College of Education: Annual Combined Report of Faculty Activity Rev. 5.2, 2/06/2012
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College of Education
Division of ____________________________________________
Annual Combined Report of Faculty Activity
Please submit one time per evaluation period from January 1, 2011 through March 1, 2012.
Faculty Member: Typed Name of Faculty Member From: dd/mm/yyyy to dd/mm/yyyy
Directions: Type directly into existing boxes. Do not add additional pages. For longer responses bulleted items are preferred. Cells
automatically adjust to accommodate the entry of information. Cell rows crossing adjoining pages may appear split until information is entered
in them. Please list entries in chronological order in each category.
Areas of Evaluation: Teaching, Scholarship and Service
Teaching
Information for consideration of merit: Teaching highlights
Begin merit discussion here:
Course Evaluation Matrix
Course title
(Use the Table Tools, Layout
function to inset additional rows
below those provided as needed)
Course
CRN
Date/Semester
Number of
students
Average scores
College of Education: Annual Combined Report of Faculty Activity Rev. 5.2, 2/06/2012
2
Self-Evaluation of Student Course Evaluations
Specific to student evaluations: Assessment of strengths/weaknesses in the classroom; areas where student perceptions may have differed from the faculty’s, strategies/plans
for goal development or change and steps to be taken for improvement:
Evidence of Teaching Effectiveness
Evidence of teaching effectiveness: For example: Information regarding rigorous academic standards, concern for learning, knowledge of subject matter, organization of
courses, incorporation of research, method of teaching; changes to method used, use of technology in the classroom, etc.:
Reflections on Teaching
Begin Reflection Here:
List of Goals Accomplished
List of Planned Goals
Other Evidence of Teaching Efficacy
Specific comments on courses taught not previously mentioned in the above:
SCHOLARSHIP
Information for consideration of merit: Scholarship highlights
Begin merit discussion here:
AREAS OF SCHOLARSHIP
PUBLICATIONS (Use
Date
Approximate
Location
Description (Include titles of publications)
College of Education: Annual Combined Report of Faculty Activity Rev. 5.2, 2/06/2012
style recommended by the
APA Publication Manual, 6th
Edition)
(Mo/Yr)
number of
participants
Date
(Mo/Yr)
Approximate
number of
participants
3
Refereed articles
published
Books published
Books under contract for
publication or books
being reviewed for
publication
Case studies published in
textbook or other
professional publication
Book reviews
Publication in conference
proceedings
Chapters in books
Other
Total number of
publications
PRESENTATIONS
Juried art exhibition
Location
Description (Include titles of presentations)
College of Education: Annual Combined Report of Faculty Activity Rev. 5.2, 2/06/2012
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Invited musician/theatrical
performance
Presentations at
professional meetings
Presentations of
scholarship and creative
work to community
audiences
Creative works of
literature, music, or art
with national, regional,
state, local audience
Theatrical productions
directed
Other
Total number of
presentations.
AWARDS &
RECOGNITION
Awards and prizes for
scholarship and/or creative
accomplishments
Date
(Mo/Yr)
Approximate
number of
participants
Location
Description (Include title of award or recognition)
College of Education: Annual Combined Report of Faculty Activity Rev. 5.2, 2/06/2012
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Awards and prizes for
excellent teaching
Other
Total number of awards
and recognitions
GRANTS/CONTRACTS
Date
(Mo/Yr)
Approximate
number of
participants
Location
Description (Include titles of grants/contracts and funding
agency)
Total number of
grants/contracts
Reflections on Scholarship
Begin reflection here:
List of Goals Accomplished
List of Planned Goals
SERVICE
Information for consideration of merit: Service highlights
Begin merit discussion here:
College of Education: Annual Combined Report of Faculty Activity Rev. 5.2, 2/06/2012
SERVICE
University committees
membership
Professional organization
committee membership
Faculty Senate member
College committee
member
Guest lecturer or speaker
for an outside agency or
professional organization
Training of community
professionals
Serving on a community
organization board or
committee
Advisor for a student
organization
Grant reviewer
Editing professional
Date
(Mo/Yr)
Title (chair,
member, presenter,
etc.)
Location
6
Description (Include titles of committees, organizations,
activities, lectures, etc.)
College of Education: Annual Combined Report of Faculty Activity Rev. 5.2, 2/06/2012
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Publications
Supervision of student
research (for which
university credit is not
documented)
Other
Total number of service
activities from rows
above
Reflections on Service
Begin reflection here:
List of Goals Accomplished
List of Planned Goals
Additional Information pertinent to the merit review
Begin discussion here: