Administrative & Professional Faculty Self-Assessment

Evaluation plans must require that evaluative input be provided by the faculty member in the form of a self-assessment. The self-assessment must include analysis of activities within each performance domain as well as progress toward achievement of annual objectives. (VCCS Policy: 3.6.1.4.a.vi.)

* Indicates a required field.

Faculty Information

Name of Faculty Member

Position #

Date

Title

Faculty Rank

Faculty Designation (select all that apply)

First Year Administrative Professional

Status

One-year appointment Multi-year appointment

Evaluation Period

From: date of last evaluation | To: date of this evaluation

Name of Faculty Member's Supervisor

Supervisor's Title

Performance Domains

Please provide a self-assessment of your work/job related activities within each performance domain and annual objectives. Include supporting information in the narrative sections or attach the agreed upon documentation.

I. Core Responsibilities

(VCCS Policy: 3.6.1.4.a.ii)

Narrative — include areas of success, opportunities for improvement/learning and areas of concern, where applicable

II. Non-Routine & Strategic Responsibilities

(VCCS Policy: 3.6.1.4.a.ii)

Narrative — include areas of success, opportunities for improvement/learning and areas of concern, where applicable

III. College and Community Service

(VCCS Policy: 3.6.1.4.a.ii)

Narrative — include areas of success, opportunities for improvement/learning and areas of concern, where applicable

IV. Professional Development & Growth

(VCCS Policy: 3.6.1.4.a.ii)

Narrative — include areas of success, opportunities for improvement/learning and areas of concern, where applicable

V. Management Effectiveness (if required)

(VCCS Policy: 3.6.1.4.a.iii)

Narrative — include areas of success, opportunities for improvement/learning and areas of concern, where applicable

VI. Additional Performance Domains (as approved by Supervisor)

(VCCS Policy: 3.6.1.4.a.ii)

Narrative — include areas of success, opportunities for improvement/learning and areas of concern, where applicable

Annual Objectives

(VCCS Policy: 3.6.1.4.b)

I. Objective #1

(VCCS Policy: 3.6.1.4.b)

Narrative — include your assessment of progress towards completion

II. Objective #2

(VCCS Policy: 3.6.1.4.b)

Narrative — include your assessment of progress towards completion

III. Objective #3

(VCCS Policy: 3.6.1.4.b)

Narrative — include your assessment of progress towards completion

IV. Objective #4

(VCCS Policy: 3.6.1.4.b)

Narrative — include your assessment of progress towards completion

V. Objective #5

(VCCS Policy: 3.6.1.4.b)

Narrative — include your assessment of progress towards completion

Other Comments or Notes

General efforts, outcomes, and professional behaviors, etc.

Comments

Supporting documentation attached

Signatures

Signature indicates all parties have discussed this Self-Assessment.

Employee Signature

Date

Supervisor Signature

Date

Revised 11/9/16

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