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Record of Evaluation for Tenured Faculty Member Faculty Member Name: ______________________________________________ Department: ________________________________________________________ Department Evaluation Committee Members: ___________________________ ___________________________________ _______________________________ ___________________________________ _______________________________ ___________________________________ _______________________________ Department Chairperson: ____________________________________________ Classroom Observations (One observation per semester by the Department Committee and an evaluation per year by the Department Chairperson ö see attached chart) Date: _____________ Date: ______________ Class: ___________________________ Class: ___________________________ Observer: ________________________ Observer: ________________________ Student Evaluations Course(s) Taught: Fall: ____________________________ _________________________________ ________________________________ _________________________________ _____ Student Evaluation summaries for all fall semester courses attached _____ Student Evaluation summaries for some fall semester course(s) attached _____ No Student Evaluation summaries attached If missing some or all student evaluation summaries explain reason:
Evaluation Report _____ Committee Report shared with faculty member _____ Committee Report attached _____ Committee Report sent to chair with copy to Dean by deadline (see attached deadline chart)
_____ Department Chair Report shared with faculty member with copy to the Department Committee _____ Department Chair Report attached _____ Department Chair report sent to Dean by deadline (see attached deadline chart)
_____ Deanâs Report shared with faculty member; final report provided to Department Committee and Department Chair _____ Deanâs Report attached _____ Deanâs report sent to Provost by deadline (see attached deadline chart)
________________________________________________________ ________________ Department Evaluation Chair Signature Date ________________________________________________________ ________________ Department Chair Signature Date ________________________________________________________ ________________ Deans Signature Date
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