Application Checklist for APPOINTMENT As Professor Or Associate Professor(Regular Faculty)

Office of Faculty Affairs

Application checklist for APPOINTMENT as Professor or Associate Professor(Regular Faculty)

Candidate compiles and submits items 1 – 7 on a labeled CD or flash drive with 3 paper copies.

Complete appointment applications are accepted at any time.

Deliver (DO NOT MAIL) to Eileen Stranscak, Faculty Affairs Coordinator, CCLCM

Phone: 216-445-2649; Email: ; Fax: 216-636-0897.

First name / Middle name / Last name / Degree(s)
@ccf.org
Date of birth / Office phone / Office mail code / Office e-mail
Cleveland Clinic Primary Department:
CWRU USER ID (if previously established):
Nomination: / Professor / Associate Professor
CCLCM
Department:
(select one) / Anesthesiology / Family Medicine / Medicine / Molecular Medicine
Ophthalmology / Pathology / Pediatrics / Radiology / Surgery
Primary area of excellence:
(based on national reputation)
(selectone box): / Clinical Service/Clinical Research / Laboratory Research / Teaching

Candidate compiles and submits items 1 – 7 on a labeled CD or flash drive with 3 paper copies:

1. / This completed application checklist
2. / Nomination letter indicating level of proposed appointment and to which CCLCM department from department chair or academic chair discussing the candidate’s qualifications, including teaching, research, professional service contributions, landmark discoveries or innovations, and the candidate’s relationship to the department’s academic strategy.Address letter to Gene H. Barnett, M.D., CCLCM, Associate Dean, Faculty Affairs.
3. / Curriculum vitae
Effective 9/1/2010, standard CCLCM CV format required.
4. / Personal narrative statement of professional activities, maximum of 2 pages, describing teaching, research and service accomplishments, including specifics not derived from a CV or bio-sketch. Include name on each page.
5. / Journal publications – maximum of 5 – Copies are preferred. Reprints are not returned. Books not accepted.
6. / Terminal degree(s) (Photocopy of M.D. and/or Ph.D. diploma)
7. / Referee list as a Word document. Include emails and contact info. Referee specifics:
Number of names requested reflects more than required to complete application.List names by category:
a)12-14 externalfor Professor OR
10-12 external for Associate Professor
b)5 colleague (current or former) A reference letter may not be obtained from the nominating chair.
c)8 student/trainee (current or former)
Referee letters are requested by Faculty Affairs Office not candidate or chairman.

CURRENT FORMS AND INFORMATION AVAILABLE ON WEBSITE:

Office of Faculty Affairs

Application checklist for APPOINTMENT as Assistant Professor or Instructor(Regular Faculty)

Candidate compiles and submits items 1 – 7 on a labeled CD or flash drive with 3 paper copies.

Complete appointment applications are accepted at any time.

Deliver (DO NOT MAIL) to Eileen Stranscak, Faculty Affairs Coordinator, CCLCM

Phone: 216-445-2649; Email: ; Fax: 216-636-0897.

First name / Middle name / Last name / Degree(s)
@ccf.org
Date of birth / Office phone / Office mail code / Office e-mail
Cleveland Clinic Primary Department:
CWRU USER ID (if previously established):
Nomination: / Assistant Professor / Instructor
CCLCM
Department:
(select one) / Anesthesiology / Family Medicine / Medicine / Molecular Medicine
Ophthalmology / Pathology / Pediatrics / Radiology / Surgery
Primary area of excellence:
(based on national reputation)
(selectone box): / Clinical Service/Clinical Research / Laboratory Research / Teaching

Candidate compiles and submits items 1 – 7 on a labeled CD or flash drive with 3 paper copies:

