Guidelines:
Clinical/Adjunct (CL) Faculty Actions - Supporting Documentation

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Faculty Actions: Requirements

 Guidelines: Supporting Documents
Full-time (FT) Full-time (FT)
Part-time (PT) Part-time (PT)
Clinical-Adjunct (CL) Clinical-Adjunct (CL)

ePAR (electronic Personnel Action Request)

Clinical/adjunct appointments - CL

Ethics Policy Statement Form

Clinical/adjunct appointments - CL

To be completed by the prospective faculty member:

  • The Ethics Policy purpose is to communicate to all Medical College of Georgia employees an expectation and requirement of ethical conduct and compliance with all applicable laws, policies, rules and regulations. 

Confidentiality Statement

Clinical/adjunct appointments - CL
To be completed by the prospective faculty member:

  • The Medical College of Georgia maintains strict confidentiality and security of records in compliance with the Family Educational Rights and Privacy Act of 1974 (FERPA), the Health Insurance Portability and Accountability Act (HIPAA) and the Gramm-Leach-Bliley Act (GLBA), in addition to other federal and state laws. These laws pertain to the security and privacy of all records that contain information that could reveal private information concerning a student, employee or customer/patient.
  • The form should be printed and provided to each new faculty employee along with other pre-employment forms for their completion and return to the hiring departmental representative for appropriate processing.

Sexual Harassment Form  (Added 5/27/2008)

Clinical/adjunct appointments - CL

To be completed by the prospective faculty member:

  • The Sexual Harassment Policy purpose is to communicate to all employees that the Medical College of Georgia is committed to maintaining our academic community as a place of work and study for staff, faculty and students, free of sexual harassment and all forms of sexual intimidation and exploitation and should be provided to each new employee for review.
  • The form should be printed and provided to each new employee along with other pre-employment forms for their completion and return to the hiring departmental representative for appropriate processing.

Curriculum Vita 
Clinical/adjunct appointments - CL

To be provided by the prospective faculty member:

  • CVs in the MCG Format is not required for new clinical/adjunct faculty actions.


Proof of Highest Degree
Clinical/Adjunct Appointments - CL
To be provided by the prospective faculty member or obtained by the hiring unit when a License or Certification is Not Applicable to the Appointment:

  • Clinical/adjunct appointments - to facilitate the appointment of clinical faculty, the appointing department representative may provide Faculty Affairs with the prospective faculty member's Required Information in order to verify the highest degree earned within the USA through the National Student Clearinghouse.
  • If the Institution is not a NSC participant, submission of a notarized copy of the diploma as proof of degree.
  • Documents provided that do not have an original notary indicating "true and exact copy of the original" will not be accepted. 

 

License or Certification Verifications
 Clinical/adjunct appointments - CL
To be provided by the prospective faculty member or obtained by the hiring unit:

  • Verification of Professional GA Medical Licensure
    (Medicine & Allied Health)              / Certification
     
  • Verification of Professional GA Licensure
    (Dentistry & Nursing)      / Certification

  • Verification of a professional GA license or certification must be submitted at the time of new appointment.  Continuation of employment and subsequent contract renewals are contingent upon maintaining an up-to-date professional license or certification. If a copy of the current GA license or certification is made for verification purposes, it must be notarized as "a true and exact copy of the original document."   When available, a printout will be accepted from the official WebSite indicating license information. Note: a printed page from the above web site does not require a notarization.

MCG Non-Faculty Employee appointed as Clinical/Adjunct Faculty

Clinical/adjunct appointments - CL

To be provided by the prospective faculty member or obtained by the hiring unit:

  • Immediate supervisor of an MCG non-faculty employee or administrative faculty member without academic rank who is recommended for a clinical/adjunct faculty appointment, writes a letter to endorse the non-paid faculty appointment.

AAMC Faculty Roster Form     CL
 To be provided by the prospective faculty member:

  • Required by the School of Medicine for all Faculty Appointments. Please contact the Dean's Office for further instruction.

Human Resources - Faculty Affairs
May 27, 2008