Academic Affairs Forms

Teaching/Research Forms

Schedule Correction (fall and spring)

Use this form to add/change/delete class sections for the presently scheduled or current semester. CEAO Schedule Correction Forms below are to be used for the summer and winter terms, off-campus sites, ITV, and WEB classes.

Color: Pink

Contact: Shelia Haley (3752)

Format: PDF

 

Multi-Class Schedule Correction

Use this form to change multiple class sections for the presently scheduled or current semester.

Color: Pink

Contact: Shelia Haley (3752)

Format: PDF

 

RAO Schedule Correction

Use this RAO Schedule Correction Forms for all summer term, off-campus sites, ITV, and WEB classes. This form is used to add/delete/change class sections for the presently scheduled or current semester. 

Color: Yellow for summer; Green for all others

Contact: Tammy Thompson in RAO (4190)

Format: PDF

 

GTA Schedule Assignment

Use this form to add Graduate Teaching Assistants to class sections for the current semester. GTAs will be added as secondary instructors unless otherwise noted.

Color: Yellow

Contact: Donna Miller (4273)

Format: PDF

 

Textbook Order Form (Single)

Use TBK-1 for all courses requiring one textbook. All textbook orders are to be signed by department chair and academic dean. Forms are to be submitted to the Vice President for Academic Affairs no later than: 

  • FALL SEMESTER - APRIL 1; 
  • SPRING SEMESTER - OCTOBER 15; 
  • SUMMER SESSIONS - MARCH 10; 
  • WINTER OCTOBER 1.

Contact: Mary Ann Gardner (6465)

Format: PDF

 

Textbook Order Form (Multiple)

Use TBK-2 for all courses requiring more than one textbook. All textbook orders are to be signed by department chair and academic dean. Forms are to be submitted to the Vice President for Academic Affairs no later than: 

  • FALL SEMESTER - APRIL 1; 
  • SPRING SEMESTER - OCTOBER 15; 
  • SUMMER SESSIONS - MARCH 10; 
  • WINTER OCTOBER 1.

Contact: Mary Ann Gardner (6465)

Format: PDF

 

Institutional Animal Care and Use Committee - Research Protocol Application

Murray State University Institutional Animal Care and Use Committee (IACUC) - Application for The Use of Animals in Research (2009-)

Contact: Kristi Stockdale (Office of Sponsored Programs)

Format: Word

 

Institutional Animal Care and Use Committee - Teaching Protocol Application

Murray State University Institutional Animal Care and Use Committee (IACUC) - Application for The Use of Animals in Teaching (2009-)

Contact: Kristi Stockdale (Office of Sponsored Programs)

Format: Word

 

Adjunct Faculty Teaching Evaluation Form

Supervising department chairs or program coordinators should complete this form for each adjunct faculty member who taught at least one course during the spring/fall sequence of semesters.

Format: PDF

Faculty Forms

Application for Faculty Leave

This form is used for faculty to apply for sabbatical leave, leave without pay, or public service leave without pay.

Contact: Mary Ann Gardner (6465)

Format: PDF

 

Faculty Credential Certification

This is used to obtain teaching faculty status for a faculty member. Teaching faculty status and category assignment are required for all faculty members teaching courses. A vita and an OFFICIAL original transcript of the two highest degrees must be submitted with this form.

Color: Goldenrod

Contact: Sara Miller (3423)

Format: PDF

 

FACULTY CREDENTIAL CATEGORIES

A:  Levels 000-999 GRADUATE AND POST-BACCALAUREATE COURSES Teaching Discipline-Specific Qualifications: 1) a doctorate in the teaching discipline, OR, 2) in exceptional cases, a master’s degree and documented scholarly or creative activity through peer recognition, exceptional professional experience, professional licensure or certifications, or other related competencies. Refereed publications are particularly relevant.

B:  Levels 000-599 BACCALAUREATE COURSES Teaching Discipline-Specific Qualifications: 1) a doctorate in the teaching discipline or a closely related discipline, OR 2) a master’s degree in teaching or related discipline, OR 3) a master’s degree with a concentration of at least 18 graduate semester hours and documentation of outstanding professional experience and/or demonstrated contributions, OR, 4) in exceptional cases, a baccalaureate degree and documented scholarly or creative activity through peer recognition, exceptional professional experience, professional licensure or certifications, or other related competencies. Refereed publications are particularly relevant.

