Schools may disclose, without consent, "directory" information such as a student's name, address, telephone number, date and place of birth, honors and awards, and dates of attendance. However, schools must tell eligible students about directory information and allow eligible students a reasonable amount of time to request that the school not disclose directory information about them. Schools must notify eligible students annually of their rights under FERPA. SCHEV Phone: (804) 225-2600 Fax: (804) 225-2604 TDD: (804) 371-8017 Web: www.schev.edu The actual means of notification (special letter, inclusion in a student handbook, or newspaper article) is left to the discretion of each school. For additional information, you may contact the Registrar at the following address: VTCSOM Office of the Registrar 2 Riverside Circle, Suite M140 Roanoke, VA 24016 (540) 526-2512 Instructor Qualification Personnel Data Full Name: Date: Last First M.I. Phone: ( ) Work Cell #: ( ) Work Fax: ( ) E-mail Address: Date of Initial Employment: Full Time: Part Time: Virginia Tech Carilion School of Medicine Name of School (Employer): Problem-based learning curriculum: combination of lectures, facilitation of small Courses that will be taught: team group discussions and/or clinical skills throughout the four years Education Attended Graduated? Certificate, Diploma Institution Attended From To Yes No or Degree Earned Major Area of Study (Name plus city & state of location) (Mo./Yr.) (Mo./Yr.) Teaching and or Work Experience Employer Job Title: Address:
Schools may disclose, without consent, "directory" information such as a student's name, address, telephone number, date and place of birth, honors and awards, and dates of attendance. However, schools must tell eligible students about directory information and allow eligible students a reasonable amount of time to request that the school not disclose directory information about them. Schools must notify eligible students annually of their rights under FERPA. The actual means of notification (special letter, inclusion in a student handbook, or newspaper article) is left to the discretion of each school. For additional information, you may contact the Registrar at the following address: VTCSOM Office of the Registrar 2 Riverside Circle, Suite M140 Roanoke, VA 24016 (540) 526-2512 SCHEV Phone: (804) 225-2600 Fax: (804) 225-2604 TDD: (804) 371-8017 Web: www.schev.edu Instructor Qualification Personnel Data Full Name: Date: Last First M.I. Phone: ( ) Work Cell #: ( ) Work Fax: ( ) E-mail Address: Date of Initial Employment: Full Time: Part Time: Name of School (Employer): Virginia Tech Carilion School of Medicine Courses that will be taught: Problem-based learning curriculum: combination of lectures, facilitation of small team group discussions and/or clinical skills throughout the four years Education Institution Attended (Name plus city & state of location) Graduated? Yes No Certificate, Diploma or Degree Earned Major Area of Study Attended From To (Mo./Yr.) (Mo./Yr.) Teaching and or Work Experience Employer Job Title: Address:
initial-faculty-appointment-application-packet.docx