Application for Appointment to the School of Medicine Graduate Faculty

Eligibility for Graduate Faculty Membership: any OHSU faculty member or faculty-level scientist, who possesses a Master’s or Doctoral degree and who demonstrates evidence of scholarly activity, and is a member of an approved academic graduate degree program within the School of Medicine shall be eligible for membership in the Graduate Faculty. External faculty with involvement at OHSU, are eligible for Affiliate Graduate Faculty Membership. These faculty will have the same privileges and responsibilities as Graduate Faculty but shall be limited to activities only within the Graduate Program that sponsored them and their term shall be limited to 3 years (although it can be renewed at the Program’s request).

Privileges and Responsibilities of all Graduate Faculty Members: Graduate Faculty shall teach in graduate level courses, serve on oral thesis or dissertation examination committees and on advancement to candidacy examination committees, will interact with graduate students in seminars and conferences, and serve on other committees concerning graduate education. They may mentor or advise a graduate student on matters concerning their capstone project, thesis, or dissertation.

*Please note that our team asks for contact information to assist in setting up faculty in our banner system.

Faculty Information

Graduate or Affiliate Status*

Please select the Graduate Faculty status in which you are applying for. For status eligibility requirements, please see the form instructions.

Graduate Faculty

Affiliate Graduate Faculty

Applicant First Name*

Applicant Last Name*

Applicant's OHSU email*

Applicant Contact Information*

Please provide your OHSU or Home Address (including office number/building, street, city, state, zip code)

Degree(s)*

e.g. PhD, MS, etc.

Academic Rank/Title*

e.g. Assistant Professor, Associate Professor, etc.

Primary Administrative Unit*

OHSU department, division, institute or unit with primary responsibility for administering the applicant’s salary and grants. If the applicant does not receive a salary from OHSU, list the department or unit that sponsored the applicant’s faculty or faculty level scientist appointment at OHSU.

Department Chair*

The Chair of the OHSU department, division, institute or unit with primary responsibility for administering the applicant’s salary and grants. If the applicant does not receive salary from OHSU, list the Chair of the department or unit that sponsored the applicant’s faculty or faculty level scientist appointment at OHSU.

Department Chair's Email*

Sponsoring Graduate Program*

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PBMS Hub

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Sponsoring Program Director*

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Sponsoring Program Directors Email*

Applicant Background*

Applicant Qualifications*

Biosketch*

Please attach your most recent biosketch (or equivalent).

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Mentorship*

Faculty new to OHSU must indicate how and by whom they will be mentored on graduate education at OHSU.

Role(s)

Check all that apply

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Student Status

Please check this box if you are currently a graduate student at OHSU, in addition to your faculty role. Note: active student status does not necessarily prohibit you from becoming graduate faculty.

Faculty Approval*

I agree to abide by the aforementioned privileges and responsibilities of the Graduate Faculty.

Send me a copy of my responses

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