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 รถ 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)
_____ 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