LastName, FirstName

Department

Arnold School of Public Health

Faculty Annual Review

NAME: ______

DEPARTMENT: ______

Current rank: ______

Date of first appointment at USC: ______

Date of present rank at USC: ______

Note: Tenure-track assistant professors must be reviewed with respect to the criteria for promotion to associate professor and tenure at that rank. Tenure-track associate professors are normally reviewed with respect to criteria of tenure at that rank. However, in some circumstances, they may want to apply for promotion to professor at the same time as tenure; if this is the goal, it would be helpful to have reviews in that context. Tenured associate professors must be reviewed with respect to the criteria for promotion to professor.

I request review with respect to the criteria for

Tenure ______Promotion ______

Date of submission: ______

LIST OF SUPPORTING MATERIAL SUBMITTED BY THE CANDIDATE

  1. Full CV
  2. Copy of most recent annual review letter
  3. Summaries of student course evaluations
  4. Peer review of classroom teaching

INSTRUCTIONS

Complete the annual review form for the immediate prior calendar year, not your cumulative time at USC. The only cumulative reporting is in the summary tables for teaching, research and service.

The personal statement is optional for the annual review.

Do not include copies of grants, manuscripts, or other supporting documentation unless specifically requested.VITA

Education History

Degree / Field / School / Year

Employment History

Year - Year / Position

Honors and Awards

Honor Name / Bestower / Year

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LastName, FirstName

Department

TEACHING

Summary of Courses Taught*

Enrollments by Term
Course Designator / Contact Hours** / Course Title / 2017 Fall / 2017 Summer / 2017 Spring / 2016 Fall / 2016 Summer / 2016 Spring / 2015 Fall / 2015 Summer / 2015 Spring

*Include courses for which you are instructor of record or explicitly identified as a co-instructor. Do not include guest lectures here.

**Report variable for independent studies, thesis/dissertation preparation, and similar courses as appropriate. Report credit hours for fixed credit courses.

Supervision of Student Research

Post-doctoral Students

Name / Year / Title or Topic

Doctoral Students (candidate chairs doctoral committee)

In Progress
Name / Year / Program / Title or Topic
Completed
Name / Year / Program / Title or Topic

Masters Students (candidate chairs thesis committee)

In Progress
Name / Year / Program / Title or Topic
Completed
Name / Year / Program / Title or Topic

Undergraduate Students

In Progress
Name / Year / Program / Title or Topic
Completed
Name / Year / Program / Title or Topic

Other Research Supervision

Doctoral Dissertation Committee Membership

Name / Year / Program / Title or Topic

Masters Thesis Committee Membership

Name / Year / Program / Title or Topic

Supervision of Masters Practicum/Residency/Internship

Name / Year / Program / Title or Topic

Other

Name / Year / Program / Title or Topic

Other teaching activity (e.g., guest lectures)

Other

Activity / Date / Title or Topic

SCHOLARSHIP AND RESEARCH

Statistical Summary of Scholarly Activities

Count by Year
Activity / 2017 / 2016 / 2015 / 2014 / 2013 / 2012 / 2011 / 2010 / 2009 / 2008 / 2007
Books
Book Chapters
Refereed Journal Articles
Unrefereed Journal Articles
Refereed Conference Articles
Unrefereed Conference Articles
Book Reviews
Invited Presentations
Contributed Presentations
Abstracts (not counted as presentations)
Seminars
Proposals (funded)
Proposals (pending)
Proposals (not funded)
Scholarly Exhibits

Publications

NOTES:

  • Designate candidate’s name and student authors’ name in different font to designate explicitly (e.g., bold and underline)
  • Indicate epub ahead of print publication or e-publication only as appropriate.
  • For presentations and abstracts, include meeting (e.g., American Public Health Association annual meeting) or context (e.g., invited lecture at XXX University).
  • Presentations should include those presentations made by the candidate. If the candidate is a co-author on a presentation made by another co-author, the presentation should be listed as an abstract or conference article as appropriate.

Books (designate role as book author or book editor)

In Print/In Press
Submitted

1.

Book Chapters

In Print/In Press
Submitted

Refereed Journal Articles

In Print/In Press
Submitted

1.

Refereed Conference Articles

In Print/In Press
Submitted

Unrefereed Conference Articles

In Print/In Press

Submitted

Book Reviews

Presentations (Candidate is presenter at meeting)

Invited Presentations at Professional Meetings

1.

Contributed Presentationsat Professional Meetings

Seminars

Abstracts (abstracts/presentations for which the candidate is not the presenter)

In Print/In Press

Submitted

Grants and Contracts

Grants and Contracts Received

Project Title (new submission, resubmission, competing renewal, noncompeting renewal / Role /
% effort / Sponsor / Share of Funding* / Start Year / End Year

*Indicate if listed share of funding is one-year or total costs and if total direct costs or total costs.

Grant/Contract Proposals Submitted (pending)

  1. Proposal 1
  2. Proposal 2
  3. Proposal 3

Grant/Contract Proposals Submitted (unfunded)

  1. Proposal 1
  1. Proposal 2
  2. Proposal 3

SERVICE

Statistical Summary of Service Activities

Activity Count by Year
Activity / 2017 / 2016 / 2015 / 2014 / 2013 / 2012 / 2011 / 2010 / 2009 / 2008 / 2007
Greater Community
Professional Community
University
College
Department

Greater Community

Dates / Duties / Recompense

Professional Community

Dates / Duties / Recompense

University

Dates / Duties / Recompense

College

Dates / Duties / Recompense

Department

Dates / Duties / Recompense

Other Activities

Mentor to other faculty

Dates / Role/Scope / Mentee

Mentee

Dates / Role/Scope / Mentor

Professional Development

Dates / Activity / Location

PERSONAL STATEMENT (optional)

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