University of Louisville School of Medicine.

Before Tab 1 _____ Checklist _____ Log Sheet for Promotion Tab 1 Forms _____ P-103 • If promotion effective date is July 1 – include current salary • If promotion effective date is January 1 – On Remarks line, include PAR and/or JDC numbers for each PCN affected by current promotion action – include salary effective January 1 • Tenure only actions do not require payroll changes _____ P-102 (Biographical Data Sheet) (must be signed by faculty member) _____ Departmental Assurance Form (must be signed by faculty member) _____ Validity Statement from Departmental PAT Tab 2 Intramural Recommendations _____ Letter from Chair to Dean _____ Ballot – Departmental Approval Form 1 for promotion and 1 for tenure (if requested) _____ Letter of recommendation from Division Chief (if applicable) _____ Department committee’s review _____ Joint appointment (if applicable) – include chair’s letter and faculty ballot for each joint department _____ Copy of Associate Dean’s mid-tenure review of candidate Tab 3 Extramural Evaluations _____ List of ALL individuals requested to provide an extramural evaluation _____ 4 extramural evaluation letters Tab 4 CV _____ 2 Curriculum vitae in binder and electronic copy to [email protected] • Provide letters of acceptance for any “in press” publications _____ 5 most significant journal articles during the period of review submitted electronically in one pdf file to [email protected] _____ Personal statement (required) Tab 5 Criteria _____ Appropriate page/s of Summary of PAT Criteria Tab 6 Other Letters of Support _____ Letters of support from faculty, students, community leaders, etc. Tab 7 Annual Work Plans _____ Copies of annual work assignments for period under review (last 5 years) _____ Summary of annual work plans Tab 8 Annual Performance Reviews _____ Copies of annual merit evaluations for period under review (SIBUP) (last 5 years) Tab 9 Teaching Evaluations _____ Summative Teaching Evaluation Form _____ Summary of formal teaching evaluations from student and residents (last 5 years) Tab 10 Other Support Documents _____ Notification of awards _____ Letters, evaluations, etc. from recipients of service _____ Proof of funding – copies of Award Summary for all awards as PI or Co-PI for the period of review (last 5 years). Obtain Award Summary from University Reports UBM-13A, with assistance of GR-02 Grant Proposals/Award by Empid.