O F F I CE O F F AC U L T Y AF F AI R S
Professional Activities Form (Tenured/Tenure-Track)
First Name:
[Click here and enter your first name]
Last Name:
[Click here and enter your first name]
Department:
[Click here to select your department]
Program:
[Click here and enter your program]
Current
Rank/Title:
[Click here to select your department]
Table of Contents
Ctrl-Click on any of the links below to jump directly to that section of the
Professional Activities Form.
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Research and Scholarship
Funded Grants
Teaching Performance and Effectiveness
Theses/Projects Supervision
Department Activity
Service to the School/University/Community
Professional Activity
Other Professional Activities
Other Contributions
Supporting Documents
O F F I CE O F F AC U L T Y AF F AI R S
Professional Activities Form (Tenured/Tenure-Track)
Research and Scholarship
Published Monographs, Papers, Books, and Book Chapters. Please indicate only works
published or accepted for publication (attach letter of acceptance); specify dates, titles,
publisher, page numbers.
[Click here and enter your response]
Monographs, Papers, Textbooks, and Book Chapters submitted for publication; specify
length of document and submit letter of submission.
[Click here and enter your response]
Artistic productivity, presentations, exhibits, etc. Please indicate nature of activity,
sponsor and date.
[Click here and enter your response]
O F F I CE O F F AC U L T Y AF F AI R S
Professional Activities Form (Tenured/Tenure-Track)
Funded Grants
Funded Research related grants, honors, and awards (list title, period, amount, funding
source, and status of grant/award).
[Click here and enter your response]
New research under development (specify topic, potential funding sources).
[Click here and enter your response]
O F F I CE O F F AC U L T Y AF F AI R S
Professional Activities Form (Tenured/Tenure-Track)
Funded Training related grants, honors, and awards (list title, period, amount, funding
source, and status of award/grant).
[Click here and enter your response]
New training grant proposal under development (specify topic, potential funding sources)
[Click here and enter your response]
O F F I CE O F F AC U L T Y AF F AI R S
Professional Activities Form (Tenured/Tenure-Track)
Teaching Performance and Effectiveness
Indicate evidence of the quality of teaching performance for courses taught during the
period of evaluation (include course title and numbers):
[Click here and enter your response]
Curricular planning and development:
[Click here and enter your response]
O F F I CE O F F AC U L T Y AF F AI R S
Professional Activities Form (Tenured/Tenure-Track)
Theses/Projects Supervision:
Masters theses or projects:
During evaluation period, number chaired:
[Enter Number]
During evaluation period, number completed:
[Enter Number]
Number of committees on which you served as a
secondary member:
[Enter Number]
Doctoral theses:
During evaluation period, numbered chaired:
[Enter Number]
During evaluation period, number of Proposals
completed:
[Enter Number]
Number of committees on which you served as a
secondary member:
[Enter Number]
Number of dissertations completed:
[Enter Number]
Advisement (please provide explanations or description of work):
[Click here and enter your response]
O F F I CE O F F AC U L T Y AF F AI R S
Professional Activities Form (Tenured/Tenure-Track)
Department Activity
Service to the Department (committee memberships, administrative responsibilities,
etc.):
[Click here and enter your response]
O F F I CE O F F AC U L T Y AF F AI R S
Professional Activities Form (Tenured/Tenure-Track)
Service to the School/University/Community
Service to the School (committee memberships, administrative responsibilities, etc.):
[Click here and enter your response]
Service to the University (committee memberships, administrative responsibilities, etc.):
[Click here and enter your response]
Community service outside the University:
[Click here and enter your response]
O F F I CE O F F AC U L T Y AF F AI R S
Professional Activities Form (Tenured/Tenure-Track)
Professional Activity
Office, memberships and activities in professional societies (date, type of involvement):
[Click here and enter your response]
Presentations or participation in panels at professional societies. Please indicate
whether you presented a prepared paper and specify its title and length, provide the
name of the conference, place and date.
[Click here and enter your response]
O F F I CE O F F AC U L T Y AF F AI R S
Professional Activities Form (Tenured/Tenure-Track)
Other Professional Activities
Other professional appointments held (e.g., government, business, institution, agency or
corporation; dates, title, and responsibilities):
[Click here and enter your response]
Consulting and service positions outside NYU held during this period (institution,
agency, foundation, corporation; dates and responsibilities):
[Click here and enter your response]
O F F I CE O F F AC U L T Y AF F AI R S
Professional Activities Form (Tenured/Tenure-Track)
Other Contributions
Please feel free to summarize briefly (1-3 paragraphs) any significant contributions to
the Program, Department, School, University and/or to your academic discipline that are
not covered/addressed in this form.
[Click here and enter your response]
Supporting Documents
In addition to the information requested in this form, we ask that you provide the
following supporting documents:
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A copy of your CV in Word or PDF format
A copy of your syllabus in Word or PDF format
You are welcome to attach any other documents that you feel would
be relevant to your evaluation