INSTRUCTOR EVALUATION FORM
INSTRUCTOR EVALUATION FORM
PART C – SELF-EVALUATION
Name: Date:
I. Improvement of Instruction
A. Course Revisions
1. Accomplishments during review period
2. Objectives for next review period
B. Improvement in Teaching Technique and Procedure
1. Accomplishments during review period
2. Objectives for next review period
C. Contributions to Department and Program Development
1. Accomplishments during review period
2. Objectives for next review period
II. Professional Service and Development
A. Membership and Service to Professional Organizations
1. Accomplishments during review period
2. Objectives for next review period
B. Participation in Workshops and Conferences, Professional Presentations, and Publications
1. Accomplishments during review period
2. Objectives for next review period
III. Service
A. College Committees and Service
1. Accomplishments during review period
2. Objectives for next review period
B. Community Service Relying on Professional Competence
1. Accomplishments during review period
2. Objectives for next review period
IV. Goals and Plans for the Future
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