Name Due May 30 each year
Department
Academic Year & Summer
I. Teaching and Advising
A. Undergraduate and Graduate Courses* (Summary evaluation sheets for each course may be attached):
Course Number & Title Credit Hours Term
F SP
Class Hrs/Week Lab Hrs/Week Other Formal
contract Hrs/
YEAR TOTALS
* If a course was co-taught, please indicate.
B. Directed Activities in the Undergraduate Program (Independent Study, X-hours, Fieldwork, Student Teaching Supervision, Internship,
Practicum)
Student Topic Course Number Credit Hours
YEAR TOTALS
C. Directed Activities in the Graduate Program (Thesis supervision, Independent Research, Internship)
Student Topic Thesis Adviser Thesis Committee Fieldwork
YEAR TOTALS
D. Academic Advising
List the number of students in each class:
Freshmen:
Sophomore
s:
Juniors:
Seniors:
Graduate:
Non
-degree:
E. Course and/or Curriculum Development
List all courses taught for the first time during the past academic year, any courses now being developed, and other curricular
contributions.
F. Guest Lectures in Classes and Demonstrations
II. Scholarship and Professional Development
List activities related to professional development, such as books, articles, or reviews published, accepted for publication, circulating, or in
preparation; recitals, artistic exhibitions, grants, and fellowships; papers read at conferences, conventions, or other professional meetings;
memberships and offices in scholarly or professional organizations; workshops, institutes, or conferences attended.
III. Service to the College and the Community
A. College Committees, task forces, ad hoc groups; advising of student organizations, etc. (specify member or chair)
B. Service to Hood College (including admissions and special events, scholarship review, developing campus projects, directing
programs, chairing departments, field trips, etc.)
C. Service to the external community related to your academic interests (including speeches and presentations to local and regional
organizations, review panels, consultant services, etc.)
D. Other Community Involvement
IV. Professional Development Plan
The plan should identify short-term and long-term teaching, professional development, and service goals and objectives. (Please
comment on the past year's progress toward accomplishing the stated goals and objectives.) The plan should also include an
analysis of resources that could be provided by Hood College and/or external grants and fellowships.
I have reviewed this report and agree that it accurately reflects the faculty member's workload. I have also discussed the professional
development plan with the faculty member.
____________________________________
Chairperson’s Signature
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