ALNWICK, ENGLAND ACADEMIC DIRECTOR APPLICATION FORM

(2008-2011 application)

Name ____________________________________             Date ________________

Office ________________                 Department ___________________________

E-mail __________________________________Phone __________________

Term applying:     ___ Fall Semester 2008     ____Spring 2009      ___Summer 2009

                             ___ Fall Semester 2009     ____Spring 2010      ___Summer 2010

                             ___Fall Semester 2010     ____Spring 2011       ___Summer 2011

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

List past international experience: Teaching_________ Where_________  Year/s_________

                                                 Directing _________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 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

                                    650 1st Avenue South

                                    St. Cloud, MN 56301-4498

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

Revised 01-25-07