Applicant: ____________________________  Faculty/Department______________________

Office applied for: 
Professorship    Readership     University Senior Lectureship 
(please tick relevant one)

THIS DOCUMENT IS DISCLOSABLE UNDER THE FEEDBACK ARRANGEMENTS.  

Faculty Committee Meeting

Please tick
Doc 1	CV		
	Annex A (Research/Scholarship)		
	Annex B (Teaching)  (if applicable)		
	Annex C  (General Contribution)		

Doc 2	Personal Statement		
Annex	Contextual Factors		

Doc 3	Referees (1st time application)		
	•	Nominated by applicant		
	•	Nominated by Faculty Committee 		
	•	Additional (if applicable)		
Briefly give reasons for additional references, e.g. interdisciplinary application, substantial absence, necessary to provide for comment across full range of duties etc. 	

	Referees (re-application):-		
	•	Number of previous year’s references carried forward  [   ]		
	•	Number of references nominated by applicant  [   ]		
	•	Number of references nominated by FC [   ] 		

Doc 4	The Faculty/Departmental Case for Promotion 		

Doc 5	College Statement on teaching (if applicable)		

Doc 6	NHS Statement or Statement by Clinical Manager (Doc 6V) 
(if applicable)		

Signed: ________________________________________________ Date: _________________
Secretary of Faculty Committee