APPENDIX A
LECTURER ANNUAL SELF-ASSESSMENT
This form may be used by full-time and part-time lecturers with one-year or three-year
appointments. Note: Lecturer self-assessments are voluntary on the part of the lecturer.
Due to Department Chair: Thursday, February 13, 2020
Name ____________________________________ Department ___________________________
Date submitted to Department Chair: ____________________ Dept. Chair initials ________
Evaluation Periods: Spring Semester 2019, Cruise 2019, and Fall Semester 2020
1. Describe your work requirements, as stipulated in your appointment letter. (Attach a copy of your
appointment letter to this document.)
Spring Semester 2019
Cruise 2019 (if applicable)
Fall Semester 2020
2. Describe your effectiveness in fulfilling these requirements. (Attach additional pages, if needed)
3. Please feel free to add other comments or provide additional information. (Attach additional pages, if
needed)