DIVISION OF GRADUATE MEDICAL SCIENCES BOSTON UNIVERSITY SCHOOL OF MEDICINE

DIVISION OF GRADUATE MEDICAL SCIENCES
BOSTON UNIVERSITY SCHOOL OF MEDICINE
APPLICATION FOR GMS FACULTY MEMBERSHIP
I:
Applying Faculty Name: ___________________________________Date:__________
Department/Program: ___________________________________________________
Email Address: ________________________________________________________
Phone Number: ________________________________________________________
BU ID#: _____________________
II. Please check and submit the following documents to [email protected] for GMS Faculty
membership consideration:
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Letter of Nomination by Department Chair or Program Director indicating how
the applicant will participate in graduate education and GMS activities: e.g.
mentoring, teaching, serving GMS committees
Read “Expectations for GMS Faculty Membership”
Read “Expectations for Graduate Students”
Curriculum Vitae (Full CV and include teaching, training, mentoring, and
committees served if any)
Brief statement on motivation for applying for GMS Faculty membership:
(1) What do you envision as your role as a member of GMS Faculty?
(2) Indicate which committees you are willing to serve:
○Committee on GMS Faculty
Membership
○Committee on Academic Standards
_______________________________
Signature, GMS Faculty Applicant
Updated 1/17/2014
○Awards Committee
○Committee for Admissions:
Oversight Committee (PhD,
MA/MS)
____________________________
Date
FOR OFFICE USE ONLY
Approval of GMS Faculty Membership Committee/GMS Office
_______________________________
Signature, Chair of Committee
____________________________
Date
_______________________________
Signature, GMS Associate Provost
____________________________
Date
Updated 1/17/2014