Qualified Faculty Determination Standard Form

Record Retention: Upon completion, this document should be submitted to the Office of Human Resources and maintained with the official transcript(s) of the applicable faculty employee.

Faculty Employee Name _________________________________________________________   

Appointment Type:  [   ] Full‐time  [   ] Part‐Time    School/Division/Department _____________________________________________________    Teaching Discipline ____________________________________  [   ] Non‐Transfer   [   ] Transfer    NOTE: Multiple teaching disciplines will require multiple forms.        INSTRUCTIONS     Part 1 – Identify basis for teaching qualifications.     Part 2 – List specific qualifying credentials.     Part 3 – Designate courses qualified to teach.     Part 4 – Identify qualifying criteria for teaching online.     Part 5 – Verify faculty employee’s qualifications through Human Resources     Part 6 – Approvals      References:

 Blue Ridge CTC’s “Determining Qualified Faculty” Administrative Procedure, AP3402  Higher Learning Commission’s “Determining Qualified Faculty: Guidelines for

Institutions and Peer Reviewers,” May 2014

 Higher Learning Commission’s “Documenting Fundamental Understandings: Minimum Expectations within the Criteria for Accreditation,” Part 4: Faculty, July 2010

 WVCCTCE Series 11: “Degree Designation, General Education Requirements, New Program Approval, and Discontinuance of Existing Programs”

 Blue Ridge CTC Faculty Handbook  

Qualified Faculty 

Record Retention: Upon completion, this document should be submitted to the Office of Human Resources and maintained with the official transcript(s) of the applicable faculty employee.

Record Retention: Upon completion, this document should be submitted to the Office of Human Resources and maintained with the official transcript(s) of the applicable faculty employee.

  Faculty Employee Name: ___________________________________ 

PART 2. QUALIFYING CREDENTIALS 

On File  Degree    Institution      Discipline    Year Completed     [   ]  __________  ______________________  ________________  ____________     [   ]  __________  ______________________  ________________  ____________     [   ]  __________  ______________________  ________________  ____________     [   ]  __________  ______________________  ________________  ____________     [   ]  __________  ______________________  ________________  ____________     [   ]  __________  ______________________  ________________  ____________    B. Graduate Credit Hours in Discipline   

Record Retention: Upon completion, this document should be submitted to the Office of Human Resources and maintained with the official transcript(s) of the applicable faculty employee.

Faculty Employee Name: ___________________________________  C. Certificates or Licenses 

Copy On 

File   Description      Agency     Number  Expiration       [   ]  ______________________    ____________ ____  __________  ____________      [   ]  ______________________    ____________ ____  __________  ____________      [   ]  ______________________    ____________ ____  __________  ____________    D. Other Qualifying Work or “Tested” Experience    ___________________________________________________________________________    ___________________________________________________________________________    ___________________________________________________________________________ 

PART 3. COURSES QUALIFIED TO TEACH 

Record Retention: Upon completion, this document should be submitted to the Office of Human Resources and maintained with the official transcript(s) of the applicable faculty employee.

Record Retention: Upon completion, this document should be submitted to the Office of Human Resources and maintained with the official transcript(s) of the applicable faculty employee.