C:  Levels 000-199 ASSOCIATE DEGREE COURSES NOT FOR BACCALAUREATE TRANSFER Teaching Discipline-Specific Qualifications: 1) a bachelor’s degree AND show documented training or classroom experience in the area, OR, 2) in exceptional cases, an associate’s degree with documentation of outstanding professional experience and demonstrated contributions.

D:  Levels 000-299  ASSOCIATE DEGREE COURSES FOR BACCALAUREATE TRANSFER Teaching Discipline-Specific Qualifications: 1) a doctorate in the teaching discipline or a closely related discipline, OR 2) a master’s degree in the teaching discipline or a closely related discipline, OR 3) a master’s degree with a concentration of at least 18 graduate semester hours and documentation of outstanding professional experience and/or demonstrated contributions, OR, 4) in exceptional cases, a baccalaureate degree and documented scholarly or creative activity through peer recognition, exceptional professional experience, professional licensure or certifications, or other related competencies. Refereed publications are particularly relevant.

E:  Levels 000-599 Laboratories GRADUATE TEACHING ASSISTANTS WITH MORE THAN 18 GRADUATE HOURS Teaching Discipline-Specific Qualifications: 1) a master’s degree, OR 2) 18 graduate semester hours, direct supervision by a faculty member experienced in the teaching discipline, regular in-service training, and planned and periodic evaluations. May be assigned primary teaching responsibility for introductory courses in the discipline, usually those at the 100 level.

F:  Levels 000-599 Only Laboratory and Breakout Sections GRADUATE TEACHING ASSISTANTS WITH FEWER THAN 18 GRADUATE HOURS Teaching Discipline-Specific Qualifications: All students in this category must be enrolled in good standing in an appropriate graduate program and hold a bachelor’s degree in or related to the discipline. May assist in teaching, or be assigned secondary teaching responsibility for laboratory and breakout sections. Students must also be supervised by a faculty member experienced in the teaching discipline, have regular in-service training, and undergo planned and periodic evaluations.

G:  Levels 000-599 ROTC/U.S. MILITARY SCIENCE PROGRAMS Faculty and staff in this category should hold a master’s degree in an appropriate subject area, OR a bachelor’s degree in an appropriate subject area combined with two years of military service and documented success in specialty military training, OR an associate’s degree in an appropriate subject area combined with three years of military service and documented success in specialty military training, OR Cadet Command-approved ROTC instruction as denoted in the Memorandum of Agreement with the U.S. Army.

H:  Levels 000-199 REMEDIAL / DEVELOPMENTAL COURSES Faculty and staff instructing remedial/developmental courses, which do not count towards graduation credit hour requirements, must hold a bachelor’s degree in the teaching discipline or a related field AND show documented training or classroom experience in the area.

I:  Levels ESL 000-399 ENGLISH AS A SECOND LANGUAGE (Non-credit bearing courses) Full-time and part-time instructors of ESL courses, which do not count towards graduation credit hour requirements, should hold a master’s degree in TESOL or a closely related field. Graduate Teaching Assistants in TESOL or a related degree field must have a documented enrollment or completion of a methods and materials in teaching ESL. Accreditation reference: TESOL Commission on Accreditation (TCA) / Commission on English Language Program Accreditation (CEA).

Full-Time Faculty Employment Data Sheet

This form is used to supply general information about new faculty hires to the Office of the Provost for use at the yearly luncheon and to be placed in their faculty file.

Color: Pink

Contact: Mary Ann Gardner (6465)

Format: PDF

 

Promotion Packet Forms

This multi-page form is to be completed by the appropriate persons and submitted with the promotion packet. The applicant and each recommending agency are to complete the appropriate sections of the promotion packet. The packet is then forwarded to the next recommending agency according to the timetable in the Faculty Handbook. The dean should assemble the completed documents and forward them to the Office of the Provost. The complete application for promotion should include:

  1. Promotion Recommendation Summary: PDF
  2. Applicant's Form: Word - PDF
  3. Recommendations of each Evaluative Agency:
    1. Department Committee: Word - PDF
    2. Department Chair: Word - PDF
    3. College/School Committee: Word - PDF
    4. Dean/Director: Word - PDF
  4. Current Curriculum Vitae

Applicants should be prepared to submit supportive materials (copies of books, articles, grants, etc.) upon the request of recommending agency.

