Request for Graduate Faculty Status in Physiology and Cell Biology

If you are a current University of Florida faculty member and would like to have graduate faculty status in the Department of Physiology & Aging, please complete the steps below.

Things to consider:

1. Prior to completing this form, it is best to talk with either the Department Chair or Vice Chair.
2. Understand the departmental expectations for PhD student mentors:  
   1. We expect attendance to departmental data discussions in which your student is presenting; we value your attendance when you are serving on a committee for the student presenting
   2. We expect that you will help contribute to graduate student recruitment activities

Full Name:(Required)

Current Title:(Required)

UFID:(Required)

Email:(Required)

Phone #:(Required)

Primary Department Affiliation:(Required)

Campus PO Box #:(Required)

Please describe (<400 words) why you are requesting affiliate status with the Department of Physiology & Aging:(Required)

Please confirm that you have spoken to Departmental faculty leadership prior to submission:(Required)

Yes, I have.

I am requesting graduate faculty status through Physiology & Aging:(Required)

Yes

No

I am requesting affiliate faculty status with Physiology & Aging:(Required)

Yes

No

Please upload a complete CV:(Required)

Max. file size: 125 MB.

CV must include all of your mentoring and teaching activities.

Signature of Applicant:(Required)

By signing, you agree to the expectations of mentors to hold graduate faculty status in the Department of Physiology & Aging.