Long Forms and Other Forms
Also On This Page
- Clinical Excellence forms (CECCE's) - for all faculty with clinical duties.
- Other Forms - Professoriate - the "Blue Form", New Parent Extension and others.
- Other Forms - Other Teaching Titles - includes forms for appointing ACF & short term faculty. (For Clinician Educators & Instructors, see http://med.stanford.edu/academicaffairs/CEs/).
- Sabbatical and Leave Forms
- Miscellaneous Forms - Federal I-9 Form, Source of Salary Support, Practice Policy for Physicians and Psychologists in the School of Medicine, etc.
The University Long Forms and the School-Specific Instructions
There are five University long forms that cover all types of ranks and actions. Fast|FAC will assemble the correct long form sections automatically. In addition, the School of Medicine has a set of requirements for the composition of the referee grid, evaluation of clinical skills, and other pieces of evidence assembled in the long form.
Here are the five different University long forms and the School-specific "evidence tables" or instructions for each:
| Form Number | Description | Form Pages and Instructions | School-Specific Instructions (Evidence Table) |
|---|---|---|---|
| B1 | New Untenured Appointment | Form and Instructions  |
Evidence Table |
| B2 | Reappointment or Promotion for a Term of Years | Form and Instructions |
Evidence Table |
| B3 | Reappointment or Promotion Initially Conferring Tenure or a Continuing Term of Appointment | Form and Instructions |
Evidence Table |
| B4 | Promotion for Individuals Previously Conferred with Tenure or Currently in an Appointment for a Continuing Term | Form and Instructions |
Evidence Table |
| B5 | New Appointment Conferring Tenure or a Continuing Term of Appointment | Form and Instructions |
Evidence Table |
Clinical Excellence Core Competencies Evaluation
- General Information and Frequently Asked Questions
- General Instructions
- NEW - PowerPoint overview - Qualtrics Online CECCE
- NEW - Detailed Instruction Manual - Qualtrics Online CECCE
- NEW - link to Stanford's Qualtrics Web Portal - (stanforduniversity.qualtrics.com)
- NEW - link to Stanford's Qualtrics Web Portal (alternate link for some SUNet ID's - stanfordmedicine.qualtrics.com)
- NEW - .qsf file - Qualtrics CECCE Template
- CECCE Form
- CECCE Form
- Summary Reporting Template - calculates averages (with thanks to Radiology)
- Informal Tracking Worksheet
Other Forms
Professoriate (UTL, NTL, MCL)
- Recommendation for Amendment of Professorial Appointment ("Blue Form") (html)
[New! Blue Forms web page has explanations, examples and tutorials] - Applicant Pool Grid - Example of the "affirmative action" grid that will be generated by the Faculty Applicant Self Identification System for Professoriate searches.
- Referee Grid (for faculty referee solicitations)
- New Parent Appointment Extension Application (html) - for UTL and NTL faculty members
- Annual Career Planning Conference Form
- Conflict of Interest documents: Ad Hoc Faculty Disclosure form, Disclosure of Financial Interests in Research Form, and the SU-42 form are all on the School of Medicine Conflict of Interest website.
Other Teaching Titles (ACF, Short-Term Faculty)
- Recommendation For Appointment: Academic & Other Teaching Staff and Appointments (By courtesy) ("Green Form")
- Application for Visiting Scholar Status
Professoriate Sabbatical and Leave
- Faculty Application For Sabbatical or Leave Of Absence
[New! Sabbatical web page has explanation of policy and process] - Leave Fiscal Impact Form
Miscellaneous
- New! Practice Policy for Physicians and Psychologists in the School of Medicine
- New! Abuse Reporting
Provisions of California Penal Code
- Form I-9 - Federal Employment Eligibility Verification (INS Form I-9):
The USCIS has also released a new Employer Handbook for the I-9 process. The Handbook contains instructions for completing the I-9 Form, sample images of the acceptable documents and FAQs. - New! Source of Salary Support
- Recommendation
for Appointment/Promotion of Academic Staff-Research
