Faculty Annual Goals and Objectives For Academic Year _________________ (School/Department/Program) ___________________________________ By the end of August of each academic year, each faculty of the department shall identify their goals and objectives for the upcoming academic year in each of the following categories. Faculty must submit their goals and objectives to be reviewed by their peer review committee chair and department chair. Faculty can revise their goals and objectives mid-year. Faculty Name: __________________________________________ Teaching goals and objective (All faculty will be assessed on Teaching 1.11.6): Scholarly goals and objectives: Service goals and objectives: Specific university/school/department/program initiatives: _______________________________________ Faculty Signature ___________________ Date _______________________________________ Peer Review Committee Chair Signature ___________________ Date ________________________________________ Dept. Chair Signature ___________________ Date Page 1 of 8 FACULTY ANNUAL (SELF ASSESSMENT) REPORT (School/ Department/Program) _____________________________________ Academic Year: Faculty Name: __________________ ___________________ TEACHING Courses: Number ______ ______ ______ ______ ______ Title Fall Semester: ________________ ________________ ________________ ________________ ________________ Number Student New Students Evaluation Prep ________ ________ ________ ________ ________ __________ __________ __________ __________ __________ ____ ____ ____ ____ ____ ________ ________ ________ ________ ________ __________ __________ __________ __________ __________ ____ ____ ____ ____ ____ ________ ________ ________ ________ __________ __________ __________ __________ ____ ____ ____ ____ # Fall Advisees _________________ ______ ______ _____ ______ ______ Spring Semester: ________________ ________________ ________________ ________________ ________________ # Spring Advisees _____________ Summer Sessions: ______ ________________ ______ ________________ ______ ________________ ______ ________________ Independent Studies: Thesis/Dissertation: Page 2 of 8 SCHOLARLY ACTIVITY Report the number of activities for each item. Publications: [List appropriately citing all coauthors and publication date.] Books: [Include Publishing Company] Articles in Books: Journals: [Indicate Refereed or Invited] Chapters: [Indicate: 1) Publication Source; 2) Refereed or Invited] Proceedings: Other: [Indicate: 1) National, Regional, State, Local; 2) Refereed or Invited] [e.g.: Student or Instructor Manuals, Book Reviews, Edited Proceedings, Newsletters ] Presentations: [Indicate: 1) Conference; 2) National, Regional, State, Local; 3) Refereed or Invited; 4) Co-presenters; 5) Date] Page 3 of 8 Conferences Attended: [Indicate: 1) Dates; 2) Location] Conference Participation: Grants: [e.g.: Reviewer, Discussant, Panel Member, Session Chair] [Indicate: 1) Title; 2) Agency; 3) Submitted, Under Consideration, Received; 4) Dates of Grant] Research in Process: [Indicate: 1) Title or Nature of Research; 2) Stage of Development; 3) Anticipated Completion Date; 4) Anticipated Publication Outlet] Page 4 of 8 SERVICE Professional Associations: Memberships: Offices Held: [Indicate: 1) Dates; 2) Elected or Appointed] Department/School/University: Number of Students Advised: _______________ Faculty Senate: [Indicate: 1) Dates; 2) Unit Represented] Committees: [Indicate: 1) University, School, Department; 2) Standing or Special, 3) Chair or Member; 4) Dates] Page 5 of 8 Professional Community Outreach: Continuing Education Instruction: [Indicate: 1) Dates; 2) Number of Attendees 3) Sponsoring Agency] Non-Paid Consulting: Professional Community Outreach: (Continued) Media Interviews and Appearances: [Indicate: 1) Date; 2) Media] Community Memberships: Page 6 of 8 Other: TOTAL Faculty ______________________________________________________ Signature Date Dept. Chair ________________________________________________________ Signature Date Page 7 of 8 5-Year Peer Assessment Overview Matrix (Matrix is only an overview of the rating which was assigned. Matrix should accompany the faculty each year to the peer assessment committee, chair assessment and any personnel actions.) Instructor: Jane Doe, Professor of Art Department: Performing and Fine Art Year 2009 M 1.1 Currency of Course Content 1.2 Instructional Design/ Delivery and Improvement 1.3 Course Management 1.4 Faculty Pedagogical Development/Collaboration 1.5 Contributions to Learning &Outcomes/ Assessments 1.6 Student Advising 1.7 Other 2.1 Currency and Professional Development 2.2 Contributions to Practice 2.3 Discipline Based Research/Creative 2.4 Pedagogical Research 2.5 Grant Writing 2.6 Other 3.1 Dept. Service 3.2 School/College Service 3.3 University Service 2010 2011 2012 M M N M E NA E M E M NA NA E E E 3.4 Community &State Service 3.5 Service to Profession or Discipline 3.6 Other E M NA Peer Reviewer Initials Faculty Initials LEGEND: E=Exceeds Expectations; M=Meets Expectations; N=Needs Improvement; NA=Not applicable Page 8 of 8 2013