1
Form A
TENURED/TENURE TRACK FACULTY Name
EVALUATION PORTFOLIO
Department
Check all appropriate items:
Retention Date of Initial EIU Appointment
1
st
probationary year 1
st
retention year
2
nd
probationary year 2
nd
retention year Current Rank Date of Rank
3
rd
probationary year 3
rd
retention year
4
th
probationary year 4
th
retention year Years of Service at EIU
5
th
probationary year 5
th
retention year
Promotion Degree
degree requirement met
years of service requirement met
Tenure
Basis regular
degree requirement met
years of service requirement met
exceptionality to degree requirement
Basis of exceptionality: Teaching Research Service
Professional Advancement Increase
Annual Evaluation for Tenured Faculty not Applying for Promotion or Professional
Advancement Increase
INSTRUCTIONS: Attach this sheet as a cover page to materials submitted.
1. T
his form is completed by the VPAA office for each probationary and tenured faculty member applying for
retention, promotion or Professional Advancement Increase. The faculty member submits his/her portfolio t
o
t
he department chairperson, providing appropriate supporting material in an evaluation portfolio. The normal
period covered by the attached evaluation portfolio is the period since submission of the previous evaluatio
n
portfolio, with the following exceptions: (a) for first year retention, the evaluation period is since the date of
initial employment; (b) for second year retention, the evaluation period is for the entire period of employmen
t
t
o date of submission; and (c) for promotion and tenure. Include a current vita. Note that a faculty member's
performance during the entire period of EIU employment is to be considered in making a tenure
recommendation. The faculty member's performance since the last promotion (or date of initial EIU
employment if there has been no promotion) is to be considered in making promotion recommendations.
2. F
or information regarding portfolio preparation, please review the memo from the Provost regarding guidelines
for faculty evaluation portfolios.
3. Faculty required to have a terminal degree for tenure and who have not yet completed that degree, should
provide a statement and appropriate evidence of making satisfactory progress toward completion of th
e
r
equired terminal degree.
4. A
fter the faculty evaluation process and any resultant personnel action is completed, the faculty member should
pick up his/her portfolio at Office of the Vice President for Academic.
(8/18/20)
2
Name
Department
Form E
DPC EVALUATION of:
Office of VPAA (8/18/20)
Eastern Illinois University ______________
Use back of form to extend comments Evaluation for Retention Check applicable
as necessary or provide attachment. Promotion recommendation
Tenure
Professional Advancement Increase
Ev
aluation of performance as compared with Evaluation Criteria for:
1. teaching/performance of primary duties:
2. research/creative activity:
3. service:
RECOMMENDATIONS
Retention Recommendation Promotion Recommendation P.A.I. Recommendation Tenure Recommendation
Positive Positive Positive Positive
Negative* Negative* Negative* Negative*
Not applicable Not applicable Not applicable Not applicable
*Reasons for negative recommendations must be explicitly stated in the evaluation.
A copy of this form is to be Date of Evaluation/Recommendation
supplied to the faculty member.
Signature of DPC Chair ________________________
Pl
ease note that the completed evaluation will be placed in the employee's personnel file.
click to sign
signature
click to edit
3
Form F
CHAIRPERSON EVALUATION of: Name
Department Office of VPAA (8/18/20)
Eastern Illinois University _____________
Use back of form to extend comments Evaluation for Retention Check applicable
as necessary or provide attachment. Promotion recommendation
Tenure
Professional Advancement Increase
Eva
luation of performance as compared with Evaluation Criteria for:
1. teaching/performance of primary duties:
2. research/creative activity:
3. service:
RECOMMENDATIONS
Retention Recommendation Promotion Recommendation P.A.I. Recommendation Tenure Recommendation
Positive Positive Positive Positive
Negative* Negative* Negative* Negative*
Not applicable Not applicable Not applicable Not applicable
*Reasons for negative recommendations must be explicitly stated in the evaluation.
A copy of this form is to be Date of Evaluation/Recommendation
supplied to the faculty member.
