ࡱ> []Z7 @bjbjUU h7|7|T;-lNNNNT4<pT%`4[#]#]#]#-#^$2%&  )D2%2%NNG%NR[#[#:{ "?# \<+# ?#]%0%5# Q)Q)?#NNNNFACULTY ACTIVITY REPORT (Attach Additional Pages As Needed) Name______________________College/School_______________Department_______________ SS#______________________Rank_________________________________________Tenured [yes] [no] Highest Degree/Discipline_______________________Discipline______________________Terminal [yes] [no] BOOKS CHECK IF CO-AUTHORED [] TITLE________________________________________________PUBLISHING CO.___________________ PUBLICATION DATE____________________________________________________________________ [] TITLE________________________________________________PUBLISHING CO.___________________ PUBLICATION DATE____________________________________________________________________ [] TITLE________________________________________________PUBLISHING CO.___________________ PUBLICATION DATE____________________________________________________________________ [] TITLE________________________________________________PUBLISHING CO.___________________ PUBLICATION DATE____________________________________________________________________ [] TITLE________________________________________________PUBLISHING CO.___________________ PUBLICATION DATE____________________________________________________________________ BOOK CHAPTERS [] CHAPTER TITLE_________________________________________BOOK TITLE_______________________ PUBLISHING CO.________________________________________PUB. DATE_________________________ [] CHAPTER TITLE_________________________________________BOOK TITLE_______________________ PUBLISHING CO.________________________________________PUB. DATE_________________________ [] CHAPTER TITLE_________________________________________BOOK TITLE_______________________ PUBLISHING CO.________________________________________PUB. DATE_________________________ [] CHAPTER TITLE_________________________________________BOOK TITLE_______________________ PUBLISHING CO.________________________________________PUB. DATE_________________________ [] CHAPTER TITLE_________________________________________BOOK TITLE_______________________ PUBLISHING CO.________________________________________PUB. DATE_________________________ REFERRED JOURNAL ARTICLES [] TITLE____________________________________________JOURNAL__________________________ PUBLICATION DATE____________________________________________________________________ [] TITLE____________________________________________JOURNAL__________________________ PUBLICATION DATE____________________________________________________________________ [] TITLE____________________________________________JOURNAL__________________________ PUBLICATION DATE____________________________________________________________________ [] TITLE____________________________________________JOURNAL__________________________ PUBLICATION DATE__________________________________________________________ [] TITLE____________________________________________JOURNAL__________________________ PUBLICATION DATE__________________________________________________________ OTHER PUBLISHED WORKS [] TITLE_____________________________NAME OF PUBLICATION__________________________________ PUBLICATION DATE____________________________________________________________________ [] TITLE_____________________________NAME OF PUBLICATION__________________________________ PUBLICATION DATE____________________________________________________________________ [] TITLE_____________________________NAME OF PUBLICATION__________________________________ PUBLICATION DATE____________________________________________________________________ [] TITLE_____________________________NAME OF PUBLICATION__________________________________ PUBLICATION DATE_____________________________________________________________________ [] TITLE_____________________________NAME OF PUBLICATION__________________________________ PUBLICATION