{"id":1058,"date":"2017-02-28T14:46:23","date_gmt":"2017-02-28T19:46:23","guid":{"rendered":"https:\/\/health.uconn.edu\/test-faculty-affairs\/?page_id=1058"},"modified":"2026-04-20T08:52:48","modified_gmt":"2026-04-20T12:52:48","slug":"department-chair-instructions-forms-and-templates","status":"publish","type":"page","link":"https:\/\/health.uconn.edu\/faculty-affairs\/appointments-promotion-and-tenure\/department-chair-instructions-forms-and-templates\/","title":{"rendered":"Department Chair Forms and Templates"},"content":{"rendered":"<div id=\"pl-1058\"  class=\"panel-layout\" ><div id=\"pg-1058-0\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-1058-0-0\"  class=\"panel-grid-cell\" ><div id=\"panel-1058-0-0-0\" class=\"so-panel widget widget_widget_sp_image widget_sp_image panel-first-child panel-last-child\" data-index=\"0\" ><img loading=\"lazy\" decoding=\"async\" width=\"1170\" height=\"400\" alt=\"Dr. David Steffens speaking at a Raisz Lecture\" class=\"attachment-full\" style=\"max-width: 100%;\" srcset=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2017\/03\/SteffensDavid_Psychiatry_Prof_chairman_SOM_2-28-17_JGelineau_8250.jpg 1170w, https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2017\/03\/SteffensDavid_Psychiatry_Prof_chairman_SOM_2-28-17_JGelineau_8250-300x103.jpg 300w, https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2017\/03\/SteffensDavid_Psychiatry_Prof_chairman_SOM_2-28-17_JGelineau_8250-768x263.jpg 768w, https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2017\/03\/SteffensDavid_Psychiatry_Prof_chairman_SOM_2-28-17_JGelineau_8250-1024x350.jpg 1024w\" sizes=\"(max-width: 1170px) 100vw, 1170px\" src=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2017\/03\/SteffensDavid_Psychiatry_Prof_chairman_SOM_2-28-17_JGelineau_8250.jpg\" \/><\/div><\/div><\/div><div id=\"pg-1058-1\"  class=\"panel-grid panel-no-style\" ><div id=\"pgc-1058-1-0\"  class=\"panel-grid-cell\" ><div id=\"panel-1058-1-0-0\" class=\"so-panel widget widget_black-studio-tinymce widget_black_studio_tinymce panel-first-child\" data-index=\"1\" ><div class=\"textwidget\"><h3><strong><em>Employed Faculty- Appointment, Promotion, Tenure<\/em><\/strong><\/h3>\n<p><a href=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2024\/03\/Nomination-FORM-for-Paid-Faculty.docx\">Nomination Form Employed Faculty<\/a><\/p>\n<p><a href=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2017\/03\/paid_nomination_letter_instructions.pdf\">Nomination Letter Instructions<\/a><\/p>\n<p>Letter Templates by Professional Category<\/p>\n<p style=\"padding-left: 30px;\"><a href=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2024\/03\/Chairs-Nomination-Letter-Template-Employed-or-Affiliated-Medical-Educator.pdf\">Medical Educator<\/a><br \/>\n<a href=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2024\/03\/Chairs-Nomination-Letter-Template-Employed-or-Affiliated-Medical-Researcher.pdf\">Medical Researcher<\/a><br \/>\n<a href=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2024\/03\/Chairs-Nomination-Letter-Template-Employed-or-Affiliated-Investigator.pdf\">Investigator<\/a><br \/>\n<a href=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2024\/03\/Chairs-Nomination-Letter-Template-Employed-or-Affiliated-Clinician-Scholar.pdf\">Clinician Scholar<\/a><br \/>\n<a href=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2024\/03\/Chairs-Nomination-Letter-Template-Employed-or-Affiliated-Clinician-Investigator.pdf\">Clinician Investigator<\/a><br \/>\n<a href=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2024\/03\/Chairs-Nomination-Letter-Template-Employed-or-Affiliated-Clinical-Xology.pdf\">Clinical Xology<\/a><\/p>\n<p><a href=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2026\/03\/Department-Chair-selected-reference-instructions.pdf\">Department Chair-selected References Instructions<\/a><br \/>\n<a href=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2026\/03\/Department-Chair-REFEREE-FORM.xlsx\">Reference Form Template<\/a><\/p>\n<\/div><\/div><div id=\"panel-1058-1-0-1\" class=\"so-panel widget widget_black-studio-tinymce widget_black_studio_tinymce\" data-index=\"2\" ><div class=\"textwidget\"><h3><strong><em>Affiliated Faculty- Appointment and Promotion<\/em><\/strong><\/h3>\n<p><a href=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2024\/03\/Nomination-FORM-for-Affiliated-Faculty.docx\">Nomination Form Affiliated Faculty<\/a><\/p>\n<p><a href=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2017\/03\/paid_nomination_letter_instructions.pdf\">Nomination Letter Instructions<\/a><\/p>\n<p>Letter Templates by Professional Category<\/p>\n<p style=\"padding-left: 30px;\"><a