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