a cv summary is not required but this application has a

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A CV summary is not required but this application has a very good example of one. if you choose to write a CV summary it should not exceed 2 pages.

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A CV summary is not required but this application has a very good example of one. if you choose to write a CV summary it should not exceed 2 pages.

Indicate the candidate ' s current track with Mercer University School of Medicine:

Tenure Medical Clinical Administrator Clinical Clinical Research Educator Educator Scholar

X

Summary of Work Load Distribution: Full time and Part time Faculty should complete the following table: (Note: Several of the categories have changed slightly over the last few years; apply the percentages in the most logical manner)

ACADEMIC YEAR 2011-2012 2012-2013 2013-2014 2014-2015 2015-2016 DOMAIN Teaching, includes 10 10 10 10 10

educational administration Research/Scholarship 3 3 3 3 3 Clinical Practice 80 80 80 80 80 Administration 2 2 2 2 2 Institutional and 5 5 5 5 5

Academically Related Public Service

TOTAL PERCENT AGE 100 100 100 100 100

I certify that, to the best of my knowledge, the information contained in this application is true and correct. I understand that the deliberations of the Promotion and Tenure Committee are confidential and that I should not solicit any information about those deliberations from any member of the committee or anyone involved in the deliberations. I also understand that the results of committee deliberations serve as recommendations to the Dean, with the final decision made by the Provost and the Board of Trustees.

Signature of Candidate Date / () U /z c)/ 6 ------r,-~r---------

I certify that, to the best of my knowledge, the information contained in this application is true and correct.

Signature of Department Chaii Date ___.___\ \)--=-----+-----'/ L{'----'---"-t ~-£ _