href=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2024\/03\/Chairs-Nomination-Letter-Template-Employed-or-Affiliated-Medical-Educator.pdf\">Medical Educator<\/a><br \/>\n<a href=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2024\/03\/Chairs-Nomination-Letter-Template-Employed-or-Affiliated-Medical-Researcher.pdf\">Medical Researcher<\/a><br \/>\n<a href=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2024\/03\/Chairs-Nomination-Letter-Template-Employed-or-Affiliated-Investigator.pdf\">Investigator<\/a><br \/>\n<a href=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2024\/03\/Chairs-Nomination-Letter-Template-Employed-or-Affiliated-Clinician-Scholar.pdf\">Clinician Scholar<\/a><br \/>\n<a href=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2024\/03\/Chairs-Nomination-Letter-Template-Employed-or-Affiliated-Clinician-Investigator.pdf\">Clinician Investigator<\/a><br \/>\n<a href=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2024\/03\/Chairs-Nomination-Letter-Template-Employed-or-Affiliated-Clinical-Xology.pdf\">Clinical Xology<\/a><\/p>\n<p><a href=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2026\/03\/Department-Chair-selected-reference-instructions.pdf\">Department Chair-selected References Instructions<\/a><br \/>\n<a href=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2026\/03\/Department-Chair-REFEREE-FORM.xlsx\">Reference Form Template<\/a><\/p>\n<\/div><\/div><div id=\"panel-1058-1-0-2\" class=\"so-panel widget widget_black-studio-tinymce widget_black_studio_tinymce\" data-index=\"3\" ><div class=\"textwidget\"><h3><strong><em>Community\/Adjunct Faculty Appointment<\/em><\/strong><\/h3>\n<p><a href=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2026\/04\/Nom-FORM-for-Community-Adjunct-APPOINTMENT.docx\">Nomination Form Community -Adjunct Appointment<\/a><\/p>\n<p><a href=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2017\/03\/community_nomination_letter_instructions.pdf\">Nomination Letter Instructions<\/a><\/p>\n<p><a href=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2024\/03\/Community-Adjunct-Nomination-Letter-Template-Promo-or-Appointment.pdf\">Community Faculty Letter Template<\/a><\/p>\n<\/div><\/div><div id=\"panel-1058-1-0-3\" class=\"so-panel widget widget_black-studio-tinymce widget_black_studio_tinymce panel-last-child\" data-index=\"4\" ><div class=\"textwidget\"><h3><strong><em>Community\/Adjunct Faculty Promotion<\/em><\/strong><\/h3>\n<p><a href=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2026\/04\/Nomination-Form-Community-Adjunct-Faculty-Promotion.docx\">Nomination Form Community-Adjunct Promotion<\/a><\/p>\n<p><a href=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2017\/03\/community_nomination_letter_instructions.pdf\">Nomination Letter Instructions<\/a><\/p>\n<p><a href=\"https:\/\/health.uconn.edu\/faculty-affairs\/wp-content\/uploads\/sites\/52\/2024\/03\/Community-Adjunct-Nomination-Letter-Template-Promo-or-Appointment.pdf\">Community Faculty Letter Template<\/a><\/p>\n<\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Employed Faculty- Appointment, Promotion, Tenure Nomination Form Employed Faculty Nomination Letter Instructions Letter Templates by Professional Category Medical Educator Medical Researcher Investigator Clinician Scholar Clinician Investigator Clinical Xology Department Chair-selected References Instructions Reference Form Template Affiliated Faculty- Appointment and Promotion Nomination Form Affiliated Faculty Nomination Letter Instructions Letter Templates by Professional Category Medical Educator Medical [&hellip;]<\/p>\n","protected":false},"author":38,"featured_media":0,"parent":1060,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-05-04 14:44:39","action":"change-status","newStatus":"draft","terms":[],"taxonomy":""},"_links":{"self":[{"href":"https:\/\/health.uconn.edu\/faculty-affairs\/wp-json\/wp\/v2\/pages\/1058"}],"collection":[{"href":"https:\/\/health.uconn.edu\/faculty-affairs\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/health.uconn.edu\/faculty-affairs\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/health.uconn.edu\/faculty-affairs\/wp-json\/wp\/v2\/users\/38"}],"replies":[{"embeddable":true,"href":"https:\/\/health.uconn.edu\/faculty-affairs\/wp-json\/wp\/v2\/comments?post=1058"}],"version-history":[{"count":55,"href":"https:\/\/health.uconn.edu\/faculty-affairs\/wp-json\/wp\/v2\/pages\/1058\/revisions"}],"predecessor-version":[{"id":6662,"href":"https:\/\/health.uconn.edu\/faculty-affairs\/wp-json\/wp\/v2\/pages\/1058\/revisions\/6662"}],"up":[{"embeddable":true,"href":"https:\/\/health.uconn.edu\/faculty-affairs\/wp-json\/wp\/v2\/pages\/1060"}],"wp:attachment":[{"href":"https:\/\/health.uconn.edu\/faculty-affairs\/wp-json\/wp\/v2\/media?parent=1058"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}