RATED EMPLOYEE IDENTIFICATION
Name of Faculty (Last, First, MI) Click here to enter text.	Name of Reviewer Click here to enter text.
Title Click here to enter text.	Reviewer Title Click here to enter text.

Section I - To be completed by faculty member
Position Description Review
1. Specify suggested additions, deletions, or revisions to the position description for supervisor review. If no changes necessary, type N/A Click here to enter text.

2.
A. Areas of good or exceptional work specific to the position description above minimum job requirements. Click here to enter text.

B. Challenges to improve during the upcoming year to enhance position or professional ability, including requests for professional development and rationale. Click here to enter text.

C. Goals from last review year and actions taken. Click here to enter text.

D. Position-specific goals for upcoming year. Click here to enter text.

3. College and Community Service
All employees are encouraged to participate in some form of college service and/or community engagement. Examples include various drives and festivals, special events, presenting at state and national conferences, and other activities that support student learning and College-related community engagement. Please provide a list of activities you volunteered for or participated in during the reporting period. Click here to enter text.

4. Professional Development
List all professional development accomplished during the reporting period. Click here to enter text.
Section II - To be completed by the Reviewer.
5. Provide specific comments to each of the following as your personal assessment of accomplishment of the tasks expected to be completed for this review year. Comment specifically on the following areas:
Develop and consistently adapt courses to provide students with thorough, engaging educational experiences. Performance Rating: [☐] Exceeds Standards [☐] Above Average [☐] Satisfactory [☐] Unsatisfactory Click here to enter text.

Develop positive, professional relationships with department members, the Division Chair, the AVP of Academics and other colleagues for continued growth and quality of the curriculum, which includes active participation in departmental assessments. Also serve on institutional committees as assigned to develop and enhance programs and services. Performance Rating: [☐] Exceeds Standards [☐] Above Average [☐] Satisfactory [☐] Unsatisfactory Click here to enter text.

Effectively communicate and develop a positive rapport with both advisees and students. Performance Rating: [☐] Exceeds Standards [☐] Above Average [☐] Satisfactory [☐] Unsatisfactory Click here to enter text.

Completion of Expected Job Duties
Expected Job Duty	Completed	Comments
Detailed Course-Level Assessment	[☐]Yes [☐] No	Click here to enter text.
Timely Submission of Mid-Term and Final Grades	[☐]Yes [☐] No	Click here to enter text.
Timely Maintenance of Attendance and Gradebook	[☐]Yes [☐] No	Click here to enter text.
Regular Interaction and Timely Feedback to Students within Courses	[☐]Yes [☐] No	Click here to enter text.

Student Evaluation Results
Course	Results	Comments
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* For Program Directors Only
Provide leadership, direction, and oversight to all assigned course offerings, as well as work effectively with the Division Chairperson, Associate Vice President of Academics, and the Provost, to develop, enhance, and promote curriculum and the program, which includes active participation in student recruitment. Performance Rating: [☐] Exceeds Standards [☐] Above Average [☐] Satisfactory [☐] Unsatisfactory Click here to enter text.

6. Overall Evaluation Performance Rating: [☐] Exceeds Standards [☐] Above Average [☐] Satisfactory [☐] Unsatisfactory Comments on Overall Job Performance: Click here to enter text. Goals for the Upcoming Evaluation Year: Click here to enter text. ** Please attach documentation of classroom observation and/or online course evaluation.

I, the supervisor, have discussed this review with the Faculty member. The goals developed are a basis for the next annual review.
Supervisor Signature	Date
I, the Faculty member, have discussed this review with my supervisor. (Initial as appropriate)
_____ I agree with this review _____ I do not agree with this review I understand that my position description and new goals identified will be the basis for my next review. (Additional documentation should be added to clarify if the Faculty member disagrees with the evaluation).
Faculty Member Signature	Date

I have reviewed this professional review and, (initial as appropriate)
_____ I agree with this review _____ I do not agree with this review and have marked this faculty member’s performance as: Overall Performance Assessment. [☐] Exceeds Standards [☐] Above Average [☐] Satisfactory [☐] Unsatisfactory

I have reviewed this professional review and, (initial as appropriate)
_____ I agree with this review _____ I do not agree with this review and have marked this faculty member’s performance as: Overall Performance Assessment. [☐] Exceeds Standards [☐] Above Average [☐] Satisfactory [☐] Unsatisfactory
Provost’s Signature	Date