2018 2021 CBA J-1 1
APPENDIX J-1
ANNUAL FACULTY EVALUATION FORM
Faculty Member
Department
Time Period Covered Date of
By the Evaluation Evaluation
Evaluation Prepared By
The written evaluation shall be attached to this form. The evaluation comments shall be organized
according to the outline presented below.
I. Teaching/Job Effectiveness (Classroom Visitation and Evaluation Form attached if applicable)
II. Professional Development/Scholarly Activity
III. Service
A. To the Department
B. To the College
C. To the Discipline
D. To the Community
IV. Other Regular Assigned Duties
V. Progress on Completing Faculty Development Plan
VI. Overall Assessment of the Faculty Member’s Performance
Faculty Member Date
Evaluator Date
(The faculty member’s signature indicates receipt of the attached written evaluation, but not necessarily
that he/she agrees with its contents.)
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