNDER THE PRINCIPAL SUPERVISION OF FACULTY MEMBER (THAT IS, FACULTY MEMBER IS CHAIR OF DOCTORAL COMMITTTEE):

Name	Year Advanced to Candidacy

DATA SUMMARY FOR PROFESSORIAL ADVANCEMENT NAME:
PROVIDE INFORMATION REGARDING SERVICE AND PROFESSIONAL ACTIVITY AS INDICATED BELOW:

Merit to Associate Professor II, III	Since last review
Promotion to Professor I	Since last advancement in rank
Merit to Professor II, III, IV, V, VII, VIII, IX	Since last review
Professor VI and Above Scale	Entire Career
Further advancement to Above Scale status	Since initial advancement to Above-Scale
- Information should include Fall of current academic year -

UNIVERSITY COMMITTEE SERVICE

(1) Service on Academic Senate Committees:

Committee	Period of Service

(2) Other Committee Service:

Committee	Period of Service

COMMUNITY SERVICE ACTIVITIES (e.g. providing service related to the improvement of elementary and secondary education)

Description	Date (s)
HONORS AND SPECIAL RECOGNITION RECEIVED

Description	Date (s)

FELLOWSHIP AND RESEARCH GRANTS RECEIVED

Agency & Number

Title PI or co-PI
(name PI if you are not)	% effort	Duration of Grant	Direct costs (your component only,
if multiple co-PIs)

DATA SUMMARY FOR PROFESSORIAL ADVANCEMENT NAME:

PROFESSIONAL ACTIVITIES

ACTIVITIES IN SCHOLARLY AND PROFESSIONAL SOCIETIES (e.g. serving as a committee member or as an officer of scholarly or professional organization, or providing professional services to such organizations)

EDITORIAL SERVICES TO SCHOLARLY PUBLICATIONS (e.g. serving as a reviewer or editor)

CONSULTING ACTIVITIES (e.g. providing professional, managerial, or technical services to individual clients, commercial entities, non-profit organizations, and governmental agencies; testifying as an expert in legislative, administrative and judicial proceedings)

OTHER PROFESSIONAL ACTIVITIES (e.g. practicing a profession on a part time basis; presenting invited lectures or papers; participating in or accepting a commission for musical, dramatic, dance or other artistic activity, performance, or event)

DATA SUMMARY FOR PROFESSORIAL ADVANCEMENT

GUIDE TO BIBLIOGRAPHY PREPARATION

Complete bibliographies indicating prior submissions. If a current published item was listed in an earlier submission as "in preparation" or "in press," it should be so indicated. Minimum submissions are as follows:

For All Professorial Series	Bibliography	Publications
Merit Increases to:
Associate Professor II, III

Professor II, III, IV, V, VII, VIII, and IX	Since last review	As requested by Chair or Dean. If action requires CAP review, submit publications since last review.
Merit Increase to Professor VI and Above Scale	Entire Career	Submit publications that provide evidence of great/highest distinction.
Further Advancement in Above-Scale	Since initial advancement to Above-Scale salary	Submit publications that provide new evidence of merit and distinction.
Promotion to Professor I	Since last advancement in rank	Submit publication since last advancement in rank.

Categorized Bibliographies: Entries should be identified by categories, such as Books, Monographs, Published Research Papers, Published Articles, Abstracts, and Book Reviews. Since categories will vary among the disciplines, department may wish to adopt their own categories (The Council on Academic Personnel recommends departments consider providing bibliographic items by category. See example #2 below.)

Example #1

Smith, R., Jones, H., and Jackson, K., "A Study of the Perodian Process," J. Chem. Phys., 14:325-30 (1984)

(RESEARCH PAPER)

Example #2

RESEARCH PAPERS

Smith, R., Jones, H., and Jackson, K., "A Study of the Perodian Process," J. Chem. Phys., 14:325-30 (1984)

BOOKS

Page Numbers: Both first and last page should be cited.

Edited Works: In instances where editors contribute various writing such as introductions, summaries, chapters, etc. to the works with edit, a description of such writings, including page numbers should be included as part of the citation of each edited work.

Joint Authorship: The author's names should be listed as they appear on the publications.

Note: All publications added since the last review should be bracketed in the left margin.

DO NOT INCLUDE THIS PAGE IN THE DATA SUMMARY

DATA SUMMARY FOR PROFESSORIAL ADVANCEMENT NAME:

CANDIDATE'S CERTIFICATION & INVENTORY OF ADDED MATERIALS PRIOR TO DETERMINATION FOR DEPARTMENTAL RECOMMENDATION

I CERTIFY THAT FOR REVIEW # :

Under Section 220-80-c of the Academic Personnel Manual:

I was informed of the impending review for the personnel action and of the review process (through access to APM Sections 210-1 and 220).

I was provided the opportunity to ask questions, supply information and evidence, make any desired additions, and if relevant in this personnel action, suggest names for solicitation of letter of evaluation and to provide, in writing, names of persons (within and outside UCLA), who in my view, may not provide objective evaluations. (If such information provided, list names below.)

Under section 220-80-d of the Academic Personnel Manual:

I inspected the data set forth on pages 3-6 and the bibliography. My initials following the entries on those pages indicate my concurrence in the completeness and accuracy of the data. (Any items corrected by me or added at my request are inventoried below).

I had the opportunity to receive redacted copies of the confidential documents in this file.

I had the opportunity to provide a written statement for inclusion in this file in response to or commenting upon material in the file (If such a statement was provided, it is listed below)

Name

Date

Items I have corrected and items and statements I have added.

DATA SUMMARY FOR PROFESSORIAL ADVANCEMENT NAME:

CANDIDATE'S CERTIFICATION AFTER DETERMINATION OF DEPARTMENTAL RECOMMENDATION

I CERTIFY THAT FOR REVIEW # :

Under section 220-80-e of the Academic Personnel Manual:

I was informed of:

I)	the departmental recommendation and of the substance of the departmental evaluations under each of the applicable criteria. Upon request, a copy of the departmental recommendation was supplied to me.

the departmental vote.

the right to make written comments on the departmental recommendation and to direct transmittal of these comments to the Chair or Dean for inclusion in this file.

IV)	the time limit for submission of comments under III above.

Name

Date

1

ASSISTANT PROFESSOR DATA SUMMARY

brendam

1999-06-01

UCLA