DEPARTMENT HEAD:

NOMINEE:

RANK:

HIGHEST EARNED DEGREE:

Type of Appointment: 9 month 12 month

Please describe nominee’s potential in terms of his/her research program(s).

Document briefly the nature of the release time that will be provided for the coming year should the candidate be selected as a participant in the IBR Mentoring Program.

(This may include reduced instructional load, and/or lower departmental administration.)