1. COLLEGE COMMITTEE INDIVIDUAL RECOMMENDATION FORM
      2. To be used by College Committee Members
      3. Academic Year (______ - _______) Instance:________________________________
      4. Academic Year (______ - _______) Instance:________________________________
      5. Academic Year (______ - _______) Instance:________________________________
      6. Academic Year (______ - _______) Instance:________________________________
      7. Academic Year (______ - _______) Instance:________________________________
      8. Academic Year (______ - _______) Instance:________________________________
      9. _______ Yes _______ No
    1. IV. Service to Students, Department, Division, and College (All Applicants)
      1. Academic Year (______ - _______) Instance:________________________________
      2. Academic Year (______ - _______) Instance:________________________________
      3. Academic Year (______ - _______) Instance:________________________________
      4. Academic Year (______ - _______) Instance:________________________________
      5. Academic Year (______ - _______) Instance:________________________________
      6. Academic Year (______ - _______) Instance:________________________________
      7. _______ Yes _______ No
      8. V. Professional Service and Development (All Applicants)
      9. Academic Year (______ - _______) Instance:________________________________
      10. Academic Year (______ - _______) Instance:________________________________
      11. Academic Year (______ - _______) Instance:________________________________
      12. Academic Year (______ - _______) Instance:________________________________
      13. Academic Year (______ - _______) Instance:________________________________
      14. Academic Year (______ - _______) Instance:________________________________
      15. VI. Leadership and/or Sharing of Experience (for Rank of Professor only)
      16. Academic Year (______ - _______) Instance:________________________________
      17. Academic Year (______ - _______) Instance:________________________________
      18. Academic Year (______ - _______) Instance:________________________________
      19. Academic Year (______ - _______) Instance:________________________________
      20. Academic Year (______ - _______) Instance:________________________________
      21. Academic Year (______ - _______) Instance:________________________________
      22.         _______ Yes _______ No

 

 




COLLEGE COMMITTEE INDIVIDUAL RECOMMENDATION FORM



To be used by College Committee Members
 

Applicant’s Name______________________________________________________________

Division__________________________________________________________
Applying For__________________________________________________________________
Date of Last Promotion (or Hiring) ________________________________________________

 
I.  Supervisor Evaluations: (must be “4” or “5” for all three years)
Note: Evaluations from current academic year are not to be included.
 

 
            
Academic Year (______ - _______)
Rating___________
Academic Year (______ - _______)
Rating___________
Academic Year (______ - _______)
Rating___________
II. Preliminary Evaluation Agreements (check ‘yes’ or ‘no’ if included in packet)
Academic Year (______ - _______)
_______ Yes _______ No
Academic Year (______ - _______)_______ Yes _______ No      
Academic Year (______ - _______)
_______ Yes _______ No
If Applicable:
Academic Year (______ - _______)
_______ Yes _______ No
Academic Year (______ - _______) _______ Yes _______ No        
III. Teaching and Related Activities/ Academic Support (All Applicants)



Academic Year (______ - _______) Instance:________________________________



Academic Year (______ - _______) Instance:________________________________



Academic Year (______ - _______) Instance:________________________________



Academic Year (______ - _______) Instance:________________________________



Academic Year (______ - _______) Instance:________________________________



Academic Year (______ - _______) Instance:________________________________

Comments:__________________________________________________________________________________________________________________________________________

 
Does the documentation indicate annual participation in activities that examine, improve, and/ or support instruction according to the criteria indicated for the desired rank and relate to the goals agreed upon each year on the Preliminary Evaluation Agreement Forms? Documentation for other accomplishments and contributions may also be included. Note: Evaluations from current academic year are not to be included.



_______ Yes _______ No

 
            Form 2321/004 (8/21) (page 1 of 3)

 




IV.  Service to Students, Department, Division, and College (All Applicants)
 
Minimum number of instances for at least three of the five preceding applicable academic years, which includes at least 1 instance at the college-wide level:

Assistant Professor - 4 instances; Associate Professor – 6 instances; Professor – 6 instances
 



Academic Year (______ - _______) Instance:________________________________



Academic Year (______ - _______) Instance:________________________________



Academic Year (______ - _______) Instance:________________________________



Academic Year (______ - _______) Instance:________________________________



Academic Year (______ - _______) Instance:________________________________



Academic Year (______ - _______) Instance:________________________________

Comments:__________________________________________________________________________________________________________________________________________

 

Does the documentation indicate annual participation in activities of service to students, department, division, and College according to the criteria specified for the desired rank and relate to the goals agreed upon each year on the Preliminary Evaluation Agreement Forms? Documentation for other accomplishments and contributions may also be included. Note: Evaluations from current academic year are not to be included.


 
_______ Yes _______ No



V.  Professional Service and Development (All Applicants)
 
Minimum number of instances for at least three of the five preceding applicable academic years:

Assistant Professor - 2 instances; Associate Professor – 6 instances; Professor—6 instances




Academic Year (______ - _______) Instance:________________________________



Academic Year (______ - _______) Instance:________________________________



Academic Year (______ - _______) Instance:________________________________



Academic Year (______ - _______) Instance:________________________________



Academic Year (______ - _______) Instance:________________________________



Academic Year (______ - _______) Instance:________________________________

Comments:__________________________________________________________________________________________________________________________________________

 
Does the documentation indicate annual participation in professional service and/or development activities according to the criteria specified for the desired rank and relate to the goals agreed upon each year on the Preliminary Evaluation Agreement Forms? Documentation for other accomplishments and contributions may also be included. Note: Evaluations from current academic year are not to be included.

   _______ Yes _______ No

Form 2321/004 (8/21) (page 2 of 3)


 
 



VI.  Leadership and/or Sharing of Experience (for Rank of Professor only)

Minimum of 3 instances for at least three of the five preceding applicable academic years:  




Academic Year (______ - _______) Instance:________________________________



Academic Year (______ - _______) Instance:________________________________



Academic Year (______ - _______) Instance:________________________________



Academic Year (______ - _______) Instance:________________________________



Academic Year (______ - _______) Instance:________________________________



Academic Year (______ - _______) Instance:________________________________

Comments:__________________________________________________________________________________________________________________________________________

 
Does the documentation indicate at least three examples of participation in leadership activities or in activities designed to share expertise with colleagues according to the criteria specified for this rank and relate to the goals agreed upon each year on the Preliminary Evaluation Agreement Forms? Documentation for other accomplishments and contributions may also be included. Note: Evaluations from current academic year are not to be included.



             _______ Yes _______ No

 
 
If the portfolio satisfactorily meets all of the above criteria, the applicant is eligible for promotion to the desired rank. Please indicate whether you agree that the requirements for promotion to the next rank have been met according to the documentation in this portfolio.
 
 
Signature of Committee Member          Date      

 
 
If the criteria for any one of the above categories have NOT been satisfactorily met, or if the documentation for that category is insufficient, the applicant is NOT eligible for promotion at this time. If such is the case, please indicate reason or reasons for denying promotion:
 
 
Signature of Committee Member          Date      

 
 
 
 
 
 
 
Form 2321/004 (8/21) (page 3 of 3
 

 

Back to top