FACULTY PERFORMANCE SUMMARY for January 2005 to January 2006

Name __________________________ Department ____________________

Year appointed to faculty __________ Highest degree ___________________

Hrs. or degree earned in current year __________ Institution ________________________

Rank ________________ Tenured? ________ Date of last promotion ______________

I. INSTRUCTIONAL EFFECTIVENESS

A. Courses taught on campus (list course number):

Spring semester (last year) Summer terms Fall semester

B. Overload or off-campus courses taught:

Spring semester (last year) Summer terms Fall semester

C. Official reassigned time activities (include term):

D. Curriculum (program and/or course) development activities:

E. Number of advisees: Spring semester Fall semester

II. PROFESSIONAL GROWTH ACTIVITIES

A. Professional memberships, offices and meetings attended:

B. Research and/or performances (papers read, recitals, shows, etc.):

C. Publications:

D. Studies in progress:

E. Honors received:

F. Formal study (relevant coursework, seminars, or workshops):

III. SERVICES ACTIVITIES

A. University service:

University committee memberships

College committee memberships

Departmental committee memberships

Student activities

B. Community service (professionally related):

IV. Other activities or accomplishments (completed or in process) you wish to have considered in your evaluation this spring.

Date of Conference ___________________________

Faculty Member______________________________

Department Chair_____________________________