Faculty Member Name Click here to enter text.	Job Title Click here to enter text.

Dept/Area Click here to enter text.	Supervisor Click here to enter text.

Performance Period Click here to enter text.

Performance Rating Scale Listed below are the_________general areas of classified faculty performance. For each area, describe the overall performance of the faculty member related to the__________________. Circle One Answer O=Outstanding-Performance consistently far exceeds job requirements. E=Exceeds Expectations-Performance consistently meets and frequently exceeds job requirements. S=Successful-Performance fully meets job requirements. NI=Needs Improvement-Performance meets some, but not all, job requirements. U=Unsatisfactory-Performance is below job requirements. NA=Not Applicable

Academic Advising	Choose an item.

Facilitating Registration	Choose an item.

Retention Activities	Choose an item.

Ability to work with colleagues	Choose an item.

College policies and procedures	Choose an item.

Consider adherence to approved policies and procedures, deadlines, office hours, and resolution of concerns through proper channels.

I recommend this employee be:

Approved for continuing contract status

Placed on probation for: Click here to enter text.

Not Retained for reason checked:

Job performance

Temporary or Position discontinued

Board Policy Violation

_________________________________________	_________________________________

Employee Signature	Date

_________________________________________	_________________________________

Supervisor Signature	Date

_________________________________________	_________________________________

Executive Officer (VP of area)	Date