FACULTY ACTIVITY REPORT
I. Biographical Vita Information
Name:
District/Department:
Present Rank:
Period Covered:
Date:
Home Base:
Date Rank Effective:
To:
Degrees, Institutes (of one week or longer), Certificates: (Dates and Institutions)
Positions Held:
II. Awards and Recognition
A. Self
B. Staff/students under your direction
III. Contributions in Teaching
A. Post Secondary Courses
B. Standard Educational Programs
C. Presentations
D. In-Service
E. Students Advised
IV. Other Contributions in Extension or Outreach
A. Programs Coordinated (Non-Instructional Role)
B. Technical Assistance
1. Site Visits
2. Office Visits
3. Phone
4. Written/Email
C. Educational Events
D. Educational Exhibits
V. Additional Contributions in Scholarship
A. Invited Presentations, Lectures, Seminars, Papers, and Posters Presented
B. Journal Articles
C. Bulletins, Circulars or Reports
D. Abstracts
E. Newsletters
F. Media – TV, Newspaper, Radio
G. Curricula
H. Exhibit Displays Created
I. Other Creative Works
J. Work submitted for publication
K. Other Intellectual Contributions
Last Modified: August 2012
VI. Contributions in Research
VII. Grants, Contracts, Gifts & Fund Development
VIII. Professional Society Activities (National and State)
A. Membership
B. Leadership / Special Assignments
C. Committee / Task Force Activities
D. Meetings Attended
IX. Service (University, College, Department, Profession &/or Community)
A. Leadership / Special Assignments
B. Event Judge Assignments or Invitations
C. Committee/Task Force Activities
D. Peer Review Activities (Publications, Websites, Curriculum, Programs, etc)
E. Mentoring (New faculty, interns, etc)
F. Student Recruitment
X. Contributions to Collaborative Efforts
A. Public Service & Outreach
B. UGA Colleges & Schools
C. University System of Georgia
D. Government Agencies
E. Other Organizations
XI. Extension Leadership System (List dates, number of participants, educational component)
XII. Administrative/Management Duties (Supervision, Budgets, etc)
XIII. Professional Development Activities
A. In-Service Trainings Attended
B. Other Professional Development
XIV. Program Accomplishments (Expands on the efforts documented in sections II-XIII)
A. Needs Assessment Activities
B. Significant Program Accomplishments
(Describe your three most significant activities, achievements, or impacts in the
last year.)
C. Additional Achievements or Activities
(Describe additional activities, achievements, or impacts in the last year. This
may include programs in process)
Last Modified: August 2012