MONTANA STATE UNIVERSITY COLLEGE OF NURSING POLICY # A-25 FACULTY SHORT AND LONG FORM CURRICULUM VITAE

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1 MONTANA STATE UNIVERSITY COLLEGE OF NURSING POLICY # A-25 TITLE: POLICY: RATIONALE: PROCEDURE: FACULTY SHORT AND LONG FORM CURRICULUM VITAE Each faculty member will develop short and long form curriculum vitae (c.v.) and revise annually. The short form c.v. is submitted electronically to the Dean s Administrative Assistant each spring. The long form c.v. is submitted to the Campus Director each year with the annual review materials. This c.v. is stored in the faculty personnel file on each Campus with a copy sent to Bozeman as needed for preparation of reports, accreditation self-study, etc. The long form document serves as a standardized current faculty data base for College of Nursing administrators and committees to prepare timely, accurate reports, summaries, etc., regarding the College. It can also be used as the faculty member s current vita or related document. The short form document is required for the annual report submitted to the Montana State Board of Nursing each spring. Updates are to be done by all faculty members once each year during spring semester. The templates for the Short and Long Form documents are located at: ATTACHMENT #1: Directions for Long Form C.V. ATTACHMENT #2: Directions for Short Form C.V. Reviewed/Approved by: Level I: Executive Council (May, 2006) Level II: Dean (August, 2006)

2 POLICY #A-25 ATTACHMENT #1 DIRECTIONS LONG FORM C.V. Throughout, 1. List chronologically, beginning with most recent. 2. Do not abbreviate names of professional organizations, journals, etc. 3. Under year or date sections indicate beginning and ending years or dates (e.g., or June 2-6, 2005) or beginning year/date and on-going status (e.g., 2004-current or June 6, current). Title Page: Basically self-explanatory. Title: Give current university rank, e.g., Assistant Professor or rank and administrative title, e.g., Assistant Professor and Campus Director. Date of Appointment to MSU: Should be month and year. Date of Current Rank: Should be month and year and indicates when one acquired the present rank, e.g., Associate Professor. National Certifications: List years and Certification Board(s). Professional Education: should be year degree was awarded. If currently pursuing a degree, note in process under. Previous Teaching Experience: List dates, organization(s), and position(s) of teaching appointments prior to the current MSU appointment. Professional Experience: List dates, organizations, and positions of prior or current professional nursing positions other than teaching positions. Includes Faculty Practice. Courses Taught (past 10 years only): List courses taught at MSU in the past 10 years. Include only those in which you had a major teaching responsibility. Give full course titles. Guest lectures may be listed if they were one's major teaching activity and if identified as guest lectures. Graduate Student Thesis/Project Committees: List Semester/, Course No. (N575, N590), Title of Thesis/Project, Student Name, Position on Committee (chair, member). Professional Memberships: List all organizational activities separately by position. Organization Position American Nurses Association/ District #1 Vice-President Montana Nurses Association 1999-current American Nurses Association/ Member Montana Nurses Association 1985-current Sigma Theta Tau, Zeta Upsilon Chapter Member College of Nursing and University Committees (past 10 years only): List all committees separately by position.

