Name PROMOTION, ACCELERATED MERIT INCREASE (2 years or more), ADVANCEMENT TO HEALTH SCIENCES CLINICAL PROFESSOR, STEP VI, DOCUMENTATION CHECKLIST Use this checklist when assembling a documentation file for a promotion, an accelerated merit increase (2 years or more), advancement to Health Sciences Clinical Professor, Step VI, for a candidate in the following: Health Sciences Clinical Series Health Sciences Assistant Clinical Professor Health Sciences Associate Clinical Professor Health Sciences Clinical Professor A. Checklist. B. The original of the dossier should include: 1. Signed Academic Personnel Action Summary (Form UCI-AP-22). 2. (Non-Senate) Supplemental Information (Form UCI-AP-137A). 3. Dean’s statement. 4. Department chair’s statement (or acknowledgment of review), if provided. 5. Department letter. The department or a designated committee should have reviewed the letter (with notation if copy has been provided to the candidate). The letter should contain a report of the faculty opinion and vote and an evaluation of the candidate's performance in the following areas: a. Teaching b. Professional competence and activity c. University and public service 6. Candidate’s response to department letter, if submitted. 7. Identification and qualifications of external referees or individual letters from students (Form UCI-AP-11), if provided. 8. Appropriate number of letters of evaluation, in chronological order, (most recent date first), (with notation if copy has been provided to the candidate) if provided. 9. Candidate’s comments on redacted copies of confidential letters, if submitted. 10. List of evaluators suggested by the candidate and indication of any considered to be inappropriate, with explanation, if submitted. 11. Profile of statistical teaching summaries. 12. Sample letter(s) of solicitation, if letters are submitted. 13. Addendum (Form UCI-AP-10-Clin). 14. Curriculum Vitae. C. Signed Certification Statement (Form UCI-AP-50). D. One set of individual teaching evaluations, if available. E. One copy of creative activity. Number each submission as it is numbered on the Addendum and Curriculum Vitae. a. For promotion: creative activity since previous promotion. b. For accelerated merit increase: creative activity since merit increase. 08/08 Form UCI-AP-34B