Fillable EvalFormTeaching FS-92-10-B Revision of April 1992

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EvalFormTeaching FS-92-10-B Revision of April 1992

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EVALUATION AND RECOMMENDATION FOR RENEWAL, TENURE,
PROMOTION OR PROFESSIONAL ASSESSMENT Page 1 of 3
FS
.17.18.004B Revision of September 2017
E
VALUATION AND RECOMMENDATION FOR RENEWAL, TENURE,
PROMOTION OR PROFESSIONAL ASSESSMENT
F
or each category of evaluation and recommendation, one (1) original signed by the DEC and faculty member
evaluated and two (2) copies of the signed original.
I. DAT
A:
Faculty Member
Date
Department
Professional Assessment:
Years of Service at CCSU
Promotion:
Years of Service at CCSU and at other universities
Renewals:
Years of Service at CCSU
Tenure:
Years at CCSU and credited years granted at initial appointment
Present Rank
Years at Present Rank
Requested Rank
Type of recommendation:
Renewal
Type of Evaluation:
Promotion
Tenure
Eligibility for Promotion:
Appropriate degree and specified years in rank
10 years in current rank (Article 5.4)
Substantially comparable credentials and/or experience (Article 5.3.5)
II
. EVALUATION INSTRUCTIONS (Article 4.11.9)
The criterion for evaluating and recommending full-time members shall be the quality of activity, including keepi
ng
cu
rrent in one’s field, within each of the categories listed below, weighed in the order listed:
1. L
oad credit activity for which the member receives load credit or the equivalent, e.g. one or more of the
following; teaching, coaching, counseling, department chairperson, division director, library service,
research, student supervision, or any other function specified in the letter of appointment or subsequent
extension or modifications of such appointment, or identified in a letter of agreement.
2. Cr
eative activity appropriate to one’s field, such as delivering papers at professional conferences,
production/performance of artistic works, research, study, and publication.
3. P
roductive service to the department and university.
4. P
rofessional activity; e.g. attendance and participation in conferences and workshops, membership servi
ce
in
appropriate professional organizations and professional activity in the community.
5. Years in rank.
6. R
ecord of any disciplinary action in the member’s personnel file at the time of the evaluation.
EVALUATION AND RECOMMENDATION FOR RENEWAL, TENURE,
PROMOTION OR PROFESSIONAL ASSESSMENT Page 2 of 3
III. EVALUATION NARRATIVE: COMPLETE FOR ALL EVALUATIONS AND RECOMMENDATIONS.
In the Evaluation Narrative, address each of the categories listed in Section II of this form. The fifth
category, years in rank, applies only to the promotion recommendation.
S
ee attached
IV. RECOMMENDATION (Fo
r Renewal, Tenure and/or Promotion)
Departmental Evaluation Committee: (Please type names and
sign at right)
Date
Faculty Member Acknowledges Receipt of this
Evaluation:
W
ithin five (5) working days, the faculty member evaluated may append comments which will be attached to this
report.
Reviewed by
(Name/Title)
Reviewed by
(Provost)
EVALUATION AND RECOMMENDATION FOR RENEWAL, TENURE,
PROMOTION OR PROFESSIONAL ASSESSMENT Page 3 of 3
NAME:
INVENTORY OF DOCUMENTS CONSIDERED FOR:
No
Description of Item
Source
Date Entered In File
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EvalFormTeaching FS-92-10-B Revision of April 1992

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