"Self Appraisal Form"

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SELF APPRAISAL FORM
Name__________________________________
College____________________________
Department/Division_______________________
Date Submitted_____________________
Please respond briefly with specific examples to the following statements and
questions. Responses should be typed and the document should be no more than two
pages.
1. List your professional goals for teaching and learning, and how have you achieved
them in the past three years.
2. List the professional, community, and college activities (consistent with the mission
of the college) that you have been involved in during the past three years.
3. List your professional goals (institutional, community, and instructional) for the next
three years and state how you plan to achieve them.
4. What have you done to create a challenging and stimulating teaching/learning
environment for your students?
Have you introduced new instructional approaches?
Have you individualized instructional techniques and approaches to meet
the diverse needs and abilities of my students?
Have you developed and/or revised course materials?
SELF APPRAISAL FORM
Name__________________________________
College____________________________
Department/Division_______________________
Date Submitted_____________________
Please respond briefly with specific examples to the following statements and
questions. Responses should be typed and the document should be no more than two
pages.
1. List your professional goals for teaching and learning, and how have you achieved
them in the past three years.
2. List the professional, community, and college activities (consistent with the mission
of the college) that you have been involved in during the past three years.
3. List your professional goals (institutional, community, and instructional) for the next
three years and state how you plan to achieve them.
4. What have you done to create a challenging and stimulating teaching/learning
environment for your students?
Have you introduced new instructional approaches?
Have you individualized instructional techniques and approaches to meet
the diverse needs and abilities of my students?
Have you developed and/or revised course materials?