3 Public Service: Do not list continuing education offerings or consultation which you provided in this section. Do list public/community organizations in which you participate, e.g., Committee Position 2001-current Gallatin County Hospice Chair of Board Consultation: Specify exact dates. List total number of hours per organization (1 day = 8 hours) Total No. Dates Organization Hours Purpose April 11 & 12, 2005 Montana Department of 10 Review of disaster preparedness Public Health and Human Services plan Continuing Education Attended (past 10 years only): List all professional development activities attended, including conferences, workshops, continuing education, coursework, etc. Do not list those during which you provided a presentation unless you attended other educational sessions in which you did not present, e.g., April 6-8, th Annual Communicating Nursing Western Institute for Nursing Research Conference Albuquerque, NM October 4, 2005 "The Nurse as Manager" Benefis Health Care Workshop Great Falls, MT Non-refereed Presentations (past 10 years only): List all continuing education, presentations, speeches, and addresses you provided. Do not include here presentations listed in Scholarly Presentations (Refereed) below, e.g., November, 2003 "Child Abuse Prevention" Women's Resource Center Billings, MT Refereed Presentations: List posters, papers, symposia, etc., which you have been selected to present. This section should include only presentations which involved refereed or invited selection by professional peers. Follow general directions for format as under Non-Refereed Presentations (above). Publications: Provide complete citations in APA format. Place material under appropriate sub-heading: Chapters or Books, Refereed Manuscripts, Non-refereed Manuscripts, Professional Reports, Reviews. Research/Creative Activities: List completed as well as ongoing projects, funded and unfunded. Include grant consultation. If the activity is funded, include funding source, and dollar amount. Specify your role in the project. Title/Role Use of Complementary Therapy in Hospice Programs, Center for Research on Chronic Health Conditions Among Rural Dwellers, $6,500 (Co-investigator) Relevant Concepts for Nursing Practice in the Operating Room (Principal Investigator) Montana s Rural Family Nurse Practitioner Option, U.S. Public Health Services, Health Resources and Services Administration, $200,000 (Project Director) Honors, Awards, Scholarships, and Fellowships: List all specific honors, scholarships/fellowships, etc., e.g., Title National Institute of Nursing Research Pre-doctoral Fellowship

4 1992 Bozeman Area Chamber of Commerce Teaching Award PART II Format of Long Form C.V. MONTANA STATE UNIVERSITY COLLEGE OF NURSING Academic Vita Name: Address: Title: Date of Appointment to MSU: MT RN Licensure No.: Date of Current Rank: Clinical Nursing Specialty: National Certifications: Professional Education: Degree Institution Major Previous Teaching Experience: Dates Organization Position Professional Experience: Dates Organization Position Courses Taught (past 10 years only): Sem./ Course No. Course Title Graduate Student Thesis/Project Committees: Sem./ Course No. Title/Student/Role Professional Memberships: Organization Position College of Nursing Committees (past 10 years only): Committee Position University Committees (past 10 years only): Committee Position

5 Public Service: Organization Position Consultation: Total No. Dates Organization Hours Purpose Continuing Education - Attended: Non-refereed Presentations (past 10 years only): Refereed Presentations: Publications: Chapters or Books Refereed Manuscripts Nonrefereed Manuscripts Professional Reports Reviews Research/Creative Activities: Title/Role Honors, Awards, Scholarships, and Fellowships: Title

6 POLICY #A-25 ATTACHMENT #2 DIRECTIONS SHORT FORM C.V. Name, Date of Appointment, Campus, Rank: Self-explanatory. Certification: If certified, indicate credentials and certifying organization. If not certified, leave blank. Tenure: Yes or No. Education: List Degrees chronologically, beginning with most recent along with Institution that awarded the degree, and clinical area of study. If your degree program had a Functional area of study, indicate Administration or Education, otherwise, leave blank. Teaching Responsibility: List Course Numbers and Course Names for all courses that you taught in the prior two years. The Content Focus can be brief, e.g. Medical Surgical Nursing, Community Health Nursing, Research, Primary Care, etc. Under Theory/Clinical, note theory, clinical, or both. Major Activities to Maintain Expertise (last 2 years): Briefly list, e.g. workshop attendance, clinical practice, literature review, self study, research and scholarly activities. For continuing education conferences, briefly list titles of the conferences, location, and dates of attendance. List chronologically, beginning with most recent. Be sure to include activities that are relevant to the courses taught. The short c.v. is used for reports to the Montana State Board of Nursing to demonstrate that faculty members are staying current in the areas in which they teach. PART II FORMAT of Short Form C.V. CURRICULUM VITAE Name: Campus: Certification: Date of Appointment: Rank: Tenure: Education Major Area of Study Degrees Institution Clinical Functional Teaching Responsibility Course # Course Name Content Focus Theory/Clinical

7 Major Activities to Maintain Expertise (last 2 years)