1. COLLEGE COMMITTEE INDIVIDUAL RECOMMENDATION FORM
    2. To be used by College Committee Members
      1. Minimum number of instances over three-year period:
      2. _______ Yes _______ No
    3. IV. Service to Students, Department, Division, and College (All Applicants)
      1. _______ Yes _______ No
    4. V. Professional Service and Development (All Applicants)
      1. Minimum of 3 instances over a three-year period.
      2. _______ 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      
 
III.  Teaching and Related Activities/ Academic Support (All Applicants)




Minimum number of instances over three-year period:
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 that examine, improve, and/ or support instruction according to the criteria indicated for the desired rank? Note: Evaluations from current academic year are not to be included.
 



_______ Yes _______ No

 
 

 
            Form 2321/004 (8/13)  (page 1 of 3)

 
 




IV.  Service to Students, Department, Division, and College (All Applicants)
Minimum number of instances over a three-year period, 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 according to the goals agreed upon each year on the Preliminary Evaluation Agreement Forms? Note: Evaluations from current academic year are not to be included.
 



_______ Yes _______ No

 



V.  Professional Service and Development (All Applicants)
Minimum number of instances over a three-year period:
 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 according to the goals agreed upon each year on the Preliminary Evaluation Agreement Forms? Note: Evaluations from current academic year are not to be included.
 

    _______ Yes _______ No

 

  

Form 2321/004 (8/13)  (page 2 of 3)

 

Attachment D (continued)
 
 

VI. Leadership and Sharing of Content Area and/or Instructional Expertise with Colleagues (for Rank of Professor only)

 



Minimum of 3 instances over a three-year period.
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 according to the goals agreed upon each year on the Preliminary Evaluation Agreement Forms? 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 (8/13)  (page 3 of 3) 

 

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