Fillable Dual Compensation Form (West Chester University of Pennsylvania)

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Dual Compensation Form (West Chester University of Pennsylvania)

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Faculty Member:
Department:
Semester(s) Reviewed:
Date of Review:
Is this Evaluation a regularly scheduled five-year review?
Yes No
Is this Evaluation being completed as part of the promotion process?
Yes No
Is this an Interim Evaluation?
Yes No
In accordance with Article XII of the Collective Bargaining Agreement, a performance review for
the above named faculty member is presented as follows:
1 FACULTY MEMBER received an explanation of the evaluation procedure from
the Evaluation Committee prior to the start of the review process.
2 FACULTY MEMBER provided an updated vita to department committee.
3 Updated copy of vita is attached.
4 Student Rating of Instructor Survey (SRIS) for the FACULTY
MEMBER were completed in all classes in the fall semester covered by this
review.
5 Summary of SRIS (Student Rating of Instructor Survey) in all classes in the
fall semester is attached.
6 FACULTY MEMBER was observed by the Evaluation Committee at least once
in each semester evaluated.
7 FACULTY MEMBER was observed at least once per academic year by the
Department Chairperson.
8
Prior to putting the observation into writing, there was a discussion of each visit
between the observer and the FACULTY MEMBER.
9 The written observation report was given to the FACULTY MEMBER.
10 FACULTY MEMBER had the opportunity for written comment relative to each
observation.
11 FACULTY MEMBER signed each observation report.
12 Each observation report is attached.
13
Evaluation Committee's report was prepared and is attached.
14 Evaluation Committee provided the FACULTY MEMBER a reasonable
opportunity to discuss its report.
15 Evaluation Committee provided the FACULTY MEMBER and Department
Chairperson with a copy of its report.
16
The Evaluation Committee submitted its report--along with the supportive
materials enumerated in CBA Article XII--to the appropriate dean or manager.
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West Chester University of Pennsylvania
Checklist For Performance Review
CLASSROOM FACULTY
of a Tenured Faculty Member
Rev. 05/14
17 Department Chairperson's independent report was prepared and is attached.
18 The Department Chairperson provided the FACULTY MEMBER a reasonable
opportunity to discuss the Chairperson's report.
19 The Department Chairperson provided the FACULTY MEMBER and Evaluation
Committee with a copy of the Chairperson's report.
20
The Chairperson submitted his/her report to the appropriate dean or
manager.
21
A current SoE and updated SoE for the next evaluation cycle are attached.
22
The Departmental Teacher/Scholar is attached.
FACULTY MEMBER:
Date
Signature:
DEPARTMENT CHAIRPERSON:
Date
Signature: Date
EVALUATION COMMITTEE CHAIRPERSON:
Date
Signature: Date
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Rev. 05/14
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Dual Compensation Form (West Chester University of Pennsylvania)

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Completed 1 September 2020

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