Contact: Mary Ann Gardner (6465)

 

Recommendation for Graduate Faculty Appointment

Use this form to recommend initial appointment or for a change in status of faculty who are associate members of the Graduate Faculty.  Each faculty member – full-time, part-time, or adjunct – who is assigned to teach graduate level courses or supervise graduate level internships must be approved for the appropriate status as a member of the graduate faculty.

  1. Form to be initiated by department chair as courses are assigned. Faculty member must be eligible and assigned courses under Category A.
  2. Recommendation of the departmental graduate faculty to be sent to the Dean of the college/school.
  3. Recommendation forwarded from the Dean to the Office of the Provost/Graduate Studies for verification.
  4. Recommendation is reviewed and acted upon by the Graduate Studies Committee of Academic Council.
  5. University Graduate Coordinator notified of approval by the Graduate Studies Committee chair.
  6. Three copies are made of the Graduate Faculty Recommendation Form and are distributed by Graduate Studies as follows:
    • Original to recommended faculty member
    • 1 copy to the chair of the recommended faculty’s department
    • 1 copy to Dean of the recommended faculty’s college/school
    • 1 copy placed in recommended faculty’s file in the Office of the Provost
  7. Full appointments are reflected in the MSU Academic Bulletin.

Contact: Donna Miller (4273)

Format: PDF

 

Tenure Packet Forms

This multi-page form is to be completed by the appropriate persons and submitted with the tenure notebook. The applicant and each recommending agency are to complete the appropriate sections of the tenure packet. The packet is then forwarded to the next recommending agency according to the timetable in the Faculty Handbook. The dean should assemble the completed documents and forward them to the Office of the Provost. The complete application for tenure should include:

  1. Tenure Recommendation Summary
  2. Applicant's Forms: Word - PDF
  3. Recommendations of each Evaluative Agency:
    1. Department Committee Forms: Word - PDF
    2. Chair Forms: Word - PDF
    3. College/School Committee Forms: Word - PDF
    4. Dean/Director Forms: Word - PDF
  4. Provost Recommendation Forms
  5. Annual Performance Reviews
  6. Current Curriculum Vitae
  7. Grade Distribution Information
  8. Summary Student Evaluations

Applicants should be prepared to submit supportive materials (copies of books, articles, grants, etc.) upon the request of recommending agencies.

Contact: Mary Ann Gardner (6465)

 

Honors Day Forms

University-Wide Honor Society Awards

Use this form for university wide awards such as those given by the Honors Program, Alpha Chi, Alpha Lambda Delta, Gamma Beta Phi, Omicron Delta Kappa, and Sigma Xi.

Contact: Mary Ann Gardner (6465)

Format: PDF

 

Collegiate/Departmental Awards

Use this form for awards presented by individual colleges and departments.

Contact: Mary Ann Gardner (6465)

Format: PDF

 

Departmental Honor Society Awards

Use this form for awards presented by individual colleges and departments.

Contact: Mary Ann Gardner (6465)

Format: PDF

 

Residential College Awards

This form is for the Academic Achievement and Outstanding Service Awards presented by the residential colleges.

Contact: Mary Ann Gardner (6465)

FormatPDF

 

Student Affairs Awards

This form is for the the Ralph Woods Memorial Award, Outstanding Senior Woman Award, and the Outstanding Senior Man Award presented by the Student Affairs.

Contact: Mary Ann Gardner (6465)

FormatPDF

 

General Academic Affairs Forms

Academic Change Form

Use this form to notify university units of key academic name or location changes.

Contact: Shelia Haley (3752)

Format: PDF

 

Proposal for Revisions of Faculty Handbook

This form is for proposed additions, deletions, or revisions of academic policies, procedures or descriptive materials contained in official Murray State University publication.

Color: Goldenrod

Contact: Carrissa Amburgy

Format: PDF

 

Application Summary for Graduate Assistants