FACULTY CERTIFICATION L#: Last Name, First Name: Division/Dept: Contracted Faculty: Part-Time Credit Instructor: Specific Course(s)/activities CERTIFIED to be taught/performed Note: Use “tab” key when entering data in the table. It will add extra rows as you need them. Add Effective Date Course Number Course/Activity Title Delete (month/year) (Include all suffixes as appropriate; use same syntax as class schedule) Continued or Revised Add New Course Delete Remove Courses Continued All the courses for which Revised All the courses for which the – – – – nothing has changed minimum certifications have changed SIGNATURES: Faculty Member Date Division Dean/Director Date Executive Dean Date
FACULTY CERTIFICATION L#: Last Name, First Name: Division/Dept: Contracted Faculty: Part-Time Credit Instructor: Specific Course(s)/activities CERTIFIED to be taught/performed Note: Use “tab” key when entering data in the table. It will add extra rows as you need them. Add Delete Continued or Revised Effective Date (month/year) Course Number (Include all suffixes as appropriate; use same syntax as class schedule) Course/Activity Title Add – New Course Delete – Remove Courses Continued – All the courses for which nothing has changed Revised – All the courses for which the minimum certifications have changed SIGNATURES: Faculty Member Date Division Dean/Director Date Executive Dean Date
faculty_certification_form_10.27.15.docx