ࡱ> 65 \pRenee Allemand Ba==:8X@"1Arial1Arial1Arial1Arial1Arial1@Arial1Arial1Arial1Tahoma1Arial1Arial1 Arial1$Arial1 Arial"$"#,##0_);\("$"#,##0\)!"$"#,##0_);[Red]\("$"#,##0\)""$"#,##0.00_);\("$"#,##0.00\)'""$"#,##0.00_);[Red]\("$"#,##0.00\)7*2_("$"* #,##0_);_("$"* \(#,##0\);_("$"* "-"_);_(@_).))_(* #,##0_);_(* \(#,##0\);_(* "-"_);_(@_)?,:_("$"* #,##0.00_);_("$"* \(#,##0.00\);_("$"* "-"??_);_(@_)6+1_(* #,##0.00_);_(* \(#,##0.00\);_(* "-"??_);_(@_)"Yes";"Yes";"No""True";"True";"False""On";"On";"Off"],[$ -2]\ #,##0.00_);[Red]\([$ -2]\ #,##0.00\)                + ) , *       @  H  H  `  X  H             1\ 1 1 1  )X "X ! !  !@  x"@@   x"@   x " @  ! !  ! X  `zSheet1-FSheet2dGSheet3  ;> "ZR 3 A@@  4 Faculty Name:Teaching Department:Teaching College:The following documentation MUST be filed in the faculty's personnel file upon determination of qualification by exception. In addition, a Faculty Development Plan must be completed annually in order to document continuous development and/or education by the faculty member.Current copy of faculty resumeEAny licenses or certifications justifying professional qualificationsQOfficial transcripts for ALL earned degrees (with breakdown of GSH if applicable)(i.e. honors, awards, documented excellence in teaching, or other competencies and achievements that contribute to student learning outcomes)Basis for Exception:(check all that apply)Rationale for Exception: Approved by:Department HeadDean/Provost, Assoc. Provost, or VP Academic AffairsDate^Any letters of reference and/or documentation which prove faculty professional qualifications.oHas the appropriate documentation been submitted to Human Resources for filing in the faculty's personnel file?WIMPORTANT: This exception form MUST state specific reasons why the faculty member is qualified to teach the course(s). Please do NOT re-state degree information that is already noted on the faculty roster. Please note that ONLY qualifications specifically related to the course(s) being taught should be stated as "rationale for exception".+ ; Course(s) Taught:Z(only list course(s) that the faculty member is NOT qualified to teach by SACS guidelines)<APP Faculty Qualification By ExceptionN* This form must be completed EACH term for faculty teaching under exception. Term*:PMichael Gautreaux has a bachelor s degree in industrial technology and is pursuing a master s degree at Texas A&M Commerce. He has received advanced safety training from the Liberty Mutual Group and the Research Center for Safety and Health located in Hopkinton, MA. He has 18 years of occupational safety consulting and training experience, and is a professional safety and health speaker providing guest lectures for universities, international safety conferences and fortune 500 companies. He established and is a managing member of Allied Risk Management Services, L.L.C. that is a loss control, safety consulting and training service provider. He is a qualified FSR (Field Safety Representative) authorized to conduct causality insurance inspections for the Arkansas and Texas worker s compensation commissions and a qualified expert witness in Louisiana State Courts in the field of safety. He is a nationally Board Certified Safety Professional (CSP) and an active member of the American Society of Safety Engineers (ASSE). He has served the 119 members of the Bayou Chapter of ASSE as Treasurer, Vice President and President between 2002 and 2005. He is an Authorized OSHA Construction and General Industry Outreach Trainer, an OSHA Authorized Disaster Site Worker Trainer, and Certified Instructor for the Mine Safety and Health Administration.INSTRUCTIONS: This form must be completed in its entirety EACH SEMESTER. The original, signed form must be sent to Human Resources for filing. An electronic copy must be sent to Renee Allemand in the Office of Assessment and Institutional Research." UVcc  M(1:2=  dMbP?_*+%&Q?'(?)M \\NICH-NSUNET\IR-HPLJ8150-QUEU S oIXXLetterPRIV0''''T\KhC]F4TRJPHAAIR-RGA"IXX??cU} m} }  } $ }  } m} } I M+@@  @ @  :@@@@@@w&w&w&w&w& **********  4444444444 "+++++++++  ,,,,,,,,, "---------  ,,,,,,,,, "---------  ,,,,,,,,, "---------    ,,,,,,,,,        ,,,,,,,,,      ) ))))))))) "          ))))))))) "   " "     !  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Dl&&&&&&&&&&&&&&&&&&&:R&&&R&&&R&:@ABCDEFGHIJKL"@ "A "B "C "D "E "F "G "H "I "J "K L&&&&&&&&&&&& (  L  3 A@q]`( MTL  3 A@q]` MTL  3 A@q]`h MTL  3 A@q]` M~~  <u))A@y<]6 uX M  "<Professional Experience< AAri~~  <v))A@^ <]6 vX M  "<Graduate Credit Hours Earned< AAri~~  <xv))A@6 (<]6 xvX M  "$<%Personal or Other Related Experience< (A$Ari~~   <v))A@ 1G]6 vXM  "<Yes< 7P~~   <0w))A@G]6 0wXM  "<No< 7Pff  c $w A@  1<]`wXM >@ >> :;:; 2323 6767           7gg@  F#G  dMbP?_*+%"??U #">@7  H  dMbP?_*+%"??U>@7 Oh+'0HPh Renee AllemandRenee AllemandMicrosoft Excel@Fz@:'/@5՜.+,0  PXd lt|  Sheet1Sheet2Sheet3Sheet1!Print_Area  Worksheets Named Ranges  !"#$&'()*+,./01234Root Entry FWorkbookkHSummaryInformation(%DocumentSummaryInformation8-