PRELIMINARY EVALUATION AGREEMENT
 

Faculty Member’s Name:  
 
Department or Division:
 
Directions: In collaboration with your designated supervisor, select and list the goals that you have for the upcoming year. For Year II+ faculty, at least one goal should align with an area for development on the previous year’s Faculty Member’s Final Conference Form . Goals you have accomplished the summer previous to the academic year may count if you have not already listed them before. These goals should outline a reasonable workload that adheres to the goals of your program and the College. The number of goals in each category varies according to academic rank and years of service according to the Faculty Evaluation and Improvement of Instruction policy . Faculty members will not have the same number of goals in each area. (For promotion purposes, see Division Committee Individual Recommendation Form (Form 2321/002) in Promotion Process Guidelines for minimum instances requirements by promotion level for each category below.)
 

I.	Teaching and Related Activities/Academic Support

 
 

 
 

III.	Professional Service and Development

 
 

 

IV.	Leadership/Sharing of Expertise (Required for faculty applying for rank of full professor only)

 
 
Faculty Member’s Signature: ______________________________ Date: _________
 
Supervisor’s Signature: _______________________________ Date: _________
 
Academic Dean’s Signature: ______________________________ Date: _________

Form 2220/001 (7/21)