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?
1. Program Development
(e.g., clarity of vision ; establishment of new programs; revision of programs; innovation in program development; support
of programs; communication and/or response to revisions in school, state, or outside agency requirements in programs)
Employee
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
Supervisor
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
2. Faculty and Staff Governance
(e.g., support of faculty governance structure within the division and across the college; encouragement and recognition of
faculty participation in governance)
Employee
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
Supervisor
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
3. Student Leadership and Governance
(e.g., encouragement of student participation in governance; support of student leadership opportunities in campus and
community organizations)
Employee
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
Supervisor
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
4. Strategic Planning for Departments
(e.g., communication with department chairs; support for communication among departments within school; representation
of departments within school to the larger college community; foresight in responding to department needs)
Employee
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
Supervisor
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
5. Budget Priorities and Decisions
(e.g., ranking of budgetary needs and decision making to support the goals of the departments and the college)
Employee
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
Supervisor
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
SOUTHERN UNION STATE COMMUNITY COLLEGE FORM B
INDIVIDUAL DEAN EVALUATION
NAME: POSITION:
SUPERVISOR: DEPARTMENT:
PART ONE: EVALUATION:
Space is provided below for self-evaluation by the employee and performance evaluation by the supervisor. Please check
the rating box which you believe most accurately reflects performance for the respective category. Checking “Exceeds
Expectations” or “Needs Improvement” requires an explanation and/or guidance.
6. Decision Making in Hiring and Appointment of Faculty/Staff and Faculty/Staff Development
(e.g., academic and professional faculty and staff, other positions as needed in department, instructor workload, professional
development opportunities)
Employee
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
Supervisor
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
7. Advocacy for the School
(e.g., representation and promotion of the school at the local, state, and regional levels where appropriate)
Employee
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
Supervisor
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
8. Generation of Funding
(e.g., support of faculty in applying for grants; promotion of school goals and initiatives via application for funding from
grants, college administration, and outside agencies; success in obtaining financial resources)
Employee
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
Supervisor
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
9. Relationships with Faculty, Staff, Deans, Other Divisions, and Students
(e.g., availability to faculty, staff, and students; communication of needs to faculty and staff; quality interaction with faculty,
staff, and students; support of faculty innovation and creative work; responsiveness to student and staff needs; quality of
interaction with deans and chairs in other departments/divisions; performance in working with other divisions)
Employee
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
Supervisor
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
10. Initiative in Service to the Community
(e.g., support of professional development and service to the region)
Employee
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
Supervisor
Exceeds Meets Needs Does
Expectations Expectations Improvement Not Apply
EMPLOYEE COMMENTS:
ACKNOWLEDGEMENT:
By typing your name and checking the Acknowledgement box below, you acknowledge that you have read and
discussed your evaluation with your supervisor. Your signature does not imply an agreement with the evaluation. (The
information submitted and any responses will be placed into the individual’s personnel file.)
ACKNOWLEDGEMENT: EMPLOYEE: DATE:
SUPERVISOR COMMENTS:
ACKNOWLEDGEMENT: SUPERVISOR: DATE: