Annual Emeriti Office Request/Renewal Form

This form was created to clarify information and expedite the decision process. Please check the appropriate boxes below and list the names of your projects. If teaching, please include the class number/title and the number of students in the class. Once you have completed the form, click "Send" and this will automatically be sent to: Laurie Echterling, Space Management, Dean's Office, 100 O'Shaughnessy Hall.

Deadline is January 31.

Name of Faculty:

Name of Department Chair:

Please Choose One:

Home Office (Dean's office will assist with packing, moving and setting up your computer at home)
Campus Office (a semi-private office currently located on the 5th floor of Flanner; Dean's Office will assist you with packing, moving, and computer setup)

If you checked Campus Office, please fill out the section below:
How do you or will you use the office?

Teaching:

Research:

Service:


Do you prefer working: AM PM or late evening?

If you have any questions, please contact Laurie Echterling at Echterling.1@nd.edu

It is the responsibility of the faculty member to notify their Department Chair of this request so that he/she may also submit an evaluation.

For Department Chairs Only:
Please type in the name of your retired/retiring faculty at the top of the page, insert your comments below and then push "Send".

Thank you for your timely assistance with this information.