Associate Faculty
Summary Evaluation Report
Unit Members Name:
Campus:
Discipline:
Course (s):
Fall Spring
Regular Evaluation Additional Evaluation
First Semester Evaluation
Year:
REQUIRED DOCUMENTS -
Attach the following documents to the completed summary evaluation report.
Peer Evaluation/Observation:
Student Evaluations:
Syllabi: On file in the office of Instruction
Self Evaluation:
Comments:
Comments:
Comments:
Note:
Please list overall strengths and areas in need of improvement/corrective action (if any) to be taken by unit member.
Comments:
Date:
Administrator Signature:
Comments:
Evaluation Summary:
EVALUATION SUMMARY OVERALL RATING:
Any "needs improvement" rating will require a written
explanation and improvement plan
UNIT MEMBER ACKNOWLEDGEMENT:
I have reviewed this report and I understand my signature below does not necessarily indicate agreement. I have the
opportunity to respond in writing to the evaluation report. My response must be submitted to the District within two
weeks of receipt of the evaluation report. The evaluation and written responses (if any) will be included in my personnel
file.
Date:
Unit Members Signature:
Please sign and return to the Dean:
