To be used by Division Committee Members
Applicant’s Name______________________________________________________________
Division______________________________________________________________________
Applying For__________________________________________________________________
Date of Last Promotion (or Hiring) ________________________________________________
I. Supervisor Evaluations: (must be “4” or “4.5,” 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. Faculty Professional Growth Forms (or Preliminary Evaluation Agreements for academic years prior to 2023-2024) (check ‘yes’ or ‘no’ if included in packet) Academic Year (______ - _______) _______ Yes _______ No