UilHh
HUMAI{ RESOURCE SERVICES
Urtlverglty
of Northern
I
owa
Request for Faculty Emeritus Status
Name
I
wish to retire from my position as
al the University of Northern lowa, effective
I have twenty (20) cr more
of crediblg service in higher education. (List institutions and dates of employment)
lnstitution
Date
-9
Date
Signature of Applicant
College Chatu Senater lnclude a statement verifying that ten (10) years of meritorious service has been concluded with
the University of Northern lowa. (Use the back of this form if more space is required.)
/-zs't zCollege Senate Chair
Date
/2,
t, t
Dean of College (if applicable)
"Zri
University Faculty Senate Chair
Date
Provost and Vice President
Date
Presidenl
Oale
Please prcpare this form: sign and submit to yourdepaftment head. When the prccess for approvalhas been completed, the divigon
head's offica wi| make copies and distribute them to each of the above signatoies and the DepatTment of Human Resource Se/vic6s.
Rev. 09/09
027 Gilchrist
.
Cedar Falls, {A 50614-003
4
.
P: 319-273-2422
.
F
: 319-273-2927
.
hrs-benefils@u ni.ed
u
.
httpJl wv.
uni.edu/h
d
At the January 23, 2or2 meeting, the College of Education Senate voted
unanimously to accept the Requestfor Faculty Emeritus Sfcfus for Dr.
Annette C. Swann. They also verify that ten (ro) years of meritorious
service has been concluded with the University of Northern Iowa.
Dr. Windee Weiss, COE Faculty Senate Chair