Office of Faculty Affairs: Faculty Appointments
All documents below are formatted in MS Word
unless otherwise noted.
- Faculty Appointment Checklist

- Faculty Appointment Checklist Details
- FAA
- FAA for Affiliated Appointments
- Certification of Effective Communication in English
- TN Licensure Verification Link

- Request_for_Degree_Verification_&_Notary_Form.doc
- Verification_of_ Degree_ Notarized.doc
- ABMS Board Certification link
- Family Medicine
https:www.theabfm.org/index.aspx?bhcp=1
Click on "Find Diploma" on the left side of page - Internal Medicine
http://www.abim.org/index.shtm
Select "Who is Certified" on top toolbar - Pediatrics
http://www.abp.org/
Click on "Verification of Certification" - 1st selection in Quick Links
- Family Medicine
- Personal Data Form

- Release Authorization and Fair Credit Reporting Act Disclosure

- Revised Faculty Appointments
Office of Faculty Affairs Letter Templates
All of the documents below are formatted in MS Word ![]()
Faculty Affairs Links

177
Days Until Site Visit
Contact Us
Faculty Affairs
Polly Hofmann, Ph.D.
Associate Dean
of Faculty Affairs
910 Madison Ave., Suite 1002
Memphis, Tennessee 38163
Phone:901-448-2464
Fax: 901-448-7683
Email: phofmann@uthsc.edu
Executive Dean:
David M. Stern, M.D.
