REPORT FORMAT

ANNUAL PERFORMANCE EVALUATION

DEPARTMENT OF HEALTH SCIENCE

Name: ____________________________________
Department: ________________________________

YEAR: January _______ through December _________

This report covers the period from January through December. Please forward your completed report to the Department of Health Science by the deadline date determined by your department head (usually sometime in November). Be sure to include appropriate documentation as evidence of your accomplishments this year.

TEACHING ACTIVITIES

  1. Please list courses taught spring and fall with the number of students in each class, thesis students, graduate student committees, and reading courses.

    2. Semester

    Course Number

    Number of Students

    SCH

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    Graduate Student Committees served on (indicate name of each student, and whether your were a committee member or committee chair):

     

     

     

     

  2. Please describe the type, method of collection, and disposition of evidence regarding effectiveness of teaching. Please include all teaching evaluations for this period. Include a summary with each set of evaluations submitted. If you present college evaluations they must have been developed according to college of departmental policy. (The evaluation forms must be distributed and collected by a person other than the instructor, and given directly to the department head.)

    3.  

     

  3. Please summarize your student advising activities.

    4.  

     

  4. Describe any teaching improvement activities for the period.

 

 

RESEARCH AND CREATIVE ACTIVITIES

  1. List here only those items actually appearing in print, performed, or exhibited between January 1 and December 31 of the year being evaluated. Include articles, books, book reviews, editorial work, stories, poems, concerts, recitals, theatrical performance, exhibits, introductions, patents, technical reports, bulletins, etc. Specify title, name of publication, date, etc. Any publication or presentation omitted in lists previously submitted may be listed now in order that your record may be complete, or if you prefer you may send updated information to the Dean's Office as soon as your return to the campus in January.

    2.  

     

     

  2. List here works accepted for publication between January 1 and December 31 of the year being evaluated but not yet appearing in print.

    3.  

     

     

  3. List here research and creative activities in progress or in the planning stage, identifying sponsor of project if work is being underwritten by non-university funds. Include all research papers submitted for publication which are not listed above.

    4.  

     

     

  4. List here title of papers presented, the name of the conference or meeting, location and date.

    5.  

     

     

     

  5. Proposals for Grants and Contracts:

List Grants Funded, Date Funded & Duration, Title, Agency & Amount, NMSU Proposal #, and Investigators

 

 

 

 

PROFESSIONAL SERVICE

  1. List membership in all professional organizations (do not use initials). Include offices held and committee activities.

    2.  

     

     

     

     

  2. List referee, article and proposal review work and editorial work for professional publications.

    3.  

     

     

     

  3. Professional meetings attended. List the name of the organization, convention/conference/meeting, and the place and date. State the nature of your participation.

    4.  

     

     

     

  4. List membership in all university (including departmental) committees.

    5.  

     

     

     

  5. Associate and full professors: Please describe any other activities whereby you exerted leadership as a senior faculty member. (You may repeat activities described elsewhere.)

 

  

 

 

INTERNATIONAL ACTIVITIES

  1. Special courses:

    2.  

     

  2. Non-academic training:

    3.  

     

  3. Publications and reports (not included previously):

    4.  

     

  4. Proposal development:

    5.  

     

  5. Short-term assignments:

    6.  

     

  6. Other

 

 

 

 

OTHER

  1. Special programs, assignments, consulting activities, colloquia, formal seminars, and other academic contributions not covered by any other category.

    2.  

     

     

  2. List any degrees, awards, recognitions received during this period.

    3.  

     

     

  3. Administrative duties.

 

 

 

 

 

GENERAL COMMENTS

Optional. General comments about, or constructive suggestions in reference to the department, college and/or university. This section will not be filed with your Faculty Annual Performance Report. If you wish the statements made hereon to be held in confidence by the dean or administrative official whom you address, please write "confidential" on the top of this page and send it directly to the appropriate official under separate cover.

 

 

 UPDATED 08/11/2000