Leadership Appointment Form

Use this form to nominate a faculty member for a leadership appointment.

Leadership Appointment

Name of Requestor:

Requestor Email Address:

Nominee's Name:

LAST, First Middle

Nominee's BYU ID Number:

This is not their Net ID. This should be an 8 digit number.

Nominee's Birthdate:

(xx/xx/xxxx)

Is this a request for re-appointment?

Yes

Proposed Job Title:

Department Chair

Director

Associate Dean

Other

Title:

(if other was selected)

College/Division:

Department:

Requestor's Justification for (re)Appointment:

Person Being Replaced: