Faculty Forms
Forms on this page are available for Faculty and Development activities.
For a full list of School of Medicine Operating Policies, click here.
- SOM Faculty Appointments—SOM OP 20.01
- Faculty Appointments Committee Members (Lubbock Campus) 2020-2021
Yasin Ibrahim, MD
Keith Bishop, PhD
Bettina Schmitz, MD, PhD
Komaraiah Palle, PhD
Kishor Bhende, MD
Abdul Hamood, PhD
Yangzom Bhutia, DVM, PhD
Irfan Warraich, MD
Keith Bishop, PT, PhD
Lekha George, MD
Yasin Ibrahim, MD
Meenu Sharma, MD
Michel Diab, MD
Karla Daniele, MD
Christopher Crist, MD
Brittany Bankhead, MD
Mac Ansari, MD
Hilmi Alam, MD
Allan Haynes, Jr., MD (Ex-Officio) - Faculty Appointments Checklist—SOM OP 20.01.A Word / PDF
- Request to Recruit —SOM OP 20.01.B.1 (Clinical) PDF / (Non-Clinical) PDF (coming soon)
ProForma (REQUIRED) - Request to Hire—SOM OP 20.01.C Word / PDF
- Faculty Position Class Codes and Titles—SOM OP 20.01.D
- Interview Comments—SOM OP 20.01.E Word / PDF
How to save a fillable .pdf - Video Tutorial - Physician Employment Agreement, Non-Tenure Track—SOM OP 20.01.F
- Physician Employment Agreement, Tenure Track—SOM OP 20.01.G
- Physician Employment Agreement, Part-Time (<50% FTE)—Click Here
- Physician Employment Agreement Addendum—Click Here
- Physician Employment Agreement, J-1 Waiver—SOM OP 20.01.K
Please note, all J-1 Waivers must be reviewed by Immigration & Compliance Services - Physician Employment Agreement, US HHS J-1 Waiver—Click Here
Please note, all J-1 Waivers must be reviewed by Immigration & Compliance Services - Guidelines for Clinical Faculty (Non-Paid) Appointment-Reappointment-Promotion—SOM OP 20.01.H
- Guidelines for Adjunct Faculty Appointment-Reappointment-Promotion—SOM OP 20.01.I
- Faculty Appointment Requirements—SOM OP 20.01.J
- Faculty Temporary License—SOM OP 20.03
- New Clinical Faculty Positions—SOM OP 20.50
- Faculty Appointments Committee Members (Lubbock Campus) 2020-2021
- Faculty Evaluation Guidelines and Procedures—SOM OP 20.20
- Faculty Summary Report and Confirmation—SOM OP 20.20.A
- Clarification/Rebuttal–Faculty Summary Report—SOM OP 20.20.B
- Written Instructions for Generating the Faculty Evaluation Self-Report in Digital Measures
- Video Instructions for Generating the Faculty Evaluation Self-Report in Digital Measures
- Faculty Tenure and Promotion—SOM OP 20.21
- SOM Procedures for Tenure and Promotion—SOM OP 20.21.A
- SOM Tenure and Promotion Timeline—SOM OP 20.21.B
- Tenure Track Reference Template—SOM OP 20.21.C
- Non-tenure Track Reference Template—SOM OP 20.21.D
- Tenure Only Reference Template—SOM OP 20.21.E
- Area of Excellence Reference Template—SOM OP 20.21.F
- Tenure Option Form—SOM OP 20.21.G
- SOM Procedures for Tenure and Promotion Committee—SOM OP 20.21.H
- Tenure and Promotion Policy—HSC OP 60.01
- Tenure and Promotion Timeline—2024-2025
- Mid-Cycle Review—SOM OP 20.22
- Instructions for creating your SOM Application for Mid-Cycle Review:
- Navigate to Digital Measures using this link: https://app4.ttuhsc.edu/digitalmeasuresshim
- Click on "Rapid Reports" on the upper right of your screen
- Change the Report to "SOM Application for Mid-Cycle Review"
- Change the Date Range to "Jan 1, 1925 - Dec 31, <Current Year>"
- Click "Run Report"
- Save the document to your desktop and add/edit as necessary
- For assistance and ideas on how/where to enter additional information to the report you generated using the steps above, contact OFAD at (806) 743-3010 or refer to our Faculty Success Webpage which contains a data entry training video.
- Form Declining Participation in Mid-Cycle Review, please use the link for declination embedded in your invitation email.
- Mid-Cycle Review Peer Evaluation—SOM OP 20.22.C
- Instructions for creating your SOM Application for Mid-Cycle Review:
- Post Tenure Review—SOM OP 20.23
- Post Tenure Peer Review Timeline—SOM 20.23.A
- Peer Review Report — Individual—SOM 20.23.B
- Peer Review Report — Team—SOM 20.23.C
- Comprehensive Performance Evaluation Report—SOM 20.23.D
- Professional Development Plan—SOM 20.23.E
SOM Policies
- SOM Faculty Profiles—SOM OP 20.02
- Faculty Temporary License—SOM OP 20.03
- Faculty Council Bylaws—SOM OP 20.05
- Faculty Grievances—SOM OP 20.10
- Appeal of Dismissal, Termination, and Non-Reappointment—SOM OP 20.11
- Health, Wellness and Rehabilitation of Faculty, Physicians in Training (Fellows and Residents) and Students—SOM OP 20.12
- Faculty Mentoring - SOM OP 20.24
- Basic Science Department Year-End Incentive Compensation—SOM OP 20.31
- Clinical Science Department Year-End Incentive Compensation—SOM OP 20.32
- Inter-campus Visiting Professor Program—SOM OP 20.40
- SACS Documentation Requirements
- Official Transcript (hard copy)
- Current CV
- Equivalency documents for international graduates (ECFMC certificate - notarized copy) or document from an equivalency company
- Board Certification letter or certificate (notarized copy)
HSC Policies
- Faculty Development Leave Application—HSC OP 60.02
- Faculty Search Affirmative Action In-Progress Review—HSC OP 60.09, Attachment C
- TTUS EEO/Affirmative Action Recruitment Summary—HSC OP 60.09, Attachment D
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