V5. 2016
Graduate Education & Research
Annual Student Review
Name: Banner ID:
-----------Portion Completed by the Student-----------
Academic Progress
*A copy of the current program of study should be attached to this report*
Degree: ______________________ Program: _____________________________________________
Entry semester: ________________ Current GPA: _________
Most recent contact with academic advisor: ______________
Date/expected date of qualifying exams (for PhD students only): ___________ Passed? Yes No
Date/expected date of dissertation/thesis proposal (if applicable):___________ Approved? Yes No
Date/expected date of dissertation/thesis defense (if applicable):____________
Expected Graduation date: ________________
Completed Courses:
Term
Course #
Course Title
Credits
Grade
Remaining required courses:
Term
Course
Term
Course
Select one
V5. 2016
Professional Performance and Potential
Comment briefly on the following:
Research Progress
Focus of Thesis or Dissertation:
Work Completed:
(e.g., literature review, project
design, IRB approvals, prospectus, lab work, field work)
Work Planned for Coming Semester or Year:
Professional Development
Share any conferences, workshops, or training courses attended; oral presentations conducted,
including the venue; manuscripts in progress, submitted, or published; professional memberships you
hold:
Assistantship/Fellowship Activities
Type of Funding: ____________________________
Assignments:
(GTA/GRA/Fellowship)
Specific Duties: (include estimated hours per week)
Comment briefly on your progress in achieving your academic goals during the past year. Note areas in
which you are experiencing any difficulty:
V5. 2016
---------Portion Completed by Academic Advisor and Dept. Chair---------
Academic Performance
Has the student made acceptable progress during the evaluation period? Please comment on the student’s
overall academic performance, including research & teaching experiences, if applicable, below:
Excellent
Satisfactory
Unsatisfactory
Please list the student’s goals for the following academic year:
Recommendation
Continue Probation Add to Probation Lift Probation N/A
Terms of Probation:
Student
Your signature below indicates that you have discussed the contents of this review with your Academic Advisor.
Student: _________________________________________ Date: __________________
Academic Advisor
Your signature below indicates that you have discussed the contents of this review with the student.
Advisor: _________________________________________ Date: __________________
(Print and Sign)
When the Academic Advisor and student have reviewed and signed this Annual Student Review, copies of the report should
be given to the student, Academic Advisor, and the Parks Graduate Education Office. Students who wish to appeal any part
of the Academic Advisor's evaluation may do so in writing to the Department Chair or the Associate Dean of Graduate
Education.
**Note: Departments may choose to use this form for annual or academic year evaluations.
click to sign
signature
click to edit
click to sign
signature
click to edit