(Make as many copies of this form as necessary for workshop participants)
FORM 1A
Individual Activities Listing
Use this form to list the activities in which you engage in your various roles as a faculty member. Do not write
narratives but, rather, write two, three or four word short descriptions of your activities. For example:
1.
2.
3.
4.
Grade exams
Serve on admissions committee
Develop PowerPoint presentations
Advise student chess club
1. Prepare class presentations
25. ____________________________________
2. Present class presentations
26. ____________________________________
3. Prepare exams
27. ____________________________________
4. Grade papers
28. ____________________________________
5. Tutor one –on – one with students
29. ____________________________________
6. Assess courses
30. ____________________________________
7. Serve on committees
31. ____________________________________
8. Selecting material
32. ____________________________________
9. Advise Students
33. ____________________________________
10. Attend Conferences
34. ____________________________________
11. Compile syllabuses
35. ____________________________________
12. Attend graduation ceremony
36. ____________________________________
13. Attend In-Service
37. ____________________________________
14. Prepare assessment report
38. ____________________________________
15. ____________________________________
39. ____________________________________
16. ____________________________________
40. ____________________________________
17. ____________________________________
41. ____________________________________
18. ____________________________________
42. ____________________________________
19. ____________________________________
43. ____________________________________
20. ____________________________________
44. ____________________________________
21. ____________________________________
45. ____________________________________
22. ____________________________________
46. ____________________________________
23. ____________________________________
47. ____________________________________
24. ____________________________________
48. ____________________________________
49. ___________________________________
© 2004 Raoul A. Arreola
CEDA Center for Educational Development & Assessment
www.cedanet.com
PO Box 172314
Memphis, TN 38187-2314
(Make as many copies of this form as necessary for workshop participants)
FORM 1B:
Role Names with Defining Activities
Department or Discipline Group Name: Mathematics
In the spaces below indicate the name(s) of the role(s) the group has identified based on the lists provided by
individual faculty on Form 1A. Provide a short definition/description of the role in the space provided below the role
name. Finally, below each role name list the activities and/or professional performances that further define and specify
the component. Each group must submit a final Form 1B that represents the group’s consensus.
Teaching
Role Name
Brief definition: Activities directly related to
student learning in the classroom
Institutional Service
Role Name
Brief definition: Activities directly related to the
day – to – day functions of college
Activities Defining this Role
1. develop curriculum
Activities Defining this Role
1. advising
2. develop objectives
2. community service
3. develop assessment
3. attend graduation
4. making tests
4. attend division/departmental meetings
5. grading papers
5. participate in faculty council
6. teach class
7. prepare presentations
8. interaction/tutor students
9. making copies
10. develop classroom
Professional Development
Role Name
Brief definition: Activities directly related to the
growth of the individual instructor
11. record and turn in grades
Activities Defining this Role
1. attend conferences
12. document attendance
2. membership in professional organizations
13. course assessment
3. attend in service
14. ____________________________________
4. research technology
15. ____________________________________
16. ____________________________________
17. ____________________________________
18. ____________________________________
19. ____________________________________
20. ____________________________________
© 2004 Raoul A. Arreola
CEDA Center for Educational Development & Assessment
www.cedanet.com
PO Box 172314
Memphis, TN 38187-2314
(Make as many copies as necessary for workshop participants.)
FORM 2:
Role Parameter Values
Department of Discipline Group Name:_Mathematics
List the ROLES identified in STEP 1 and recorded on FORM 1B. Indicate the minimum and maximum values or weights the group has agreed
should be placed on each role.
Minimum
Value
Maximum
Value
ROLE
75
Teaching
90
5
Institutional Service
20
5
Professional Development
20
© 2004 Raoul A. Arreola
CEDA Center for Educational Development & Assessment
PO Box 172314
Memphis, TN 38187-2314
www.cedanet.com
(Make as many copies as necessary for workshop participants.)
FORM 3A:
ROLE Component Names with Defining Activities
(Use a separate sheet for each ROLE)
Department or Discipline Group Name:_____________________________________________________
ROLE:_________________________________________________________________________________
In the spaces below indicate the name(s) of the component(s) the group has identified for the ROLE named above.
Provide a short definition/description of the component in the space provided below the component name. Finally,
below each component name list the activities and/or professional performances that further define and specify the
component. Each component list should be a subset of the larger role list provided by the group on Form 1B.
____________________________________
Component Name
____________________________________
Component Name
Brief definition:__________________________
_______________________________________
_______________________________________
_______________________________________
Brief definition:__________________________
_______________________________________
_______________________________________
_______________________________________
Activities Defining this Component
1. ____________________________________
Activities Defining this Component
1. ____________________________________
2. ____________________________________
2. ____________________________________
3. ____________________________________
3. ____________________________________
4. ____________________________________
4. ____________________________________
5. ____________________________________
5. ____________________________________
6. ____________________________________
6. ____________________________________
7. ____________________________________
7. ____________________________________
8. ____________________________________
8. ____________________________________
9. ____________________________________
9. ____________________________________
10. ____________________________________
10. ____________________________________
11. ____________________________________
11. ____________________________________
12. ____________________________________
12. ____________________________________
13. ____________________________________
13. ____________________________________
14. ____________________________________
14. ____________________________________
15. ____________________________________
15. ____________________________________
© 2004 Raoul A. Arreola
CEDA Center for Educational Development & Assessment
www.cedanet.com
PO Box 172314
Memphis, TN 38187-2314
(Make as many copies as necessary for workshop participants.)
FORM 3B:
Role & Role Component Summary
Department or Discipline Group Name:_____________________________________________________
List each role and write its general definition as identified in FORM 1B. List the components of each role and include a
brief description of the component as indicated on FORM 3A. Each group must prepare a copy of Form 3B that
summarizes the group’s consensus as to the names of the roles, their definitions, the names of their components, and
brief component definitions.
Example:
Role: TEACHING
Components
Role Definition:
Activities directly related
to student learning in the
classroom.
Instructional
Design
Instructional
Delivery
Instructional
Assessment
Role: Institutional Service
Role Definition:
Activities directly related
to the day – to – day
functions of a college
Role: Professional
Development
Role Definition:
Activities directly related
to growth of individual
instructor
© 2004 Raoul A. Arreola
Components
Institutional
Responsibilities
Departmental
Chair
Responsibilities
Components
Subject
Development
Teaching
Development
Component Definitions (Brief)
Syllabus preparation, grading standards, learning
objective, resource selection, other classroom preparation.
Lecture and technology development
Presentation/organizational skills, clarity of speech,
technology use, subject knowledge, student assistance
in/out of class
Course assessment, assessing graded materials
Component Definitions (Brief)
Advising, Committee Service, Graduation Attendance,
Meeting Attendance
Hire/Mentor/Evaluate Adjuncts, Student Interaction,
Scheduling, Resource Management
Component Definitions (Brief)
Conferences, professional organization membership,
technology research
Conferences, in service attendance
CEDA Center for Educational Development & Assessment
www.cedanet.com
PO Box 172314
Memphis, TN 38187-2314