ANNUAL FACULTY PERFORMANCE EVALUATION COVER SHEET
Faculty Name: _____________________________________ Department: _______________________________
Evaluation Period: _______________________________ College: __________________________________
This cover sheet reflects the process outlined in the “Faculty Merit Pay” section (Senate Bill 14-A-38) of the Faculty
Handbook. See reverse side for illustration of the annual performance evaluation process. Please use this sheet as
the cover for the packet of materials moving through the various levels of the annual faculty evaluation process.
Evaluation conducted by:
____ Department Committee
____ Department Chair
Initial Overall Evaluation:
____ Meets Expectations
____ Meets Expectations with Reservations
____ Does Not Meet Expectations
Teaching:
_____ Meets Expectations _____ Meets Expectations with Reservations _____Does Not Meet Expectations
Attach justification (required for rating other than “Meets Expectations”).
Research/Scholarship/Creative Activity:
_____ Meets Expectations _____ Meets Expectations with Reservations _____Does Not Meet Expectations
Attach justification (required for rating other than “Meets Expectations”).
Service:
_____ Meets Expectations _____ Meets Expectations with Reservations _____Does Not Meet Expectations
Attach justification (required for rating other than “Meets Expectations”).
All Committee members should sign justification.
_______________________________________________ Faculty Member Response:
Committee Chair (if reviewed by Committee) Date
OR Department Chair (if reviewed by Chair) _____ I concur with this evaluation.
_____ I do not concur with this evaluation.
If Committee conducts evaluation (attach justification): _____ I do not concur with this evaluation and
_____ I concur. request further review (attach justification).
_____ I do not concur.
_______________________________________________ _________________________________________
Department Chair Date Faculty Member Signature Date
_____________________________________________________________________________________________
This section completed only if Faculty Member requests further review:
College Promotion and Tenure Committee: _____ Concurs with Committee/Chair evaluation.
(attach justification) _____ Does not concur with Committee/Chair evaluation.
_______________________________________________
College Committee Chair Date
Chair Review: _____ Concurs with College Committee recommendation.
(attach justification) _____ Does not concur with Committee recommendation.
_______________________________________________
Chair Date
Dean Review (if Chair disagrees with Committee): _____ Concurs with Chair.
(attach justification) _____ Does not concur with Chair.
_______________________________________________
Dean Date
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