Academic Affairs Forms

Teaching/Research Forms

Schedule Correction (fall and spring)

Use this form to add/change/delete class sections for the presently scheduled or current semester. CEAO Schedule Correction Forms below are to be used for the summer and winter terms, off-campus sites, ITV, and WEB classes.

Color: Pink

Contact: Shelia Haley

Format: PDF

 

Multi-Class Schedule Correction

Use this form to change multiple class sections for the presently scheduled or current semester.

Color: Pink

Contact: Shelia Haley

Format: PDF

 

RAO Schedule Correction

Use this RAO Schedule Correction Forms for all summer term, off-campus sites, ITV, and WEB classes. This form is used to add/delete/change class sections for the presently scheduled or current semester. 

Color: Yellow for summer; Green for all others

Contact: Tammy Thompson in RAO

Format: PDF

 

Textbook Order Form (Single)

Use TBK-1 for all courses requiring 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.

Contact: Brenda Owen

Format: PDF

 

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.

Contact: Brenda Owen

Format: PDF

 

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-)

Contact: Kristi Stockdale (Office of Sponsored Programs)

Format: Word

 

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-)

Contact: Kristi Stockdale (Office of Sponsored Programs)

Format: Word

 

Adjunct Faculty Teaching Evaluation Form

Supervising department chairs or program coordinators should complete this form for each adjunct faculty member who taught at least one course during the spring/fall sequence of semesters.

Format: PDF

Faculty Forms

Application for Faculty Leave

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

Contact: Mary Ann Gardner

Format: PDF

 

Faculty Credential Certification

This form replaces Faculty/Advisor Category Request Form and 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.

Color: Goldenrod

Contact: Brenda Owen

Format: PDF

 

Full-Time Faculty Employment Data Sheet

This form is used to supply general information about new faculty hires to the Office of the Provost for use at the yearly luncheon and to be placed in their faculty file.

Color: Pink

Contact: Mary Ann Gardner

Format: PDF

 

Promotion Packet Forms

This multi-page form is to be completed by the appropriate persons and submitted with the promotion packet. The applicant and each recommending agency are to complete the appropriate sections of the promotion packet. The packet is then forwarded to the next recommending agency according to the timetable in the Faculty Handbook. The dean should assemble the completed documents and forward them to the Office of the Provost. The complete application for promotion should include:

  1. Promotion Recommendation Summary: PDF
  2. Applicant's Form: Word - PDF
  3. Recommendations of each Evaluative Agency:
    1. Department Committee: Word - PDF
    2. Department Chair: Word - PDF
    3. College/School Committee: Word - PDF
    4. Dean/Director: Word - PDF
  4. Current Curriculum Vitae

Applicants should be prepared to submit supportive materials (copies of books, articles, grants, etc.) upon the request of recommending agency.

Contact: Mary Ann Gardner

 

Recommendation for Graduate Faculty Appointment

Use this form 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.

Contact: Donna Miller

Format: PDF

 

Tenure Packet Forms

This multi-page form is to be completed by the appropriate persons and submitted with the tenure notebook. The applicant and each recommending agency are to complete the appropriate sections of the tenure packet. The packet is then forwarded to the next recommending agency according to the timetable in the Faculty Handbook. The dean should assemble the completed documents and forward them to the Office of the Provost. The complete application for tenure should include:

  1. Tenure Recommendation Summary
  2. Applicant's Forms: Word - PDF
  3. Recommendations of each Evaluative Agency:
    1. Department Committee Forms: Word - PDF
    2. Chair Forms: Word - PDF
    3. College/School Committee Forms: Word - PDF
    4. Dean/Director Forms: Word - PDF
  4. Provost Recommendation Forms
  5. Annual Performance Reviews
  6. Current Curriculum Vitae
  7. Grade Distribution Information
  8. Summary Student Evaluations

Applicants should be prepared to submit supportive materials (copies of books, articles, grants, etc.) upon the request of recommending agencies.

Contact: Mary Ann Gardner

 

Honors Day Forms

University-Wide Honor Society Awards

Use this form for university wide awards such as those given by the Honors Program, Alpha Chi, Alpha Lambda Delta, Gamma Beta Phi, Omicron Delta Kappa, and Sigma Xi.

Contact: Mary Ann Gardner

Format: PDF

 

Collegiate/Departmental Awards

Use this form for awards presented by individual colleges and departments.

Contact: Mary Ann Gardner

Format: PDF

 

Departmental Honor Society Awards

Use this form for awards presented by individual colleges and departments.

Contact: Mary Ann Gardner

Format: PDF

 

Residential College Awards

This form is for the Academic Achievement and Outstanding Service Awards presented by the residential colleges.

Contact: Mary Ann Gardner

FormatPDF

 

Student Affairs Awards

This form is for the the Ralph Woods Memorial Award, Outstanding Senior Woman Award, and the Outstanding Senior Man Award presented by the Student Affairs.

Contact: Mary Ann Gardner

FormatPDF

 

General Academic Affairs Forms

Academic Change Form

Use this form to notify university units of key academic name or location changes.

Contact: Shelia Haley

Format: PDF

 

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.

Color: Goldenrod

Contact: Donna Miller

Format: PDF

 

Application Summary for Graduate Assistants

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