DOCUMENT 9		PRO FORMA FC MINUTES                                    COVERSHEET	                                             

Application for promotion from 1st October 2020 to the office of: - (please tick one)
Professorship  □   Readership  □   University Senior Lectureship  □

Applicant: _______________________ 	Faculty/Department: ________________________

Current position: __________________ 	Date appointed to current position: ___________
□ Reapplication  									
Please state the year(s) previously applied: □ 2019   □ 2018 

□ Interdisciplinarity									
Please provide below a brief summary below of the interdisciplinary nature of the applicant’s work and the institutions their work is mainly concerned with:

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□ Contextual factors 							
Please provide below a brief summary of the declared contextual factor(s) and the stated impact on the applicant’s work:

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□ No teaching 							
Please provide a brief summary below of the reason why the applicant has declared ‘no teaching’:

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□ NHS Consultant contract
□ Veterinary Clinical Work
After completing this form, please sign and date it:
Signed: _____________________________Date:_______________________
(Faculty Committee Chair)