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Santa Monica College Faculty Association
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APPENDIX S - Evaluation Forms PDF Print E-mail

APPENDIX S

EVALUATIONS FORMS

 

COMMITTEE/DEPARTMENT CHAIR EVALUATION REPORT FOR CERTIFICATED PERSONNEL

NAME:

 

DEPT. ASSIGNMENT:

DATE:

 

Number of years in present department/assignment at Santa Monica College

 

 

 

Number of years at Santa Monica College

 

 

 

1 st Year Contract Faculty

Recommend to Rehire

Recommend Not to Rehire

Recommend Not to Rehire

 

With suggestions for improvement-

Further evaluation required

 

 

Regular/Second Year Contract Faculty

Satisfactory

Needs Continued Evaluation

Needs Improvement

Unsatisfactory

 

Comments: (Use back)

 

    First year – Contract Faculty

Regular/Second Year – Contract Faculty

 

Signature

Date

Signature

Date

Dept. Peer(s):

 

 

Dept. Chairman:

 

 

Non-Dept. Peer(s):

 

 

Div. Head:

 

Dept. Chairman:

 

 

Panel Members:

 

Div. Head:

 

 

 

 

 

Evaluatee:

 

 

Evaluatee:

 

 

Senior Admin.: (if further review necessary)

 

 

Senior Admin.: (if further review necessary)

 

 Faculty member's signature does not necessarily imply agreement. It is merely an acknowledgment that the complete report has been read and a copy received. Within 10 working days of receipt of this evaluation report, the faculty member may also submit a written statement to the Office of Human Resources to be filed with this report.

 

White – Personnel File Yellow – Department Pink – Evaluatee

AR 4115.1-080580

CERTIFICATED PERSONNEL EVALUATION REPORT 

EVALUATION OF:

 

DEPT:

DIV:

SEMESTER:

A. EVALUATION OF VISITATION (ALL FACULTY) :

 

Strong

 

Average

 

Weak

Not

Do not

 

5

4

3

2

1

Applicable

know

1. Effective use of time

 

 

 

 

 

 

 

2. Communication skills (grammar, voice and clarity)

 

 

 

 

 

 

 

3. Knowledge and skills in subject

 

 

 

 

 

 

 

4. Apparent student interest and student-faculty rapport

 

 

 

 

 

 

 

 

B. CLASSROOM VISITATION (QUESTIONS BELOW FOR TEACHING FACULTY ONLY :

 

 

Strong

 

Average

 

Weak

Not

Do not

 

5

4

3

2

1

Applicable

know

1. Student involvement in class activities

 

 

 

 

 

 

 

2. Effective use of instructional aids and

 

 

 

 

 

 

 

supplementary materials

 

3 . CLASS VISITED:

 

DATE:

HOUR:

C. POST-VISITATION CONFERENCE :

(Note strengths, weaknesses, commendations and recommendations for improvement discussed with evaluatee in a post-observation conference. Please also comment on assessment procedures used for non-teaching faculty).

CONFERENCE DATE:

 

D. APPRAISAL OF NON-TEACHING ACTIVITIES :

(Note participation in professional, college and department activities, including office hours).

  

BASED ON THIS REPORT, CHECK ONE:

 

Satisfactory

Needs Further Evaluation

Unsatisfactory

 

EVALUATOR:

 

DATE:

DEPT. CHAIRMAN:

DATE:

EVALUATEE:

 

DATE:

DIVISION HEAD:

DATE:

Faculty member's signature does not necessarily imply agreement. It is merely an acknowledgement that the complete report has been read and a copy received. Faculty member may request an additional evaluation. Within ten working days of receipt of this evaluation report, the faculty member may also submit a written statement, initiated by the evaluator, to be filed with this evaluation report. Attach additional sheet if necessary.

 

White – Personnel File Yellow – Department Pink – Evaluatee

Replaces AR 4115.11-091479

 
 

 

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