Emeritus Faculty Appointment Recommendation Form Instructions: Please fill out this form completely and attach it to the eHRAF when submitted to the Dean’s Office. Please complete the requested info below. Your request cannot be processed if any fields are left blank. Faculty Name: Current Faculty Rank: Recommended Emeritus Rank: Date of Initial faculty appointment: Date of Retirement: Home address of faculty member Brief, detailed statement outlining faculty’s distinguished service or achievements at Emory. (Please limit to 200 words.) Planned future activities with Emory, if applicable Authorization _____________________ Signature ___________ Department Chair ________________ Date _____________ Phone ***The statement of distinguished service at Emory is required by the Provost Office in order to proceed.