ALNWICK, ENGLAND ACADEMIC DIRECTOR APPLICATION FORM

(Fall, 2011, Spring 2012, Summer 2012 application)

Name ____________________________________                                     Date ________________

Office ________________                             Department ___________________________

E-mail __________________________________Phone __________________

Term applying:     ___Fall Semester 2011     ____Spring 2012     ___Summer 2012

If applying for more than one term; please rank your preferences (i.e., 1, 2, 3).

List relevant international experience: Teaching: Where__________________  Year/s_________

                                                            Directing: Where____________________ Year/s_________

                                                             Other: Where _____________________ Year/s _________

TO BE SIGNED BY THE DEPARTMENT/UNIT CHAIR:

I have been informed this person has applied as Academic Director for the British Studies program,

________________ (term) ___________ (year).

__________________________________                            _______________

Department/Unit Chair Signature                                                                                     Date

TO BE SIGNED BY THE DEAN:

I have been informed this person has applied as Academic Director for the British Studies program,

________________ (term) ___________ (year).

__________________________________                            _______________

Dean Signature                                                                                                                                     Date

TO BE SIGNED BY OUTSIDE UNIT CHAIR (if applicable):

If faculty wish to offer a course outside their assigned department, the outside unit chair must acknowledge the intent to teach such a course.

I approve this person’s intent to teach a course from __________________ department/unit in the

British Studies program, ____________ (term) ___________ (year).

__________________________________                            _______________

Department/Unit Chair Signature                                                                                     Date

RETURN TO:             Center for International Studies

                                    St. Cloud State University – Lawrence Hall, G08

                                    650 1st Avenue South

                                    St. Cloud, MN 56301-4498

Phone: (320) 308-4288           FAX: (320) 308-4223

Revised March 17, 2009