Annual Ph.D. Student Progress Review
(To be completed by student and submitted to MIS area Ph.D. coordinators)
Name:
Academic Year: 2011-2012
Year Entered Program: 2007
Advisor(s):
Dissertation Committee Members, if selected:

CheckList
I have submitted my current academic curriculum vitae.
I have submitted my complete, official transcript.
I have submitted my teaching evaluation(s).

Other Supporting Documents (letters from faculty members, etc.)
1.
2.
3.
4.
5.
6.
Page 1 of 9
A. PROGRAM PROGRESS IN THE LAST 12 MONTHS
1. COURSEWORK
List courses taken during the past 12 months with grades received. List major/minor/research
methods/general managerial skills courses separately.
Course Number
Description
Semester
1.
2.
3.
4.
5.
6.
7.
8
9.
10.
11.
12.
13.
14.
15.
16.
Summary Table
Major coursework requirement completed:
Waived:
If no, expected date:
Semesters you took courses toward this requirement (separate them by commas)
Minor coursework requirement completed:
Waived:
If no, expected date:
What is your minor area (even if it is expected, write it down)?
Courses you took courses toward this requirement (separate them by commas)
Research methods requirement completed:
Waived:
If no, expected date:
Research method #1 (even if it is expected, write it down)?
Courses you took courses toward this requirement (separate them by commas)
Research method #2 (even if it is expected, write it down)?
Courses you took courses toward this requirement (separate them by commas)
General mgrl skills requirement completed:
Waived:
If no, expected date:
Preliminary examination completed::
Waived:
If no, expected date:
Page 2 of 9
Grade
2. TEACHING EXPERIENCE
TA Assignment
List TA assignments completed during the past 12 months (course number/title, semester worked,
faculty assigned to):
Course Number
Title
Semester
Faculty
1.
2.
3.
4.
Teaching Assignment
List teaching assignments (where you were primarily responsible for classroom delivery) during
the past 12 months (include course number/title and semester, and attach copies of your
evaluation scores and student comments):
Course Number
Title
Semester
Course Coordinator
1.
2.
3.
4.
Teaching Enhancements
List MIS courses, Center for Instructional Excellence workshops, or other teaching workshops
you attended during the past 12 months to develop your teaching capabilities (include course
number/title, semester/module, instructor). Attach a written acknowledgement from the
instructor, if possible:
Course Number, if
applicable
Course or Workshop Title
Semester
Faculty, if applicable
1.
2.
3.
4.
List courses taught by distinguished teachers at Krannert in which you sat in during the past 12
months to develop your teaching capabilities (include course number/title, semester/module,
instructor). Attach a written acknowledgement from the instructor, if possible:
Course Number
Title
1.
2.
3.
4.
Page 3 of 9
Semester
Faculty
List teaching related mentoring experience with faculty in past 12 months (e.g., faculty member
sits in on class and evaluates your teaching skills):
1.
2.
3.
List any teaching awards or recognitions received during the past 12 months:
Course Number
Title
Semester
Award / Recognition
1.
2.
3.
4.
Teaching portfolio completed?
If no, expected date:
The teaching portfolio is a brief summary of your teaching experience while in the program, including
teaching workshop certificates, faculty evaluation statement, student evaluation scores, etc. This portfolio
is typically included in your job packet. Attach a copy of your teaching portfolio, if completed
Page 4 of 9
3. RESEARCH EXPERIENCE
RA Activities
List research activities (including RA assignments over the past 12 months (semester, faculty
sponsor). For each item, briefly describe your activities (e.g., data analysis, data collection,
programming, etc).
Faculty
Activity
Semester
1.
2.
3.
4.
5.
6.
Dissertation Progress
List major area(s) of research interest and projected dissertation topic(s):
Functional Areas of Interest
1.
2.
3.
Methodological Areas of Interest
1.
2.
3.
Publications
List conference presentations over the past 12 months: (paper title, name of conference, date):
Conference
Title
Co-authors
1.
2.
3.
4.
5.
6.
List publications (including working papers) over the past 12 months; if published, forthcoming
or submitted, mention where:
1.
2.
3.
4.
5.
6.
Page 5 of 9
List working papers on which you worked with a faculty member during the past 12 months
(paper title, target journal/conference, status (e.g., submitted, second round review)):
Title
Co-authors
Target Outlet
Status
1.
2.
3.
4.
5.
6.
Other
List fellowships or other external support received over the past 12 months:
1.
2.
3.
4.
List doctoral consortia (e.g., ICIS doctoral consortium, AMCIS doctoral consortium, Big 10 IS
Symposium etc.) in which you participated over the past 12 months, or have been selected to
participate in the next 6 months:
1.
2.
3.
4.
Summary Table
Expected graduation date
Plan of study filed:
If no, expected date:
Proposal defense completed:
If no, expected date:
Page 6 of 9
4. PROFESSIONAL AFFILIATIONS/SERVICE ACTIVITIES
List memberships held in professional associations within your field:
1.
2.
3.
4.
5.
6.
List professional service activities completed within the last year (e.g., conference reviewer,
conference planner, etc.):
1.
2.
3.
4.
5.
6.
7.
8.
5. ACADEMIC INTEGRITY AND PLAGIARISM
Have you reviewed an Academic Integrity or Plagiarism resource in the past year? (Resources
include The Purdue University Online Writing Lab’s “Avoiding Plagiarism” page at
http://owl.english.purdue.edu/owl/resource/589/01/ and the Indiana University “Understanding
Plagiarism” page at http://education.indiana.edu/~frick/plagiarism/)
Academic Integrity Resource
Reviewed:
If no, explain:
Page 7 of 9
B. SELF-EVALUATION
Please attach a brief summary of your experience in the program to-date, including the
following:
1. Briefly describe your experience in the program over the past year, including your
accomplishments, setbacks, and personal strengths and weaknesses as they relate to your
performance in the program.
2. Briefly discuss your goals for the coming year and what you plan to do to accomplish them
(e.g., finish degree coursework, begin writing dissertation, work on publishable paper(s),
make conference presentation(s), etc.).
Page 8 of 9
3. List any concerns you have as well as any suggestions you would like to offer for
improvement in the program which might help you and/or other students.
Last revised by K. Kannan 8/5/2011
Page 9 of 9