Non-CU Faculty Member Graduate Co-Supervision Appointment Form

Non-CU Co-Supervision Form:

Please complete this form if you would like to appoint a co-supervisor who does not qualify for an Honorary Rank.

SECTION A: PROPOSED CO-SUPERVISOR'S INFORMATION

Name(Required)

Prefix First Last

Proposed Co-Supervisor's CV(Required)

Max. file size: 15 MB.

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Birthdate(Required)

SECTION B: INSTITUTIONAL INFORMATION

Home University/Organization(Required)

Home Department/School/Institute

Carleton Department/School/Institute Supporting this Request(Required)

SECTION C: RATIONALE

Recommendation(Required)

Please explain in the space above, the reason for recommending that the appointee be granted co-supervision status at Carleton University.

Reason for non-Adjunct Recommendation(Required)

Please explain in the space above, the reason for NOT recommending this individual for the Rank of Adjunct Professor.

SECTION D: DECLARATIONS

Carleton Supervisor(Required)

Prefix First Last

CU Email Address(Required)

CU Supervisor: Do you recommend that Graduate Studies approve the above-named individual to be a co-supervisor at Carleton University within the department listed in Section B of this form?(Required)

CU Supervisor: Have you discussed this appointment with your Department Chair/Director and have they approved?(Required)

CU Supervisor's Chair/Director(Required)

Please list the name of your Department/School/Institute’s Chair/Director.

Prefix First Last

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