Academic Affairs Forms
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Academic Affairs Forms

FORM DESCRIPTION COLOR Contact Person
Academic Program Assessment Form Please use this form to submit academic program submission via e-mail to Dr. Renae Duncan.

--- Dr. Renae Duncan
Program Assessment Worksheet For Demonstration of Program Review and Quality Assessment.

--- ---
Application for Faculty Leave This form is used for faculty to apply for sabbatical leave, leave without pay, or public service leave without pay.

--- Mary Ann Gardner
Faculty Credential
(Replaces Faculty/Advisor Category Request Form)
This form is used to obtain teaching faculty status for a faculty member. Teaching faculty status and category assignment are required for all faculty members teaching courses. A vita and an OFFICIAL original transcript must be submitted with this form.

Goldenrod Brenda Owen
Faculty/Professional Staff Employment Data Sheet This form is used to supply general information about new faculty/professional staff hires to the Office of the Provost for use at the yearly luncheon and to be placed in their faculty file.

Pink Mary Ann Gardner
Honors Day Forms Forms and procedures for submitting award recipient names for Honors Day Ceremony.

--- Mary Ann Gardner
Institutional Animal Care and Use Committee - Research Protocol Application Murray State University Institutional Animal Care and Use Committee (IACUC) - Application for The Use of Animals in Research (2009-)

--- Kristi Stockdale
Institutional Animal Care and Use Committee - Teaching Protocol Application
Murray State University Institutional Animal Care and Use Committee (IACUC) - Application for The Use of Animals in Teaching (2009-)

--- Kristi Stockdale
Promotion Packet Forms This multi-page form is to be completed by the appropriate persons and submitted with the promotion packet.

--- Mary Ann Gardner
Proposal for Revisions of Faculty Handbook This form is for proposed additions, deletions, or revisions of academic policies, procedures or descriptive materials contained in official Murray State University publication.

Goldenrod Donna Miller
Recommendation for Graduate Faculty Appointment This form is to be used to recommend initial appointment or for a change in status of faculty who are associate members of the Graduate Faculty.  Each faculty member – full-time, part-time, or adjunct – who is assigned to teach graduate level courses or supervise graduate level internships must be approved for the appropriate status as a member of the graduate faculty.  The academic department chair is responsible for initiating this and subsequent recommendation forms related to faculty in the department. --- Donna Miller
Schedule Correction(fall/spring) This form is used to add/delete/change courses for the presently scheduled or current semester. Schedule Correction Forms for the summer semester are distributed by CEAO.

Pink Shelia Haley
Summer Session Request This form is used to request a summer session be created outside of the published "S" sessions. Course syllabus must be attached.

Goldenrod Shelia Haley
Tenure Packet Forms This multi-page form is to be completed by the appropriate persons and submitted with the tenure notebook.

--- Mary Ann Gardner
Textbook Order Form (Single)
Use TBK-1 for all courses requiring onetextbook. All textbook orders are to be signed by department chair and academic dean. Forms are to be submitted to the Vice President for Academic Affairs no later than:FALL SEMESTER - APRIL 1; SPRING SEMESTER - OCTOBER 15; SUMMER SESSIONS - MARCH 10; WINTER - OCTOBER 1.

--- Brenda Owen
Textbook Order Form (Multiple)
Use TBK-2 for all courses requiring more than one textbook. All textbook orders are to be signed by department chair and academic dean. Forms are to be submitted to the Vice President for Academic Affairs no later than:FALL SEMESTER - APRIL 1; SPRING SEMESTER - OCTOBER 15; SUMMER SESSIONS - MARCH 10; WINTER OCTOBER 1.

--- Brenda Owen

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