Page 8 Faculty Activity Report

Monthly or Quarterly Faculty Activity Report

for Time Period:

1.  Personal Information

Name:
Academic Title:
District:

2.  Workload Summary

Year / Teaching / Research / Service
Percent: / Percent: / Percent:
Units: / Units: / Units

*Include management under service.

(To add more rows, put cursor in last cell and hit tab key.)

3.  Teaching and Other Instructional Activities

Table 3.1 Instructional Activities

3.1(A) Course Sections Taught (note those team taught)

Campus/
Semester / Course Name, Number, Title / Credit
Hours / Contact
Hours / Shared / # Students Enrolled / BL / AN / HI / AS / No. of
Female

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3.1(B) Evaluation of Effectiveness (evidence should include systematic student ratings and at least two of the following): REFER TO SECTION 8.

i.  Self evaluation

ii.  Peer/head classroom observations

iii.  Peer/head evaluation of course materials

3.1(C1) Non-credit Teaching (classes, workshops, audio-conferences -- taught)

IMPACTS: If you can document impacts (for ex., post-then-pre testing results), either add narrative below the table, or in Section 8 – Part G.

Title / Location / Date / No. / Audience / Time
(Hours) / POW/Proj Info / BL / AN / HI / AS / No. of
Youth / No. of
Female

3.1(C2) Non-credit teaching (classes, workshops, audio-conferences -- leadership in arranging) Provide additional info if known.

Title / Location / Date / No. / Audience / Time
(Hours) / POW/Proj Info / BL / AN / HI / AS / No. of
Youth / No. of
Female

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3.1(D) Curriculum Development and Improvement

Curriculum Title / Date / Author(s)
Collaborator(s) / Audience / POW/Proj Info

(Optional) Purpose: Narrative explanation of the purpose of this activity (was this a new or a revised curriculum; is the activity in progress or completed)

3.2  Graduate Committee Chair

[3.3 None]

3.4 Student Advising or Supervision (Graduate or Undergraduate, Independent study, correspondence study, research courses, thesis supervision)

4.  Research, Creative and Other Scholarly Activity

Table 4.1 Publications In Print

4.1(A1) Journal Publications (from original research)

Title / Author(s) / Journal
(Full Citation) / Level of Review / Level of Outreach / Date

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4.1(A2) Non-Journal Publications (from original research)

Title / Author(s) / Publisher
(Full Citation) / Level of Review / Level of Outreach / Date

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[4.2 None]

4.3  Professional Creative Activities (Research Grants, Proposal Writing, or Scholarly Work in Progress)

Project Title / Principle Investigator/Collaborators / Source and Amount of Grants / Date Rec'd and Duration / Program
Area / POW/Project Information

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5.  Public Service and University Service in a Professional Capacity

5.1 Public Service

5.1(A1) Presentations to Community Groups / Agencies (developed and presented)

Title / Location / Date / Audience / No. of
Clients / Hours / POW/Proj. Info / BL / AN / HI / AS / No. of
Youth / No. of
Female

5.1(A2) Presentations to Community Groups/Agencies (leadership in arranging)

Title / Location / Date / Audience / No. of
Clients / Hours / POW/Proj. Info

5.1(A3) Consultations with Individuals (office, site, or phone contacts)

Subject / Type of
Consultation / Audience / No. of
Clients / Hours / Date / POW/Proj. Info / BL / AN / HI / AS / No. of
Youth / No. of
Female

5.1(A4) Consultations with Public Agencies and Groups

Subject / Type of
Consultation / Audience / No. of
Clients / Hours / Date / POW/Proj Info / BL / AN / HI / AS / No. of
Youth / No. of
Female

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5.1(A5) Popular Media

1.  Newspaper articles (written by you or information supplied to reporter by you)

Title / Author or Resource / Name of Newspaper / Date Published / POW/Proj Info

2.  Radio

Title/Topic / Station/
Location / Date / Time
(Minutes) / POW/Proj Info

3.  Television

Title/Topic / Station/Location / Date / Time
(Minutes) / POW/Proj Info

4.  Magazine articles (written by you or information supplied to reporter by you)

Title / Author or Resource / Date / Publication / POW/Proj Info

To add more rows to table, put cursor in very last cell and then tab.

5.1(A6) Publications

1. Journal articles (not included in Section 4))

Title / Author(s) / Journal
(Full Citation) / Level of Review / Level of Outreach / Date / POW/Proj. Info

To add more rows to table, put cursor in very last cell and then tab.

2.  Fact Sheets, Bulletins, Circulars

Title / Author(s) / Publisher
No. of Pages / Level of Review / Level of Outreach / Date / POW/Proj Info

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3.  Newsletters

Title / Author or
Editor / Newsletter/
Publication frequency / Audience / Level of Outreach / Date / POW/Proj Info

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4.  Other

Title / Author or
Editor / Newsletter/
Publication frequency / Audience / Level of Outreach / Date / POW/Proj Info

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5.1(A7) Volunteer and Paraprofessional Programs (administration, supervision, contacts, results)

"Volunteer/Paraprof Hours" X "Number of Audience" = "Volunteer contact hours" (spreadsheet will calculate) (Enter known information.)

Program Title / Agent Time
(Hours) / Volunteer/Paraprofessional
Hours / No. of
Volunteers/
Paraprofs / No.
of Audience / Date
(Month and Year) / Audience / POW/Proj Info / BL / AN / HI / AS / No. of
Youth / No. of
Female

5.1(A8) Other (for ex., photographs published, slide sets, videos, fertilizer recommendations)

Program Title or
Product Type / Time
(Hours) / Date / Audience / Author/
Other / POW/Proj Info

5.2 University Service (administrative functions, committee assignments, faculty governance and guest lectures)

5.2(A1) Departmental - District Office

Activity / Role / Time
(Hours) /

Date

/ Program
Area

5.2(A2) School/College - Cooperative Extension Service and/or College of Rural Alaska (statewide)

Activity / Role / Time
(Hours) /

Date

/ Program
Area

5.2(A3) School/College - University of Alaska Fairbanks

Activity / Role / Time
(Hours) /

Date

/ Program
Area

6.  Professional Development

6.1 Participation in professional meetings and conferences

Conference Title / Location / Time
(Hours) / Date(s) / Level of
Participation

To add more rows to table, put cursor in very last cell and then tab.

6.2 Membership and participation in professional organizations

Organization / Level of
Participation / Date(s)

6.3 Sabbatical leave, special, professional travel (narrative)

6.4 Education

Course Title/Activity / Institution / Date(s) / Credit
Hours

7.  Honors, Awards, and Recognition

Award, Honor, Recognition / Presented by / Date / Reason for Award

Narrative Accomplishment Report

8.  Narrative Self-Evaluation

A.  Instruction

B.  Research

C.  Management (e.g. department head, coordinator)

D.  University Service

E.  Public Service

F.  Other Comments

G.  Success Stories / Impacts

9. Curriculum Vitae. Please attach a current copy of your curriculum vitae. [FOR ANNUAL REPORTS ONLY]

8/14/2000 Updated Form