Form L-AT-1
Faculty Member: _____ Date: _____
Date:
Administrator: _____
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 Professional Development Plan, Form PDP/DEA-1, for the coming year must accompany this form.
Faculty Reviewers: D COMPETENCE PROFESSIONAL SERVICE
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
Meets Expectations
Does Not Meet Expectations
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 Vice President for Academic Affairs:
Date: