UNIVERSITY PROGRAMS Nomination for Membership on the Graduate Faculty I. TYPE OF APPOINTMENT (check one) Graduate Faculty Appointment Associate Grad. Faculty Appointment Provisional Appointment II. For use by the Dean’s Office Initial Appointment: ____ Previous Appointment: From Through Current Appointment: From Through NOMINEE INFORMATION Name Academic Rank At TCU Highest Degree ,Discipline, Date III. IV. AREA(S) OF SERVICE INTENDED (Check all that apply) Teaching: Master Level Doctoral Level Committee: Master Level Doctoral Level Mentoring: Master Level Doctoral Level CHECKLIST OF NOMINATION MATERIALS Letter of nomination from program director or designee. Letter must address all applicable criterion from TCU Graduate Faculty Policy. Current vita in TCU format Signature of Program Director/Designee Dean Approval Signature Form Approved May 2012 Date Date