UNIVERSITY OF WISCONSIN-LA CROSSE

 

APPLICATION FOR PROVISIONAL GRADUATE FACULTY

(Limited to one semester with the inclusion of a contiguous summer)

 

Name of the Candidate:___________________________________________

Department:_____________________________________________________

 

I recommend the above named candidate for appointment as a Provisional Graduate Faculty for fall/ spring semester (circle one) in 20  __.   A CV for the applicant must be attached.  This individual will contribute to the graduate education at UW-L as follows:

 

 

 

 

 

 

 

 

 

 

 

________________________________________________________   ____________

Name and Signature of the Department Chair                                            Date

 

Comments by the College Dean:

 

 

 

 

 

 

 

________________________________________________________  ______________

Name and Signature of the College Dean                                                    Date

 

 

 

Approved

 

 

_______________________________________________________  _______________

Associate Vice Chancellor for Academic Affairs                                         Date