Preliminary Screening Form

Applicant:
Position/Institution:

Minimal Requirements and Comments	Rating

		Qualified	Uncertain	Not Qualified
Earned doctorate in field appropriate to department			NA
Scholarship appropriate for tenured appointment in department as professor
Minimum 6 years full-time faculty appointment with full-time teaching responsibilities
Administrative experience as:	department chair:
	program director:
	in a dean's office:
	executive assistant:
	other:
Overall rating:

Comments: