Temporary Lecturer Faculty Periodic Review WPAF Checklist
**The following section to be filled out and signed by the faculty member under review**
Name: _________________________________________ Dept: __________________________________
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Table of Contents
Table of Contents of Appendix
UPS 210.070 (dated 6-5-2014)
Vita (Updated C.V.)
Summary of Assigned Duties, including (for instructional faculty) a list of teaching assignments for each semester
Narrative Summary
Copy of blank student opinion questionnaire form(s) used in each class
 The documentation indicated below is REQUIRED (including all summer courses taught, if any) for the entire period of review.
If any of the required documentation is not present in the WPAF, the faculty member must indicate why the material is missing, or
provide a reasonable equivalent.
Student Opinion
Questionnaire
Statistical Summary
Course Report
Grade Distribution
(Graded Class Lists)
Raw Data
Student Opinion
Questionnaire Forms
Fall
15
Summer 15
Spring 15
Fall
14
Summer 14
Spring 14
Fall
13
Summer 13
Spring 13
(Please complete grid above for semesters appropriate to review period)
I certify that my file is current, complete and contains all required elements listed and checked off above.
Signature of faculty member submitting WPAF
Date
**The following section to be filled out and signed by the Department/Division Chair/Director**
 All items listed below shall be placed in the WPAF by the Department/Division Chair/Director at the time the WPAF is declared
complete.
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Periodic Review Signature Form
Copies of recommendations, evaluations and rebuttals (if any) from all levels of review, and final decisions from all
previous periods that fall under the period of review.
I have reviewed the WPAF of this faculty member against this checklist and declare it complete.
Signature of Department/Division Chair/Director
FAR
Revised: 3/11/2016; 02/17/2016
Date