School of Medicine Faculty Appointment Interest

Note: fields marked with an "*" are required.

Name*

First Name

Last Name

Preferred Email Address*

Preferred Phone Number*

Employment Status:*

Employed as a full-time or part-time employee of Seton Hall University or Hackensack Meridian Health, or Be engaged through a Professional Service Agreement with SOM or HMH, or Be identified by the Department Chair as having an established history of teaching, scholarship, and service activities and anticipated to contribute to the academic programs of the SOM

Current Faculty Appointment Status:*

Possess a faculty appointment at an LCME or COCA accredited U.S. medical school with an expiration no later than July 1, 2014, or A current faculty appointment at SHU, or If not meeting either criteria list above, identified by the Department Chair as having an established history of teaching, scholarship, and service activities and anticipated to contribute to the academic programs of the SOM

Preferred Rank:

Instructor Assistant Professor Associate Professor Professor

Please select your specialty if applicable: