First Name: xxx
Last Name: xxx
Dartmouth College
DEAN OF FACULTY OFFICE
FACULTY RECORD SUPPLEMENT
April 2013
Reporting period: April 1 through March 31 of 2010–11, 2011–12, and 2012-13.
Please use this form. Double-click above to insert your name. The text boxes expand to
provide room for all entries, and will accept cut-and-paste text. Print this form, and your
current curriculum vitae (double-sided), and give to your Department/Program Chair no
later than April 8. Chairs must submit forms to their Associate Deans by April 15.
Faculty rank in 2012–13:
Department affiliation:
Academic Program affiliation:
Graduate Program affiliation:
Indicate any changes in home address or telephone numbers:
Street
City
State
Zip
Tel #
A. SCHOLARLY ACTIVITIES – April 1 through March 31 of the three-year reporting
period.
1.
Publications (and works produced, exhibited or performed). For papers, distinguish those
that are peer-reviewed. For patents, include here those actually issued. List works in press but
not yet published in Section 2. List works under review or in preparation in Section 3.
2012–13:
2011–12:
2010–11:
2.
Forthcoming publications (items that have been accepted or, in the case of performances
and exhibits, scheduled). Include anticipated publication date. List papers under review or in
preparation in Section 3.
3.
Optional. Papers and other works in progress. Include anticipated completion date.
Papers in review:
Papers in preparation:
Other works in progress:
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First Name: xxx
4.
Last Name: xxx
Complete list of Grants/Fellowships. List all current grant and fellowship financial support,
including non-competitive renewals and multi-year grants, and list all grants applied for or
received in the rolling three-year period. Include information on organization, title of program,
title of project, and status of application (e.g., awarded, denied, approved w/o funding,
pending). Include the amount of money requested or received. Where appropriate, please
indicate your role in the project, e.g., principal investigator, co-principal investigator,
participant.
Current funding:
Pending applications:
Past grants or proposals:
5.
Complete list of Prizes, Honors and other Awards received in the three-year period.
6.
Lectures/seminars/conference presentations delivered in the three-year period. Include
the name of the organization, location, dates, title and session.
7.
Sabbatical, Junior Faculty Leave, Senior Faculty Grant. If you were on a Dartmouthfunded leave during any term since you last filed a supplement, please describe in a couple
of paragraphs how this leave advanced your research, scholarship, or creative activity.
8.
Optional. Use this space to provide information about major scholarly activities in this threeyear period (such as impact in the field, or a new area of endeavor).
B. TEACHING AND MENTORING – during the three-year reporting period.
9.
Courses taught. List all courses taught during the three recent academic years. Please indicate
any new course and/or courses that you helped develop. Please feel free to describe any
innovations in your teaching that have been implemented or other circumstances relating to
your courses (during this period) that you would like us to know.
Summer 10
Fall 10
Winter 11
Spring 11
Summer 11
Fall 11
Winter 12
Spring 12
Summer 12
DEPT course#, #students
e.g., HIST07, 18
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First Name: xxx
Last Name: xxx
Fall 12
Winter 13
Spring 13
10.
Advising and mentoring activities. Identify those people whom you advised or mentored in
the rolling three-year period, indicating the duration (number of terms) engaged with each
student or postdoc.
a. Undergraduate students: (list student name, number of terms during the reporting period)
• Independent study (course credit):

Senior honors thesis:

Senior Fellows:

First Year Summer Research and WISP interns:

Presidential Scholars:

Other interns or researchers*:

Paid research assistants:

Unpaid research assistants:

Other undergraduate mentoring:
*e.g., internships and fellowships offered by the Dickey Center, Rockefeller Center, or Tucker Foundation,
Mellon-Mays Undergraduate Fellowships, Mellon Grant for environmental and natural resource topics, Dean
of Faculty research grants (e.g. Richter, Waterhouse), or Department-specific grants.
b. Graduate students:
where you are the…
 primary advisor (student name, # terms during this period, funding source, expected
graduation):
–
 member of thesis or other advisory committee (inside Dartmouth) (name only):
–
 member of thesis or other advisory committee (outside Dartmouth) (where?):
–
c. Postdocs (research associates and fellows):
where you are the …
 Primary advisor (postdoc name, number of terms during this period, funding source):
–
d. Were you a First-Year Advisor this year?
(If no, please explain)
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First Name: xxx
11.
Last Name: xxx
Optional. Use this space to describe any other professional development related to teaching,
advising, mentoring, supervisory (e.g., drill instructor, grader), or other special activities for
students and postdocs in which you participated during the rolling three-year period not
covered above.
C. SERVICE AND OTHER PROFESSIONAL ACTIVITIES – during this reporting period.
12.
13.
Professional Activities. Include in this section dates and locations, where appropriate. Please
do not abbreviate.

Offices held in professional organizations:

Service as editor, associate editor, etc. of scholarly journal:

Membership on editorial boards, grant panels, etc.

Refereeing for journals or reviewer of grants, manuscripts, etc.

Organizing of symposia/meetings:

Consulting arrangements (nature of consulting and time commitment):

Other professional activities:
Committee/Administrative Service. Institution-wide and within your department and/or
academic program during this reporting period. Please provide dates and nature of
participation (chair/member/etc.).
2012–13:
2011–12:
2010–11:
14.
Other Service. Please indicate your committee/administrative service in Dartmouth institutes,
centers, ad hoc working groups, administrative special projects, or community service and
outreach related to your Dartmouth position (during this reporting period). Please provide dates
and nature of participation (chair/member/etc.).
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First Name: xxx
15.
Last Name: xxx
Optional. Use this space to provide information about other service (during this reporting
period) not listed above. Here you may also highlight any particular details pertaining to your
Faculty Record Supplement that were not covered in previous sections.
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