SOUTHERN UNION STATE COMMUNITY COLLEGE FORM A
INDIVIDUAL DEAN EVALUATION
YEAR:
NAME: DATE:
The following is a request for information that will assist your supervisor in the development
of your annual evaluation. Please respond to the following items and return them to your
supervisor within 2 weeks. Please assemble your information in the order of this request.
Following receipt of your information, your supervisor will contact you for an agreement on a
time for your evaluation interview and observation if applicable
I. Division Activities/ Accomplishments
A. Grants written; grants awarded
B. Accreditations completed
C. Equipment
D. Programs developed
E. Program recognitions
F. Work Force Development Activities
G. Other
2020
II. PROFESSIONAL DEVELOPMENT/ACHIEVEMENTS (address only those that apply)
A. List Professional Organizations in which you are a member and leadership roles, etc.
B. List Professional Development Activities/Seminars, Courses, you have attended
C. Publications/book reviews you have written or read relating to your area/methods
D. Seminars or presentations done
III. SERVICE
A. Institutional (organizations, campus-wide events)
B. Community involvement (organizations, public service, leadership roles, church, other)
C. Other Service Activities/Special Projects for the community or institution
D. Alabama College System Committees
IV. OPTIONAL QUESTIONS FOR YOUR CONSIDERATION
1. Do you have any questions about your job responsibilities as outlined in your position description?
2. Please list and evaluate any changes to your job or additional duties/responsibilities assigned
to you.
3. List what you consider to be your greatest strengths or accomplishments this year.
4. What changes would you like to see made to your job that would improve your performance
and be beneficial to the college?
5. What accomplishments would you like to see your department or Southern Union as a whole
achieve in the next three to five years?
Other suggestions or comments?