Form 4
If the IPC solicited evaluations of the candidates teaching performance, scholarly
productivity, or service contributions, please complete the below form and include a copy
of the letter of solicitation in the personnel case.
At least one of the letters is to be solicited from a person on a list submitted by the candidate
Note:
At least two-thirds of the referees are to be designated by the IPC
Note:
Evaluator(s) designated by the candidate are indicated with by asterisk
Name
Teaching
Research
Service
Note:
Released
Yes
Yes
with name of
evaluator
removed
Solicited by
No
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List of individuals who declined to the IPC’s request to provide evaluations of the
candidates teaching performance, scholarly productivity, or service contributions
Name
1.
2.
3.
4.
5.
Institution
Reason for declining