Candidate Nomination Information

Please complete ALL sections of the registration form.

If something changes after you have submitted the candidates information, please contact the FACET office at facet@iupui.edu or (317) 274-5647.

CANDIDATE INFORMATION

First Name:		Last Name:
Discipline:		Title:
IU Campus:		Office Address:
Office Phone: (include area code)		Email:
First Faculty Year

DEAN & DEPARTMENT CHAIR

Department Chair Name		Department Chair Address
Department Chair Phone		Department Chair Email
Dean Name		Dean Address
Dean Phone		Dean Email

NOMINATOR & PEER REVIEWERS

Nominator Name

Nominator Email

Nominator Phone

Peer Reviewer 1 Name		Peer Reviewer 1 Address
Peer Reviewer 1 Phone		Peer Reviewer 1 Email
Peer Reviewer 2 Name		Peer Reviewer 2 Address
Peer Reviewer 2 Phone		Peer Reviewer 2 Email

Mack Users: If you do not see a Send Details button to the left of this message, please click inside Special Notes for FACET and then hit enter