DATE____________________________________________________________________ EDITORIAL WORK [] PUBLICATION EDITED_________________________________________________ DATE(S)______________ EDITORIAL BOARD MEMBER______________________________________________DATE(S)______________ JOURNAL______________PUB. ADDRESS_______________________________DISCIPLINE_______________ [] PUBLICATION EDITED_________________________________________________ DATE(S)______________ EDITORIAL BOARD MEMBER______________________________________________DATE(S)______________ JOURNAL______________PUB. ADDRESS________________________________DISCIPLINE_______________ [] PUBLICATION EDITED_________________________________________________ DATE(S)______________ EDITORIAL BOARD MEMBER______________________________________________DATE(S)______________ JOURNAL______________PUB. ADDRESS_______________________________DISCIPLINE_______________ [] PUBLICATION EDITED_________________________________________________ DATE(S)______________ EDITORIAL BOARD MEMBER______________________________________________DATE(S)______________ JOURNAL______________PUB. ADDRESS_______________________________DISCIPLINE_______________ [] PUBLICATION EDITED_________________________________________________ DATE(S)______________ EDITORIAL BOARD MEMBER______________________________________________DATE(S)______________ JOURNAL______________PUB. ADDRESS_______________________________DISCIPLINE_______________ CONFERENCE/CONVENTION PAPERS AND PRESENTATIONS [] TITLE_______________________________________________DATE_________________________ NAME OF ORGANIZATION_________________________________________________________________ [] TITLE_______________________________________________DATE_________________________ NAME OF ORGANIZATION_________________________________________________________________ [] TITLE_______________________________________________DATE_________________________ NAME OF ORGANIZATION_________________________________________________________________ [] TITLE_______________________________________________DATE_________________________ NAME OF ORGANIZATION_________________________________________________________________ [] TITLE_______________________________________________DATE_________________________ NAME OF ORGANIZATION_________________________________________________________________ RESEARCH, GRANTS AND PROJECTS GRANT/PROJECT TITLE FUNDING/SPONSORING AGENCY AMOUNT FUNDED DATES __________________________________________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________________________________________________________ DISSERTATIONS / THESES STUDENT=S NAME TITLE YEAR DISS/THESIS SUPERVISOR/COMM. MEMBER _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _______________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ COPYRIGHTS AND PATENTS (List) (ITEM COPYRIGHTED) (COPYRIGHT/PATENT DATE) _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ PROFESSIONAL ORGANIZATIONS (List) ORGANIZATION/LOCATION ROLE/TYPE OF SERVICE DATES _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ HONORS AND AWARDS [] TITLE____________________________________AWARDED BY________________________________ AWARD DATE_______________________________________________________________________ [] TITLE____________________________________AWARDED BY________________________________ AWARD DATE_______________________________________________________________________ [] TITLE____________________________________AWARDED BY________________________________ AWARD DATE_______________________________________________________________________ [] TITLE____________________________________AWARDED BY________________________________ AWARD DATE_______________________________________________________________________ CREATIVE ENDEAVORS (ART EXHIBITS, PERFORMANCES) [] ACTIVITY___________________________BRIEF DESCRIPTION____________________________________ DATE(S)__________________________________________________________________________ [] ACTIVITY___________________________BRIEF DESCRIPTION____________________________________ DATE(S)__________________________________________________________________________ [] ACTIVITY___________________________BRIEF DESCRIPTION____________________________________ DATE(S)__________________________________________________________________________ [] ACTIVITY___________________________BRIEF DESCRIPTION____________________________________ DATE(S)__________________________________________________________________________ PROFESSIONAL AND EDUCATIONAL ACTIVITIES [] NAME OF ORGANIZATION_________________________LOCATION___________________________________ DATE(S)__________________________________________________________________________ (CHECK ONE) WORKSHOP_____________CONFERENCE_________________SEMINAR________SHORT COURSE___________ (CHECK ONE) ORGANIZER________PRESENTER_______OFFICER__________PARTICIPANT_________STUDENT__________ [] NAME OF ORGANIZATION_________________________LOCATION___________________________________ DATE(S)__________________________________________________________________________ (CHECK ONE) WORKSHOP_____________CONFERENCE_________________SEMINAR________SHORT COURSE___________ (CHECK ONE) ORGANIZER________PRESENTER_______OFFICER__________PARTICIPANT_________STUDENT__________ [] NAME OF ORGANIZATION_________________________LOCATION___________________________________ DATE(S)__________________________________________________________________________ (CHECK ONE) WORKSHOP_____________CONFERENCE_________________SEMINAR________SHORT COURSE___________ (CHECK ONE) ORGANIZER________PRESENTER_______OFFICER__________PARTICIPANT_________STUDENT__________ [] NAME OF ORGANIZATION_________________________LOCATION___________________________________ DATE(S)__________________________________________________________________________ (CHECK ONE) WORKSHOP_____________CONFERENCE_________________SEMINAR________SHORT COURSE___________ (CHECK ONE) ORGANIZER________PRESENTER_______OFFICER__________PARTICIPANT_________STUDENT__________ [] NAME OF ORGANIZATION_________________________LOCATION___________________________________ DATE(S)__________________________________________________________________________ (CHECK ONE) WORKSHOP_____________CONFERENCE_________________SEMINAR________SHORT COURSE___________ (CHECK ONE) ORGANIZER________PRESENTER_______OFFICER__________PARTICIPANT_________STUDENT__________ [] NAME OF ORGANIZATION_________________________LOCATION___________________________________ DATE(S)__________________________________________________________________________ (CHECK ONE) WORKSHOP_____________CONFERENCE_________________SEMINAR________SHORT COURSE___________ (CHECK ONE) ORGANIZER________PRESENTER_______OFFICER__________PARTICIPANT_________STUDENT__________ UNIVERSITY COMMITTEE PARTICIPATION Name of Committee_______________________________________YOUR ROLE________________________________ Membership Period_____________________________________________________________________________ Name of Committee_______________________________________YOUR ROLE________________________________ Membership Period_____________________________________________________________________________ Name of Committee_______________________________________YOUR ROLE________________________________ Membership Period_____________________________________________________________________________ Name of Committee_______________________________________YOUR ROLE________________________________ Membership Period_____________________________________________________________________________ Name of Committee_______________________________________YOUR ROLE________________________________ Membership Period_____________________________________________________________________________ COMMUNITY SERVICE Name of Activity_______________________________________YOUR ROLE_________________________________ Date of Activity_______________________________________________________________________________ Name of Activity_______________________________________YOUR ROLE_________________________________ Date of Activity_______________________________________________________________________________ Name of Activity_______________________________________YOUR ROLE________________________________ Date of Activity_______________________________________________________________________________ Name of Activity_______________________________________YOUR ROLE_________________________________ Date of Activity_______________________________________________________________________________ Name of Activity_______________________________________YOUR ROLE_________________________________ Date of Activity_______________________________________________________________________________ PAGE  PAGE 1 P.O. BOX 1175 . GRAMBLING, LA 71245 . (318) 274 - 6103/6348 AAn Equal Opportunity Employer/Facilities Accessible To The Disabled@ P.O. BOX 1175 . GRAMBLING, LA 71245 . (318) 274 - 6103/6348 PAGE 5 AAn Equal Opportunity Employer/Facilities Accessible To The Disabled@ DEI_m| ",BJWX]^sv{"%*Zh| +;./27gu& 0 H V ~ 2 ; U X e 5CJ 5CJ 5>*CJ55CJ5CJCJCJCJ 5CJ\VCDX^s"|+/H U 1$` `01$^`0d1$1$ 1$$1$a$T?@@  B L d r  & N W r 7 : ? k r 8H-016bi BRGJOl 5>*CJ5CJ5CJ5CJ ^U d  q r 7 8.BG1$1$` `01$^`0RXYhy0BS dD1$ `01$^`01$`/RcYghk} &4@_iy|!07EQq|,3BIWc=DSZht  NUdky 5>*CJ5CJ5CJ5CJ ^&*DXDHM|'+FZJgj; Q S Z [ u###,&F&M&(((()()2)S)])))))))*N*Q*V*z********#+-+N+X+++++++ ,5CJOJQJ5CJ 5>*CJ5CJ5CJ 5CJYDEEFGHi56 d1$d1$ d1$` `0d1$^`0 `01$^`01$`: ; R d!!8"" #t#u##$$$W%%+&,&N&&B''(((( d1$ $d1$a$d1$(S)))N***N+++++/,,,/---9..../c/d/ ``1$^``d1$1$1$` `01$^`0 ,/,6,,,,,,,,.-2-:-U-f------..9.@........//e/-0.010E0^0f00001111112 2V233 3!353N3V3{33344444444F5 666%6>6F6k6r667777788n8888885CJ 5>*CJ5CJ5CJ 5CJ\d///,0-0.000@1A1112U22233z330414444E51$` `01$^`01$ ``1$^``E555 66j666!7"7777778m8n88/909999T::1$` `01$^`01$ ``1$^``809A9h9q9999:*:3:T:e:::::;';w;;;;;;;J<K<[<<<<< ==D=M=n=~====>>0>@>>>>>>>?Q?T?U?[?\?]?_?`?f?g?h?i?j?k?l?y?z?|??????????5CJOJQJCJ5CJ0JmHnHu0J j0JUCJ5CJ 5>*CJ5CJ 5CJO::;u;v;w;;;K<< =n==0>>>T?]?^?_?j?k???? hd`hh`h&`#$d1$ d1$`1$??.@8@@@@@@@@d1$ h`h $&`#$a$ d ???@@@@-@.@/@4@5@6@7@8@9@:@}@~@@@@5CJOJQJ mHnHu jU5CJCJ5CJCJ. 00P/ =!"#$%. 00P/ =!"#$%. 00P/ =!"#$%. 00P/ =!"#$%. 00P/ =!"#$% i<@< Normal1$CJ_HhmH sH tH XX Heading 1($$  &P#$+D:/@&a$ 5OJQJJ@J Heading 2$$ 1$@&a$ 5OJQJ<A@< Default Paragraph Font4&@4 Footnote ReferenceDOD Level 1# & F h0@&^`0,, Header  !, @", Footer  !&)@1& Page Number<F,"-,w7<h0h`hhhCDX^s"|+/HU dqr7 8 . B G RXYhy0BS dDEEFGHi56:;Rd8 tu W!!+","N""B##$$$$S%%%N&&&N'''''/(((/)))9****+c+d+++,,-,.,,,@-A---.U...//z//0010000E111 22j222!3"3333334m4n44/505555T6667u7v7w777K88 9n990:::T;_;j;k;;;;;.<8<<<<<000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000000@0@0@0@0@0@@0@0@0@0 ,,,,,,,,,,,,,,,,,,,,,/  ,8?@"%()-03U D(d/E5:?@#&'*+,./12@$ /!!t!8@0(  B S  ?<33v4485l55.66677S889H99 :::T;;;9<<<<<< ,1=BNS/(4((())9*>*++,,..//0022;;;;;;<<<<<<333333333333333333333333 secretary3C:\TEMP\AutoRecovery save of activityreportmemo.asd secretaryA:\activityreportmemo.docIRCVC:\WINDOWS\Application Data\Microsoft\Word\AutoRecovery save of activityreportmemo.asdIRCA:\activityreportmemo.docIRCIC:\Program Files\Microsoft FrontPage\temp\iep-faculty-activity-report.docIRCIC:\Program Files\Microsoft FrontPage\temp\iep-faculty-activity-report.doc0^`05CJOJQJ.0^`05:|d0.1,2`3456070:12H3|45467:S;<@HP LaserJet 5PLPT1:HPPCL5MSHP LaserJet 5PHP LaserJet 5P@g XX@MSUDOHP LaserJet 5P<d HP LaserJet 5P@g XX@MSUDOHP LaserJet 5P<d <`@UnknownG:Times New Roman5Symbol3& :ArialSWP TypographicSymbolsUF Cataneo BTCourier New"A h[&,af[&0hY 2d<2  secretaryIRCOh+'0x   ( 4 @ LX`hp ss secretary ecrecrNormalrIRC5CMicrosoft Word 9.0@xA@[v@h$v@-q0՜.+,0 hp|  GSUh<  Title  !"#$%&'()*+,-./012346789:;<=>?@ABCDEFGHIKLMNOPQSTUVWXY\Root Entry Fm^1Table5Q)WordDocumenthSummaryInformation(JDocumentSummaryInformation8RCompObjjObjectPoolmm  FMicrosoft Word Document MSWordDocWord.Document.89q