Faculty Personnel Report

FACULTY PERSONNEL REPORT Accrediting Commission of Career Schools and Colleges (ACCSC)

School: School Number:

City: State: Zip Code:

Employee’s Name: Title: Full-time Part-time Date of initial employment: Years in Current Position:

Responsibilities:

Courses Taught (specify course number, Non-Degree Associate Bacc. Level Graduate Applied Gen. Ed. name, and indicate course type w/ ) Course Level Course Course Level course Gen. Ed.

Allocation Of Time Hours in a Typical Week Assignment Morning Hours Afternoon Hours Evening Hours Administration Instruction - Classroom Instruction - Lab or Shop Supervision of Externships/ Internships Student Advising Other TOTAL HOURS

POSTSECONDARY EDUCATIONAL BACKGROUND From To Type of Credential Copy on School – City, State Area of Study Mo/Yr Mo/Yr Earned-Date File-Y/N

PRIOR PRACTICAL WORK EXPERIENCE RELATED TO SUBJECTS TAUGHT (Section III, Substantive Standards, Standards of Accreditation)

of 2 Revised 04.15.14 Note: Faculty Personnel Report must be typed. FACULTY PERSONNEL REPORT Accrediting Commission of Career Schools and Colleges (ACCSC)

Company – City, State From To Job Title and Duties Mo/Yr Mo/Yr

INSTRUCTOR TRAINING (i.e., training, preparation and continuing education in instructional methods and teaching skills for residential and/or distance education faculty–See Sections III and IX, Substantive Standards, Standards of Accreditation) From To Name and Nature of Copy on School/Training Site – City, State Mo/Yr Mo/Yr Training/Education/Certification Received File-Y/N

LIST LICENSES, CERTIFICATIONS, PROFESSIONAL AFFILIATIONS, AND MEMBERSHIPS AND YEAR OBTAINED:

LIST CONTINUING EDUCATION AND PROFESSIONAL DEVELOPMENT ACTIVITIES:

By submitting this report to ACCSC, both the school and the faculty member certify that the information contained herein, attached hereto, and maintained on file with the school is correct and that the faculty member’s qualifications comply with the applicable Standards of Accreditation.

of 2 Revised 04.15.14 Note: Faculty Personnel Report must be typed.