Faculty
Member: ___
Date:
Administrator: _____
Division/Unit: ___
The following is a tabulation of the Peer Reviewer Forms, the Administrator's Review Form, and the Self-Evaluation Rating Form. The summative ratings below must be accompanied by signatures of the Faculty member and the Administrator. When forwarded to the Dean, Vice President of Academic Affairs, and the President, a completed Form PDP/DEA-1 for the coming year must accompany this form.
| TEACHING | PROFESSIONAL | SERVICE | |||||||
| Faculty Reviewers: | D | M | E | D | M | E | D | M | E |
| Peer Reviewer 1: | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
| Peer Reviewer 2: | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
| Peer Reviewer 3: | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
| Peer Reviewer 4: | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
| Peer Reviewer 5: | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
| Peer Reviewer 6: | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
| Peer Reviewer 7: | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
| Tally: | — | — | — | — | — | — | — | — | — |
| Administrator: | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
| Self-Evaluation: | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ |
SUMMARY RATINGS
Exceeds Expectations ሃሠሠሠሠሠሠሠ-ሞ-ሟ ሠሠሠሠሠሠ Meets Expectations ሃሠሠሠሠሠሠሠ-ሞ-ሟ Does Not Meet Expectations ሃሠ--ሞ
1. With regard to Teaching, this faculty member: ☐ ☐ ☐ 2. With regard to Professional and Creative Activity, this faculty member: ☐ ☐ ☐ 3. With regard to Service, this faculty member: ☐ ☐ ☐ Any summary rating of Does Not Meet Expectations or Exceeds Expectations requires justification. Administrative Tabulation: Rationale for Ratings, Form AT-2 must be attached.
These ratings have been discussed and accepted by:
Signed: Administrator
Administrator Faculty Member
Faculty Member
□ Accepted by Dean: _____ Date: _____
Date:
Accepted by Vice President for Academic Affairs: _____ Date: _____
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