Division of Tropical Health and Medicine Application Forms Express your interest for Full Academic Title

Express your interest for Full Academic Title

View the James Cook University (JCU) Adjunct and Full Academic Title Procedure

Nominee Details

Last Name *

First Name *

Current Title *

Preferred Contact Telephone No *

Email *

Current Job Title *

Current Employment Location * (e.g., Townsville University Hospital)

Organisational Unit of Above Employer

Work Address *

Suburb *

Postcode *

State *

Postal Address (if same as above leave blank)

Current involvement with James Cook University * Please outline your current involvement with the University and with whom at JCU your nomination has been discussed.
Note: This is a mandatory field for completion and will assist the Committee in their assessment of your nomination

Proposed involvement with James Cook University as an affiliate member with a Full Academic Title. * Please briefly outline your proposed involvement with the University if you are successful in being awarded a full academic title.
Note: Eligibility Criteria for Full Academic Titleholders can be found at Section 5 of the James Cook University Adjunct Appointments Procedure.
Note: This is a mandatory field for completion and will assist the Committee in their assessment of your nomination.

Following submission of your expression of interest, a James Cook University staff member will be in contact with you to discuss and progress your expression of interest further.