Application for Graduate Faculty Status as a Supervisor in a McMaster University, Faculty of Health Sciences Affiliated Graduate Program The following document contains the application form for individuals that are applying for, or have, Faculty positions (within the Faculty of Health Sciences) and wish to be approved for Graduate Program participation that includes Master’s and/or PhD Supervisory Privileges (including Supervisory Committee roles) in Health Sciences Affiliated Graduate Programs. This form is not to be used for applications from Emeritus Professors. Please note: the application should be prepared with the knowledge that McMaster University policies require an assessment of the suitability of potential graduate program supervisors for many of the following “suggested” qualities: 1) a programme of research, as shown by research grants or contracts 2) a regular flow of peer-reviewed publications, consistent with expectations in the discipline 3) experience with the supervision of graduate research papers or masters theses 4) experience with designing and teaching a graduate course 5) membership on Ph.D. supervisory committees, or involvement with graduate supervision as a secondary supervisor Additionally, applicants will be assessed for other qualifications, including their: 1) Advanced academic qualification(s) (e.g. Master’s or Doctoral degree; PhD or equivalent is normally required for PhD supervision) 2) Demonstrated teaching experience, preferably at a graduate level 3) Demonstrated expertise and experience in the content area of teaching/mentorship 4) Demonstrated commitment to professional advancement as an educator/advisor The application process steps are follows: Step I: The applicant fills in Page 1of the application for electronic submission (with CV) to: 1. the Department Chair (or equivalent) of the faculty member’s primary department (e.g., Medicine, Pathology & Molecular Medicine, etc.) or in the case of Joint Appointment, both Department Chairs 2. the Academic Head (Assistant Dean/Associate Chair/Program Director) of the relevant Graduate Program Step II: The Graduate Program Head (e.g. Assistant Dean or Program Director) and the applicant’s Department Chair(s) review the submission and jointly decide if the application should go forward for further review by the Associate Dean of Graduate Studies (Health Sciences) (submitted by email to: fhsgrad@mcmaster.ca). For interdisciplinary programs, the signature of the Program Representative to the Faculty of Health Sciences Graduate Policy and Curriculum Council (GPCC) is required if this is not the Program Director. When interviews are required for faculty appointments, completed recommendations should be provided to the Associate Dean before the interview. Please note: Faculty with part-time appointments will normally only be considered for non-primary supervisory roles on supervisory committees. A supplementary letter from the Assistant Dean/Program Head outlining how the part-time faculty member will fulfill graduate program roles should be included with the application and, in cases where direct supervisory privileges are requested, should include details as to how these responsibilities may be fulfilled while holding a part-time appointment. Faculty on Contractually Limited Appointments (CLA) are required to submit additional information (please see page 3 for full details of requested information) and will normally only be considered for MSc supervisory roles, with annual review of their graduate program commitments. Step III: Upon receipt of the application, Program nomination letter and recommendation, the Associate Dean of Graduate Studies, Health Sciences has the option to do one or more of the following: 1. Approve the application (with or without modification of the program recommendations) 2. If applicable, make a recommendation to the Associate Vice President (AVP) and Dean of the School of Graduate Studies on interviewed applicants about their suitability for an academic appointment. 1 Form Approved by Health Sciences GPCC October 21, 2010 Revised 2013 Application for Graduate Faculty Status as a Supervisor in a McMaster University, Faculty of Health Sciences Affiliated Graduate Program Do not use this form if applying for non-supervisory roles in graduate programs Applicants are to complete all items on this page and attach their curriculum vitae with their electronic submission. The curriculum vitae should detail prior and current appointments, research training, educational degree(s) (with details of year completed, University, program), publications, previous and current grant funding, all relevant Graduate Program experiences as faculty (e.g. numbers and types of student supervised, roles in program committees, courses, examinations, etc). Note: Each program requires a separate application except for applications for Programs of the School of Rehabilitation Science. This form is not to be used for applications from Emeritus Professors. Name of Applicant: Email Department: Tel: Present Faculty Appointment (must be completed) Type of Appointment (must be completed) Professor Associate Professor Assistant Professor Applicant for a McMaster Faculty Appointment (specify appointment and type under consideration) Other (specify) Tenure Track/CAWAR Special Contractually Limited (CLA; maximum three years) Part-time Adjunct Teaching Faculty Graduate Program for which Supervisory Privileges are Requested (note: choices may be modified by the Graduate Program and Department Chair when they review the application to make a recommendation) Biochemistry MSc PhD Health Science Education Medical Sciences MSc Health Research Methodology MSc Nursing PhD eHealth MSc PhD MSc Health Policy Neuroscience (MiNDS) MSc PhD Indicate if concurrently applying for non-supervisory privileges for: Occupational Therapy Program Physiotherapy Program Chemical Biology Global Health PhD PhD PhD Rehabilitation Science if selected, indicate choice of field: Blood & Vasculature Cancer & Genetics Metabolism & Nutrition Infection & Immunity Physiology & Pharmacology Biomedical Engineering MSc MSc MSc PhD MSc Master of Health Management MSc PhD Program Public Health MSc Applicant’s Statement of Interest in Roles in Graduate Education and Graduate Student Supervision and Relevant Qualifications (suggested length 500 words) Research Resources Funds available from grants or other sources for graduate student support (please provide details in CV, or in a letter from the Department Chair, if appropriate) Yes No SIGNATURE OF APPLICANT, and Date year/month/day 2 Form Approved by Health Sciences GPCC October 21, 2010 Revised 2013 Application for Graduate Faculty Status as a Supervisor in a McMaster University, Faculty of Health Sciences Affiliated Graduate Program RECOMMENDATION for Graduate Program Supervisory Privileges as Shown on Page 2 (nomination letter may be appended to clarify details, such as departmental funding) Full Supervisory and Other Graduate Program Privileges OR Supervisory Committee Participation and Non-Supervisory Roles Comments (if applicable): If this applicant is a CLA, please outline: 1) The end date of the current appointment, and whether this appointment is renewable: 2) If the request is for supervision of one or multiple students (if specific students, please outline these circumstances): 3) In the event the applicant does not have sufficient grant monies to fund a student how the program will ensure the student is funded: Signature of Assistant Dean/Program Director/Associate Chair Print Name: year/month/day Interdisciplinary programs only: Signature of GPCC Representative (if not the Program Director) Print Name: year/month/day Signature of Department Chair (for Faculty Member’s Primary Appointment; both Chairs if Applicant has a Joint Appointment) or Equivalent (i.e., in the case of Nursing and Rehabilitation Science, the Associate Dean) Print Name: year/month/day Print Name: year/month/day DECISION OF THE ASSOCIATE DEAN, GRADUATE STUDIES (HEALTH SCIENCES) Approved for Full Supervisory Privileges and Other Graduate Program Roles: Approved for Supervisory Committee Participation and Non-Supervisory Roles ONLY Requires clarification/additional information (specify) before considering approval: Other (specify): To be completed when interviews are required for consideration of an appointment or promotion: Applicant has been interviewed and has the qualifications required for the proposed graduate supervisory role indicated above and the academic appointment under consideration (attach letter) Signature year/month/day NOTIFICATION OF THE FINAL DECISION WILL BE SENT ELECTRONICALLY TO THE APPLICANT, CHAIR(S), PROGRAM HEAD AND DEAN AND AVP FOR THE SCHOOL OF GRADUATE STUDIES. COPIES OF THE SIGNED FORM WILL BE FORWARDED TO THE PROGRAM FOR RECORDS. 3 Form Approved by Health Sciences GPCC October 21, 2010 Revised 2013