1. / This completed application checklist
2. / Nomination letter indicating level of proposed appointment and to which CCLCM department from department chair or academic chair discussing the candidate’s qualifications, including teaching, research, professional service contributions, landmark discoveries or innovations, and the candidate’s relationship to the department’s academic strategy.Address letter to Gene H. Barnett, M.D., CCLCM, Associate Dean, Faculty Affairs.
3. / Curriculum vitae
Effective 9/1/2010, standard CCLCM CV format required.
4. / Personal narrative statement of professional activities, maximum of 2 pages, describing teaching, research and service accomplishments, including specifics not derived from a CV or bio-sketch. Include name on each page.
5. / Journal publications – maximum of 5 – Copies are preferred. Reprints are not returned. Books not accepted.
6. / Terminal degree(s) (Photocopy of M.D. and/or Ph.D. diploma)
7. / Referee list as a Word document. Include emails and contact info. Referee specifics:
Number of names requested reflects more than required to complete application.List names by category:
6 names can be any combination of external; colleague (current or former) A reference letter may not be obtained from the nominating chair; or student/trainee (current or former)
Referee letters are requested by Faculty Affairs Office not candidate or chairman.

Office of Faculty Affairs

Application checklist for APPOINTMENT as Clinical Professor or Clinical Associate Professor

Candidate compiles and submits items 1 – 7 on a labeled CD or flash drive with 3 paper copies.

Complete appointment applications are accepted at any time.

Deliver to Eileen Stranscak, Faculty Affairs Coordinator, CCLCM

Phone: 216-445-2649; Email: ; Fax: 216-636-0897.

First name / Middle name / Last name / Degree(s)
@ccf.org
Date of birth / Office phone / Office mail code / Office e-mail
Cleveland Clinic Primary Department:
CWRU USER ID (if previously established):
Nomination: / Clinical Professor / Clinical Associate Professor
CCLCM
Department:
(select one) / Anesthesiology / Family Medicine / Medicine / Molecular Medicine
Ophthalmology / Pathology / Pediatrics / Radiology / Surgery
Primary area of excellence:
(based on national reputation)
(selectone box): / Clinical Service/Clinical Research / Laboratory Research / Teaching

Candidate compiles and submits items 1 – 7 on a labeled CD or flash drive with 3 paper copies:

1. / This completed application checklist
2. / Nomination letter indicating level of proposed appointment and to which CCLCM department from department chair or academic chair discussing the candidate’s qualifications, including teaching, research, professional service contributions, landmark discoveries or innovations, and the candidate’s relationship to the department’s academic strategy.Address letter to Gene H. Barnett, M.D., CCLCM, Associate Dean, Faculty Affairs.
3. / Curriculum vitae
Effective 9/1/2010, standard CCLCM CV format required.
4. / Personal narrative statement of professional activities, maximum of 2 pages, describing teaching, research and service accomplishments, including specifics not derived from a CV or bio-sketch. Include name on each page.
5. / Journal publications – maximum of 5 – Copies are preferred. Reprints are not returned. Books not accepted.
6. / Terminal degree(s) (Photocopy of M.D. and/or Ph.D. diploma)
7. / Referee list as a Word document. Include emails and contact info. Referee specifics:
Number of names requested reflects more than required to complete application.List names by category:
a)6externaland
b)4 additional names can be any combination of external; colleague (current or former) A reference letter may not be obtained from the nominating chair; or student/trainee (current or former)
Referee letters are requested by Faculty Affairs Office not candidate or chairman.

Office of Faculty Affairs

Application checklist for APPOINTMENT as Clinical Assistant Professor or Clinical Instructor

Candidate compiles and submits items 1 – 4 on a labeled CD or flash drive with 3 paper copies.

Complete appointment applications are accepted at any time.

Deliver to Eileen Stranscak, Faculty Affairs Coordinator, CCLCM

Phone: 216-445-2649; Email: ; Fax: 216-636-0897.