Signature of Chairperson________________________
Pl
ease note that the completed evaluation will be placed in the employee's personnel file.
click to sign
signature
click to edit
4
Name
Department
Form G
DEAN EVALUATION of:
Office of VPAA (8/18/20)
Eastern Illinois University _____________
Use back of form to extend comments Evaluation for Retention Check applicable
as necessary or provide attachment. Promotion recommendation
Tenure
Professional Advancement Increase
Ev
aluation of performance as compared with Evaluation Criteria for:
1. teaching/performance of primary duties:
2. research/creative activity:
3. service:
RECOMMENDATIONS
Retention Recommendation Promotion Recommendation P.A.I. Recommendation Tenure Recommendation
Positive Positive Positive Positive
Negative* Negative* Negative* Negative*
Not applicable Not applicable Not applicable Not applicable
*Reasons for negative recommendations must be explicitly stated in the evaluation.
A copy of this form is to be Date of Evaluation/Recommendation
supplied to the faculty member.
Signature of Dean______________________________________
Please note that the completed evaluation will be placed in the employee's personnel file.
click to sign
signature
click to edit
5
Name
Department
Form H
UPC EVALUATION of:
Office of VPAA (8/18/20)
Eastern Illinois University ______________
Use back of form to extend comments Evaluation for Retention Check applicable
as necessary or provide attachment. Promotion recommendation
Tenure
Professional Advancement Increase
Evaluation of performance as compared with Evaluation Criteria for:
1. teaching/performance of primary duties:
2. research/creative activity:
3. service:
RECOMMENDATIONS
Retention Recommendation Promotion Recommendation P.A.I. Recommendation Tenure Recommendation
Positive Positive Positive Positive
Negative* Negative* Negative* Negative*
Not applicable Not applicable Not applicable Not applicable
*Reasons for negative recommendations must be explicitly stated in the evaluation.
__________________________
A copy of this form is to be Date of Evaluation/Recommendation
supplied to the faculty member.
Signature of UPC Chair____________________________________
Please note that the completed evaluation will be placed in the employee's personnel file.
click to sign
signature
click to edit
6
Name
Department
Date Submitted
______________________________
Form A with evaluation portfolio
attached to be supplied to Chairperson
Form I
ANNUAL FACULTY EVALUATION
FOR TENURED FACULTY NOT
APPLYING FOR PROMOTION OR
PROFESSIONAL ADVANCEMENT INCREASE
Office of VPAA (8/18/20)
Eastern Illinois University
Evaluation of performance (see 8.4.c. of Agreement for nature of evaluation):
1. teaching/performance of primary duties:
2. research/creative activity:
3 service:
Date of Evaluation/Recommendation
Signature of Chairperson___________________________________
Chairpersons: 1. Supply a copy of this form to the faculty member evaluated and to the Dean.
2. Forward the original evaluation to the VPAA for the faculty member's personnel file.
3. Return evaluation portfolio to the faculty member (do not send to VPAA).
Pl
ease note that the completed evaluation will be placed in the employee's personnel file.
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signature
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Form J
Name Date of last sabbatical_
Department Year of initial employment
Date Date of LWOS
I prefer a sabbatical assignment for: Fall Spring Year
(100% salary) (50% salary)
Please number in order of preference
PROPOSAL
for
APPROVED ACADEMIC SABBATICAL ASSIGNMENT
I. General Purpose of the Academic Sabbatical Assignment
(please check the most appropriate)
Research/Creative Activity Updating of Professional Knowledge
Acquiring New Professional Knowledge Enhancement of Teaching Performance
Please attach 1-2 paragraph responses for each of the following headings. The questions provided are
intended solely to clarify the information desired for that heading; not all questions will be appropriate for
all proposed sabbatical activities.
II. Specific Purpose (What specific activity or project will be undertaken? What is the expected
outcome of the sabbatical assignment?)
III. Background Statement (Why is the proposed activity or project of interest to you and to others?
What rationale or justification is there for pursuing the proposed activity or project?)
IV. Outline of Activity/Project (What stages, activities, or procedures need to be accomplished to
achieve the desired outcome? What is the timeline for completing the proposed activity or
project?)
V. Anticipated Benefits (How will your students, the University, and/or the scholarly or
professional community benefit from the proposed activity or project? How will the results or
accomplishments of the sabbatical assignment be disseminated? How does the proposed activity
or project contribute to the mission of the University?)
RECOMMENDED: REPLACEMENT PLAN:
YES NO
If yes, indicate term approved
___________________________ ___________________________
Chair Dean
___________ ___________
date date
(8/18/20)
Please note that the completed application will be placed in the employee's personnel file.
8
Name
Department
Date of Initial EIU Appointment
Tenure: Yes No Date of Tenure:
Form K
APPLICATION FOR RETRAINING LEAVE
Tenured/Tenured Track Faculty
Office of VPAA (8/18/20)
Eastern Illinois University
TIME LEAVE REQUESTED
(1=first choice, 2=second choice)
Fall Semester I desire that time spent on leave:
Spring Semester count not count toward probationary period.
Academic Year
Other (describe)
Attach 1-3 page specific description of planned
retraining leave purpose, methods, and timetable.
Date of Application Signature of Applicant_____________________________________________
--------------------------------------------------------------------------------------------------------------------------------------------
CHAIRPERSON RECOMMENDATION
Reaction to Proposal: Recommend approval for: Recommend Replacement:
Fall Semester Yes No
Spring Semester If Yes, Chair must attach
Academic Year statement of justification for
Other (describe) replacement.
Date of Recommendation Signature of Chairperson_________________________________________
--------------------------------------------------------------------------------------------------------------------------------------------
DEAN RECOMMENDATION
Reaction to Proposal: Recommend approval for: Recommend Replacement:
Fall Semester Yes No
Spring Semester
Academic Year
Other (describe)
Date of Recommendation Signature of Dean ______________________________________________
--------------------------------------------------------------------------------------------------------------------------------------------
VPAA RECOMMENDATION
Reaction to Proposal: Approved for: Replacement Required:
Fall Semester Yes No
Spring Semester
Academic Year
Other (describe) Recommended time spent
on leave:
count not count toward probationary period
Disapproved, reason:
Date of Recommendation Signature of VPAA______________________________________________
--------------------------------------------------------------------------------------------------------------------------------------------
ACTION BY PRESIDENT: Approve: Yes No
Please note that the completed application will be placed in the employee's personnel file.
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9
Name
Department
Date of Initial EIU Appointment
Tenure: Yes No Date of Tenure:
Form L
APPLICATION FOR LWOS (Leave Without Salary)
Tenured/Tenured Track Faculty
Office of VPAA (8/18/20)
Eastern Illinois University
TIME LEAVE REQUESTED
(1=first choice, 2=second choice)
Fall Semester, 20 I desire that time spent on leave
Spring Semester, 20 count not count toward probationary period.
Academic Year, 20
Other (describe)
Attach 1-2 page specific description of planned
leave activities and accomplishments.
Purpose: Personal Research Advanced Study Professional Development Public Service
Date of Application Signature of Applicant_____________________________________________
--------------------------------------------------------------------------------------------------------------------------------------------
CHAIRPERSON RECOMMENDATION
Recommend disapproval Recommend approval for: Recommend Replacement:
Reason (if leave plan unacceptable): Fall Semester Yes No
Spring Semester If Yes, Chair must attach
Academic Year statement of justification for
Other (describe) replacement.
Date of Recommendation Signature of Chairperson_________________________________________
--------------------------------------------------------------------------------------------------------------------------------------------
DEAN RECOMMENDATION
Recommend disapproval Recommend approval for: Recommend Replacement:
Reason (if leave plan unacceptable): Fall Semester Yes No
Spring Semester
Academic Year
Other (describe)
Date of Recommendation Signature of Dean______________________________________________
--------------------------------------------------------------------------------------------------------------------------------------------
VPAA RECOMMENDATION
Recommend disapproval Recommend approval for: Replacement Approved:
Reason (if leave plan unacceptable): Fall Semester Yes No
Spring Semester
Academic Year
Other (describe)
LWOS time to count not count toward probationary period.
LWOS time to count not count toward promotion period.
Date of Recommendation Signature of VPAA______________________________________________
--------------------------------------------------------------------------------------------------------------------------------------------
ACTION BY PRESIDENT: Approve LWOS: Yes No
Eligible for state insurance: Yes No
Please note that the completed application will be placed in the employee's personnel file.
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signature
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