Instructor Qualification Form

Instructor Qualification Form

Submitter Name:*

Instructor First and Last Name:*

College:*

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Instructor's Academic Rank:*

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Appointing Department:*

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Highest level of degree obtained (e.g. PhD in Art):*

Subject(s) that instructor of record will be certified to teach:*

Please use UM-D Subject Abbreviations

List the course(s) the instructor will teach:*

Please include UM-D Subject Abbreviation and Number for each course listed

Does the instructor have a degree relevant to what they are teaching and that is at least one level above the level at which they will be teaching?*

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Please detail a degree equivalent to the level the faculty member is teaching, plus 5 years of professional experience relevant to the content they are teaching, including tested / documented experience and advancement or recognition in the field.*

Evidence may include one or more of the following items but may not be limited to theses items: 1) Documented activities such as research, publications, creative work or scholarly presentations; 2) Documented experience, progression, recognition, and/or advancement in the field (e.g., public office or service, editorial boards or other professional work); and, 3) Additional education (certificates, credit-bearing coursework, professional or industry-recognized certifications or other honors)

Please detail a degree equivalent to the level the faculty member is teaching, plus 7+ years, comprised of some combination of work experience and/or college-level teaching experience, with current experience being weighed more heavily than less recent experience.*

Additional Comments/Relevant Information (Optional)

i.e. course titles, content covered, etc.

Dearborn Discovery Core

Is one or more of the courses being taught in the Dearborn Discovery Core?*

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Does the instructor hold a master's degree or higher in the DDC cateogory they are teaching or has completed a minimum of 18 graduate credit hours in the discipline/area for which they are teaching?*

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Documents

Upload Vitae*

Transcripts and professional licenses/certifications are optional

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For Internal Use (submitter need not complete)

Associate Dean Approval (add initials)

Provost Office Approval (add initials)

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