Goals Self Evaluation - Fayetteville State University

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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
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# 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
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