First name / Middle name / Last name / Degree(s)
@ccf.org
Date of birth / Office phone / Office mail code / Office e-mail
Cleveland Clinic Primary Department:
CWRU USER ID (if previously established):
Nomination: / Clinical Assistant Professor / Clinical Instructor
CCLCM
Department:
(select one) / Anesthesiology / Family Medicine / Medicine / Molecular Medicine
Ophthalmology / Pathology / Pediatrics / Radiology / Surgery
Primary area of excellence:
(based on national reputation)
(selectone box): / Clinical Service/Clinical Research / Laboratory Research / Teaching

Candidate compiles and submits items 1 – 4 on a labeled CD or flash drive with 3 paper copies:

Office of Faculty Affairs

Application Checklist for APPOINTMENT as Adjunct Professor or Adjunct Associate Professor

Candidate compiles and submits items 1 – 6 on a labeled CD or flash drive with 3 paper copies.

Complete appointment applications are accepted at any time.

Deliver to Eileen Stranscak, Faculty Affairs Coordinator, CCLCM

Phone: 216-445-2649; Email: ; Fax: 216-636-0897.

First name / Middle name / Last name / Degree(s)
Date of birth / Office phone / Office mail code / Office e-mail
Cleveland Clinic Primary Department:
CWRU USER ID (if previously established):
Nomination: / Adjunct Professor / Adjunct Associate Professor
CCLCM
Department:
(select one) / Anesthesiology / Family Medicine / Medicine / Molecular Medicine
Ophthalmology / Pathology / Pediatrics / Radiology / Surgery
Primary area of excellence:
(based on national reputation)
(selectone box): / Clinical Service/Clinical Research / Laboratory Research / Teaching

Candidate compiles and submits items 1 – 6 on a labeled CD or flash drive with 3 paper copies:

1. / This completed application checklist
2. / Nomination letter indicating level of proposed appointment and to which CCLCM department from department chair or academic chair discussing the candidate’s qualifications, including teaching, research, professional service contributions, landmark discoveries or innovations, and the candidate’s relationship to the department’s academic strategy.Address letter to Gene H. Barnett, M.D., CCLCM, Associate Dean, Faculty Affairs.
3. / Curriculum vitae
Effective 9/1/2010, standard CCLCM CV format required.
4. / Personal narrative statement of professional activities, maximum of 2 pages, describing teaching, research and service accomplishments, including specifics not derived from a CV or bio-sketch. Include name on each page.
5. / Terminal degree(s) (Photocopy of M.D. and/or Ph.D. diploma)
6. / Referee list as a Word document. Include emails and contact info. Referee specifics:
Number of names requested reflects more than required to complete application.List names by category:
a)6external and
b)4 additional names can be any combination of external; colleague (current or former) A reference letter may not be obtained from the nominating chair; or student/trainee (current or former)
Referee letters are requested by Faculty Affairs Office not candidate or chairman.

Office of Faculty Affairs

Application Checklist forAPPOINTMENT asAdjunct Assistant Professor

Candidate should compile and submit items 1 – 4 on a labeled CD or flash drive with 3 paper copies.

Complete appointment applications are accepted at any time.

Deliver to Eileen Stranscak, Faculty Affairs Coordinator, CCLCM

Phone: 216-445-2649; Email: ; Fax: 216-636-0897.

First name / Middle name / Last name / Degree(s)
Date of birth / Office phone / Office mail code / Office e-mail
Cleveland Clinic Primary Department:
CWRU USER ID (if previously established):
Nomination: / Adjunct Assistant Professor
CCLCM
Department:
(select one) / Anesthesiology / Family Medicine / Medicine / Molecular Medicine
Ophthalmology / Pathology / Pediatrics / Radiology / Surgery
Primary area of excellence:
(based on national reputation)
(selectone box): / Clinical Service/Clinical Research / Laboratory Research / Teaching

Candidate should compile and submit items 1 – 4 on a labeled CD or flash drive with 3 paper copies:

CURRENT FORMS AND INFORMATION AVAILABLE ON WEBSITE: