FACULTY ANNUAL (SELF ASSESSMENT) REPORT (first page must be the university-wide document) School/Department/Program______________________________________________ Academic Year: __________________ Faculty Name: __________________________________________________________ TEACHING Courses: Number Title Number Students Student Evaluation Prep ________ ________ ________ ________ ________ __________ __________ __________ __________ __________ ____ ____ ____ ____ ____ ________ ________ ________ ________ ________ __________ __________ __________ __________ __________ ____ ____ ____ ____ ____ ________ ________ ________ ________ ________ __________ __________ __________ __________ __________ ____ ____ ____ ____ ____ Fall Semester: ______ ______ ______ ______ ______ ________________ ________________ ________________ ________________ ________________ # Fall Advisees _________________ Spring Semester: ______ ______ ______ ______ ______ ________________ ________________ ________________ ________________ ________________ # Spring Advisees _____________ Summer Sessions: ______ ________________ ______ ________________ ______ ________________ ______ ________________ ______ ________________ Independent Studies: _______________________________________________________________________ Thesis/Dissertation: TEACHING 1.1 Currency of Course Content: 1. 2. 3. 1.2 Instructional Design, Delivery, & Improvement: 4. 5. 6. 1.3 Course Management: 7. 8. 9. 1.4 Faculty Pedagogical Development/Collaboration: 10. 11. 12. 1.5 Contributions to Learning and Outcome Assessments: 13. 14. 15. 1.6 Student Advising: 16. 17. 18. 1.7 Other: 19. 20. 21. 22. SCHOLARLY: Research/Creative Activities Publications: [Publications is an unusual activity of a practicing artist, but this may occur in any of the following categories: Books, articles, journals, chapters, proceedings, other (list coauthors and publication date). Group Performances (Invited, Juried, Open): Solo Performances (Invited, Juried): Commissions, free lance activities: Professional Associations: [Indicate: 1) Office held; Dates; Elected or Appointed.] Publication: Publications of graphic designs, illustrations, creative works, and/or reviews of creative work by the faculty member in newspaper, magazines, books, periodicals, and online of publications of high quality. (If applicable, include copy of publication, and dates printed.) Other: Scholarly Presentations: [Indicate: 1) Conference; 2) National, Regional, State, Local; 3) Reviewer, Discussant, Panel Member, Session Chair, etc.; 4) Copresenters; 5) Date]; Conferences Attended: [Indicate: 1) Dates; 2) Location] Grants [Indicate: 1) Title; 2) Agency; 3) Submitted, Under Consideration, Received; 4) Dates of Grant]; etc. Research/Creative works in Process: [Indicate: 1) Title or Nature of Research; 2) Stage of Development; 3) Anticipated Completion Date; 4) Anticipated Publication Outlet] SERVICE For Committees: [Indicate: Standing or Special, Chair or Member, dates of service and contribution Department Service: 1. 2. School/College Service: 3. 4. University Service: 5. 6. Community & State Service: 7. 8. Service to Profession or Discipline: 9. 10. Other: 11. 12. _____________________________________________ ____________________ Faculty Signature Date _________________________________________________ Print Signature _________________________________________________ Area in the Department of Performing and Fine Arts