Professional Achievement Honorarium Request Form 2011

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SOUTHERN ADVENTIST UNIVERSITY
FACULTY REQUEST FOR PROFESSIONAL ACHIEVEMENT HONORARIUM
*Please supply documentation for your project and complete the appropriate section of this form*
Name:
Date:
BOOK
Peer-Reviewed: ☐
Non Peer-Reviewed: ☐
Date:
Title:
ARTICLE
Original research published in peer-reviewed professional journals
Title of Article:
Date:
Title of Journal:
Non peer-reviewed professional journal (e.g. Ministry Magazine, Journal of Adventist
Education, American History)
Title of Article:
Date:
Title of Journal:
CREATIVE WORK
Description:
Judged By:
Date Judged:
BOOK REVIEW
Title:
Date:
Professional journal containing review:
ORAL PRESENTATION
To academic peers delivered at professional gathering
Occasion:
Title:
Audience of academic peers:
Date:
Length of presentation:
To professional peers yet requiring academic or professional expertise
Occasion:
Title:
Audience of professional peers:
Date:
ACADEMIC CONFERENCE PRESENTATION
National/Regional Academic Conference Research Paper (including poster sessions
and conference proceeding papers
Academic Conference:
Date:
Presentation Title:
For committee use only
Honorarium approved: ☐ YES
☐ NO
Amount:
Chair, Faculty Affairs Committee
Vice President for Academic Administration
Date
Date
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