Curriculum Education Leadership Application

Curriculum Education Leadership Application

Thank you for your interest in an education role position in the Baylor College of Medicine School of Medicine. Please fill out the following information. Please provide the documentation required for this position as outlined in the advertised position posting. If you are unable to provide all documentation with this form, please contact the administrator listed in the posting, or email medschool@bcm.edu for more information.

Biographical Information

Are you a BCM Faculty member?*

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Please enter your primary facility information.

Campus*

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Last Name*

First Name*

BCM ID

Email Address*

Faculty Member Dept./Center*

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Section/Division (if applicable)

If your primary appointment is in a particular section or division within your department, please list here.

Race/Ethnicity*

This information is collected for accreditation reporting purposes only. Please select all that apply. You may also choose not to disclose.

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Gender Identity*

This information is collected for accreditation reporting purposes only. You may select a choice or choose not to disclose.

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Application Information

Please enter the information about the role for which you are applying. If you are unsure, please contact the Curriculum Office for more information.

Role*

Please the role that you are applying for.

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Course (if applicable)*

If applicable, please list the course name associated with the role you are applying for.

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Program/Division/Comittee*

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Qualifications

In compliance with the Southern Association of Colleges and Schools Commission on Colleges (SACSCOC), BCM ensures that all instructional faculty, including graduate teaching assistants, have met the established standards to teach based on the content and the level of each credit-bearing course assigned as an Instructor of Record (IoR).

Degree Status*

Academic credentials are the most common form of justification for an IoR. Minimum appropriate academic credentials include:

• Faculty teaching graduate and post-baccalaureate course work: earned doctorate/terminal degree in the teaching discipline or a related discipline.

Do you hold a doctorate/terminal degree in the teaching discipline or a related discipline?

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If yes, then please specify:*

Please enter your doctorate/terminal degree information.

Alternative Credentials*

Alternative credentials provide compelling evidence of teaching qualifications and expertise when the minimum academic credential requirements are not met. Examples of alternative credentials include, but are not limited to:

a. 18 graduate credit hours

b. Professional licensure/certification

c. Substantial, professional, work-related experience in the field

d. Relevant research scholarship, and/or creative activities, such as peer-reviewed publications, etc.

e. Related honors, awards, and/or grants

f. Other relevant qualifications or credentials

Please describe your alternative credentials that apply to this position:

Qualifications Review*

Please provide additional details regarding your qualifications for this position here.

Documentation Attached (Please select all)

Please attach all documentation requested in the advertised position.

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File Upload*

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Email

Please check the option below to send yourself a copy of the completed form for your records.

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