Text Only 

Record of Evaluation for Temporary Faculty Member 

Faculty Member Name:  ______________________________________________ 

Department: ________________________________________________________ 

____ Fall Semester Hire _____ Spring Semester Hire        _____ Full Academic Year Hire 

Department Evaluation Committee Members:  ___________________________ 

___________________________________  _______________________________ 

___________________________________  _______________________________ 

___________________________________  _______________________________ 

Department Chairperson: ____________________________________________ 

Classroom Observations  

Full-time temporary faculty must have two observations per semester by the committee and one observation per year by the chairperson; for part-time temporary faculty one observation is required per year-observation may be completed by a peer or the chair. 

Date: _____________                                    Date: ______________ 

Class: ___________________________       Class: ___________________________ 

Observer: ________________________      Observer: ________________________ 

____  Observation report shared with faculty member   ____  Observation report shared with faculty member 

____  Observation report attached                                     ____  Observation report attached 

Date: _____________                                    Date: ______________ 

Class: ___________________________       Class: ___________________________ 

Observer: ________________________      Observer: ________________________ 

____  Observation report shared with faculty member   ____  Observation report shared with faculty member 

____  Observation report attached                                     ____  Observation report attached 

Student Evaluations 

Course(s) Taught:  

Fall: ____________________________        Spring: __________________________ 

________________________________        _________________________________ 

________________________________        _________________________________ 

________________________________        _________________________________ 

_____ Student Evaluation summaries for all fall semester courses attached 

_____ Faculty member employed for one semester only (no student evaluations required) 

_____ 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 Reports  

_____ 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 Department Committee 

_____ Department Chair Report attached 

_____ Department Chair Report sent to Dean by deadline (see attached deadline chart)

 _____ Dean’s Report shared with faculty member; final report provided to Department Committee and Department Chair

_____ Dean’s Report attached 

_____ Dean’s report sent to Provost by deadline (see attached deadline chart)

________________________________________________________        ________________

Department Evaluation Chair Signature                                                      Date 

________________________________________________________        ________________

Department Chair Signature                                                                         Date 

________________________________________________________        ________________

Deans Signature                                                                                            Date