Instructor Annual Feedback Form

Instructor Annual Feedback Form

ADMINISTRATION OF JUSTICE/FIRE SCIENCE TECHNOLOGY

Please review the following questions and answer them as best you can. Submit this form to the Department Chair by the end of the Fall 2012 term of this year. The completion of this form is part of the departmental program review process. This form is reviewed by the department chair and then placed on file for future reference. The college has asked us to document our evaluation methods by class, course, program, and department. We will not pass your form onto any college officials without your permission. We will, however, review them for ideas to help complete the yearly department program review AND the biyearly evaluations that the institution requires of every instructor.

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INSTRUCTOR NAME SUBMISSION DATE

1. Courses taught
   Please indicate below the names and sections of classes you taught during Fall and Spring of this school year.

SUMMER / FALL / SPRING

1. Course Level Learning Objectives(Ex. – ADMJ 52 is a course. Each section is considered a class.)

1. StudentExperience

Please indicate below the methods that you have used in the past year to evaluate theexperience of the students in your classes

1. Student Learning Outcomes – Assessment Methods
   Please indicate below the methods that you have used in the past year to evaluate thelearningoutcomes achieved by your students in your classes

1. Student Learning Outcomes – Instructional Methodology
   Please indicate below the methods that you have used in the past year to help your students achieve the objectives you’ve set.

1. Student Learning Outcomes – Assessment Results
   Please summarize key results/data you’ve collected through the above-described assessment methods for this this year?

1. Student Learning Outcomes – Instructor Response
   Based on previous and currentassessment results, during this school year what changes have you made to your teaching, class structure, assignments, etc. to improve students learning?(Be sure to indicate which courses these changes are for.)

Changes made (and course name) / Effects you have noticed in the students as a result (supporting data)

1. Student Learning Outcomes – Future Plans
   Based on assessment results from this year and in the past, what future changes would you like to make to your teaching, class structure, assignments, etc. to improve students learning?(Be sure to indicate which courses these changes are for.)

Future changes / Effects you hope to see(and how you’ll know)

1. Program and Course Review – TextbookAffordability
   Do you know the price students are paying for the textbook you’re using? (Go to class schedule for your class, click on the BOOK link to see the price.)What efforts are you making to improve the affordability of textbooks for your students? (*Find strategies at this website and reference: http://www.ccsf.edu/Services/Textbook_Affordability_Task_Force/)

1. Departmental Review – Needed resources
   Are there any additional ways that the department or your fellow instructors could support your efforts? If so, please discuss below:(include here if you are in need or would simply like some additional equipment or materials or if there are issues with classrooms, labs, or offices)

Desired equipment or support / What for?

1. Departmental Review – Past and present contributions
   What contributions have you made to the department or college in the past year? If you have made none, you can leave this section blank. But if you have made some, please document them here.)

1. Departmental Evaluations – Future contributions
   In future years, what contributions would you like to make to the department or college? Include projects you would like to start and other ideas.

1. Any suggestions for the Department for the future?(website upgrades, new programs, curriculum, etc.)

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