Overall Performance

SUPERVISOR’S EVALUATION SUMMARY FORM

Overall Performance

Name of Faculty Member Date

Division Academic Year

Instructional Faculty Basic Job Responsibilities

1. Consistently meets class on time and for the required amount of contact hours
2. Uses assessment tools that align with master and departmental syllabi
3. Communicates effectively with students, colleagues, and supervisors and utilizes appropriate channels/methods of communication with all members of College community
4. Performs assigned duties like registration, advising, or other departmental/divisional academic support activities as required
5. Follows college, division, and department procedures
6. Submits, posts, and keeps regular required office hours
7. Submits grades and other academic forms consistently, correctly, and timely
8. Submits timesheet and other administrative forms consistently, correctly, and timely
9. Completes Safety, Ethics and other required trainings consistently, correctly, and timely
10. Demonstrates respect to students

11. Exhibits collegiality towards colleagues

12. Regularly attends division meetings

13. Regularly attends department meetings

14. Attends Fall and Spring Faculty Convocation

15. Attends graduation once a year

**Total Points out of 75

Grading Scale – (Supervisor may exercise discretion for extenuating circumstances)	Rating
Yes/Fulfills responsibilities in this area	5
Yes/Fulfills most responsibilities in this area with minor exceptions	4
Needs improvement/Fulfills some responsibilities in this area	3
No/Frequently does not fulfill responsibilities in this area	2
No/Rarely fulfills responsibilities in this area	1
No/Never fulfills responsibilities in this area	0

Faculty member completed all 5 steps of the Annual Portfolio Review:    ___ Yes ___No
Faculty member addressed feedback from students and/or colleagues: ___ Yes ___No
   (i.e., from classroom observations, formative evaluations, and/or student SOI surveys)
Faculty member completed minimum number and distribution of goals required:          ___ Yes ___No
(as per Section 6 of the Faculty Evaluation and Improvement of Instruction Policy )

Faculty Member’s Score for this Evaluation Period (See Faculty Evaluation Scale ): )
0 1 2 3*** 4 5

Supervisor’s Comments including areas (reference job responsibility numbers above, if applicable) in which the faculty member has not met minimum requirements or has exceeded requirements based on academic rank and years of service:

** Achieving a minimum Basic Job Responsibilities score does not guarantee a faculty member’s final evaluation score for the academic year. Meeting the additional requirements for the final evaluation score as described in the Faculty Evaluation Scale is also required. *** An evaluation score of “3” or lower precludes merit pay increases. Signature does not indicate agreement, but simply verifies that this summary has been reviewed by employee and supervisor.

Signature of Employee Date Signature of Supervisor Date Signature of Academic Dean Date
Form 2220/ 006 (7/21 )