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PERIODIC REVIEW – PROBATIONARY FACULTY
COLLEGE / SCHOOL OF __________________________
Department Chair’s Review
Probationary Faculty
Member’s Name:_______________________________________
Probationary Year:_____________________________________
Department: __________________________________________
Brief Assessment of Progress:
Department Chair’s Signature
_________________________________ __________________________________________
Name Signature date
APPLICANT’S ACKNOWLEDGEMENT:
I have received a copy of this form and the attached recommendation of the department peer review
committee and, if the department chair made a separate recommendation, a copy of the department chair’s
written recommendation as well.
I realize that signing this form does not necessarily mean that I agree with the recommendation of the
department peer review committee and/or the department chair.
______________________________________________________________________________________
Applicant’s Signature Date