This form provides a summary of the candidate’s employment history, the action being considered, the
recommendations being made and serves as a checklist of items required in the dossier.
DEAN’S SUMMARY SUBMISSION FORM
THE UNIVERSITY OF WESTERN ONTARIO
Faculty: _______________
Department/School: ____________________ Name of Candidate:_______________________________
(surname)
(initials)
PROMOTION AND/OR TENURE RECOMMENDATION
DEAN'S SUMMARY SUBMISSION
Candidate:
Academic rank and status:
Tenured (T),
Limited-Term (LT),
Probation (P)
Rank
Date
First full-time appointment:
Changes to date:
PhD:
Yes: _______________
No: _______________
Date (if yes):
Proposed Change (indicate as applicable):

Promotion:
Yes: ______________ to rank of: __________________ effective date: _________________

Tenure:
Yes: ______________ effective date: _________________
Documentation Checklist
Recommendations (including evaluation of service
(e.g., general contributions to the University,
academic profession and community)
i) Committee Chair(s) Recommendation(s) Yes ____
ii) Faculty Committee (if applicable)
Yes ____
iii) Department Committee (if applicable) Yes ____
Record of Committee meetings (if applicable):
Original notes and any transcriptions
Confirmation re Committee membership eligibility
Consultation materials (if applicable)
Request for consultation (if applicable)
Clarification materials (if applicable)
Committee’s request for information (if applicable)
Current curriculum vitae
Candidate’s statement (if supplied)
Teaching Dossier*:
Teaching philosophy & innovations (recommended)
Courses taught, outlines, students supervised
Letters from students, parents, etc.
Copy of candidate’s letters soliciting opinions
No ____
No ____
No ____
____
____
____
____
____
____
____
____
____
____
____
____
Teaching Dossier (Continued)
Peer teaching evaluations (if performed)
____
Student Questionnaires on Courses and Teaching ____
Graphical/tabular summaries of student ratings
____
Unit’s Public Solicitation:
Copy of posting
____
Letters received (sorted Faculty, students, staff)
____
External Review:
Original letters from external referees (indicate #) ____
Signed list of potential referees with biographies
____
Sample letter and guidelines sent to referees
____
Collective Agreement arrangements (e.g. RWL/AWL) ____
Annual meetings:
Responses from Member to April meetings
____
Written report of Dean, or designate, from meetings____
Curriculum Vitae
Revised by March 1 of most recent year, or
____
Member’s November CV for the Annual Report
____
Initial Letter of Appointment and all revised Letters
____
_________________________________________________
_________________________________________________
Dean's (or designate’s) Signature
Date
*(refer to www.uwo.ca/tsc/resources/selected_teaching_topics/teaching_dossiers/guide_to_constructing/preparing_teaching_dossier.html)