Application Form for Promotion of Staff Members

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College of Engineering
Application Form 1
for
Promotion of Faculty Member
To
Professor
(To be completed by Promotion Applicant)
Name of applicant: ----------------------------------- Nationality:
Department: -------------------------------------------
College:
Subject of specialization: ---------------------------Field of specialty: ------------------------------------Employee No: -----------------------------------------------------------------------Current rank: -----------------------------------Date of appointment at Qatar University: --------------------------Date of application: --------------------------------------------------------
Dec. 2014
Application Form 1
For
Promotion of Faculty Members to Full Professor Rank
1/9
I. Academic qualifications (in chronological order of award):
Duration of Study
University Degree
for the Degree
From
Field of Specialty
Date of
University
Award
and Country
To
Title of Master’s thesis --------------------------------------------------------------------------Title of Doctorate Dissertation: ---------------------------------------------------------------------------
II. Academic experience gained before and after appointment at
Qatar University.
Academic Title
Date of
Awarding
Award
University
Period At Title
III. Non-academic work experience
Employer
Dec. 2014
Position title
Place
(country)
Application Form 1
For
Promotion of Faculty Members to Full Professor Rank
Period
2/9
IV.
Leave taken while working at Qatar University
Period of Leave
Period of Leave
Period of Leave
From
From
From
Type of Leave
To
To
To
Sabbatical Leave
Leave without pay
Secondment
(internal or external)
Other
V- Studies and research papers based on or extracted from
Master’s Thesis or Ph.D. Dissertation [Not to be counted for the
current promotion]
No.
Title of Study/Paper
Title of
Periodical
Date of
Publication
and No. of
Volume
Authorship
Category
Type of
Periodical
(Local, Regional
or International)
and Publisher
1
2
3
4
5
 Single author, senior author or co-author
VI- Studies, research papers and other publications presented
for the last promotion [Not to be counted for the current promotion]
VI-1-Studies and research papers
No.
Title of Study/Article
Title of
Periodical
Date of
Publication
and No. of
Volume
Authorship
Category
Type of
Periodical
(Local, Regional
or International)
and Publisher
1
2
3
4
5
 Single author, senior author or co-author
Dec. 2014
Application Form 1
For
Promotion of Faculty Members to Full Professor Rank
3/9
VI-2-Books and book chapters [Not to be counted for the current promotion]
Remarks (Textbook written
Publisher and
Date of
by the applicant, a book
Title of Book
Granting
No.
Publication edited or translated by the
body
applicant)
1
2
3
4
5
VII- Original research articles / scholarly book / creative work
(including granted patent) / review article presented for the
current promotion application

The minimum requirement is six qualities original refereed papers published after the
PhD, and not extracted from his/her Masters or Ph.D. thesis or used in previous
promotion; at least five must have been published. The sixth may be accepted for
publication;

At least two of the publications must show Qatar University as the primary affiliation for
the author (applicant for promotion)

Papers that are considered toward the promotion evaluation must be published in Web of
Science indexed journals;

Although Scholarly Books, Creative Works (including granted patents), or Literature
Review Papers are evidence of research activities, only one can be considered for
promotion and therefore may substitute one of the six required papers;

The applicant must be the sole or senior author of at least four of the submitted
publications;

With reference to co-authored publications a Senior Author is defined as:
a. The first author;
b. The first author after junior team members (student, research assistant or postdoc
author);

In all cases of co-authored publications, the applicant for promotion must submit the
“Contribution in Collaborative Research Form” signed by the applicant and all the
co-authors approving his/her seniority.

In case the publication is in a journal where the applicant is on the board or
the editor, the applicant must submit evidence to prove that the paper has
gone through a thorough and rigorous review. In addition, the applicant must
declare that he/she is a member of the editorial board and the capacity of the
involvement;
Dec. 2014
Application Form 1
For
Promotion of Faculty Members to Full Professor Rank
4/9

Other publications will be considered as an evidence of vitality in scholarly work, but
will not be counted toward the minimum required number of publications.
VII-1-Refereed Journal original research articles
No.
Title of
Periodical
Title of Study/Paper
Date of
Publication
and No. of
Volume
Authorship
Category
*
Type of
Periodical
(Local,
Regional or
International)
and Publisher
Measures of
Quality, if
applicable
(e.g. impact factor)
1
2
3
4
5
6
7
8
 Single author, senior author or co-author.
VII-2- Other refereed publication: Maximum of one scholarly book / creative
work (including granted patent) / review article, if candidate desires
to include it in the external review
Title of publication
Publisher
Date of
Publication
Remarks (Textbook, Edited or
Translated Book, Patent
Number, etc.)
VIII. Other activities: [not presented for the last promotion]
VIII-1-Funded Research (Grants)
No
Title of Research
Granting Body
Grant
Amount
Project
Duration
(years)
Role in
research*
1
2
3
4
5
Dec. 2014
Application Form 1
For
Promotion of Faculty Members to Full Professor Rank
5/9
6
7
8
9
10
* (Lead PI, co-lead PI, PI)
VIII-2- Other research:
VIII-3- Patents (filed or granted):
1.
2.
3.
4.
______________________________________________________________________________
______________________________________________________________________________
_____________________________________________________________________________
______________________________________________________________________________
VIII-4-Conferences, Academic Symposia and Workshops
Type of Contribution (e.g. Presented
an invited or contributed paper,
No.
Activity
Place
Date
organizer, panel of experts, or mere
attendance)
1
2
3
4
5
6
7
8
9
10
VIII-5- Services, Consultations and Creative Technical Work:
1.
2.
3.
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Dec. 2014
Application Form 1
For
Promotion of Faculty Members to Full Professor Rank
6/9
4.
___________________________________________________________________________
VIII-6- Supervision of Post-graduate Research and Studies:
No.
Title of Thesis
Type of Supervision (main
supervisor or cosupervisor)
Date of degree
awarded
1
2
3
4
5
6
7
8
VIII-7- Committees on which the applicant has served:
Committee
Name
VIII-7- 1-Within the University
Standing/Ad Applicant Role
hoc
(e.g. chair,
member)
VIII-7- 2-External to the University
Committee
Standing/Ad
Applicant
Name
hoc
Role (e.g.
chair,
member)
Dates
Dates
Remarks
Remarks
VIII-8- Courses the applicant has taught at current academic rank:
Title of
CreditContact# of Semesters
Course Code
Course
Hours
Hours
Taught
Dec. 2014
Application Form 1
For
Promotion of Faculty Members to Full Professor Rank
7/9
VIII-9- Curriculum Development: (Describe your contributions to the
development of any courses that you have been involved with since
your last promotion.)
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
VIII-10- Academic Awards:
Awards
Date or
Receipt
Type of
Award
Awarding
Body
Remarks
VIII-11- Membership of professional Societies and Associations. Indicate
type of membership and period:
Name of
Type of
Positions Held
National or
Period
Organization
Membership
within Organization International
Declaration
I, -----------------------------------------------------------------, hereby apply for promotion
to the rank of Professor. I certify that the information provided above is correct
and accurate, to the best of my knowledge, and that the studies and books I
Dec. 2014
Application Form 1
For
Promotion of Faculty Members to Full Professor Rank
8/9
submit are not based on, nor extracted from my Master’s or Ph.D. research and
theses.
Signature -------------------------------------Date: -------------------------------
Dec. 2014
Application Form 1
For
Promotion of Faculty Members to Full Professor Rank
9/9
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