To be completed by TFM

Evaluation: 6Year
Evaluation Schedule Report: TenuredNon-Classroom Faculty

Tenured Faculty Member:Date:

Non-classroom faculty should seek 40 responses from the most appropriate among these surveys:

  • Faculty/Staff Survey of Non-Classroom Faculty
  • Student Survey of Non-Classroom Faculty
  • Student Survey of Instruction
  • Individually Tailored Constituent Survey

If you have chosen additional surveys as an evaluation option, you should seek an additional 20survey responses. Please indicate below the survey option(s) you have selected and, if appropriate, the distribution method(s). Surveys should be completed by the end of Week 9.

Please indicate below the survey option you have selected and, if appropriate, the distribution method.

1. ☐ Faculty/Staff Survey of Non-Classroom Faculty

2. ☐ Student Survey of Non-Classroom Faculty

a.☐Point-of-Service Method

i.☐Student Survey of Individual Contacts

All substantive student contacts during the time period agreed upon by the TFM and his/her Dean are surveyed. Indicate the period of time during which student surveys of individual contacts will be administered.

Begin date: End date:

Indicate the individual(s) who will serve as distributor(s):


ii.☐Student Survey of Group Contacts (e.g., workshops, orientations, presentations)

Contact type, date, time, location, number of survey forms needed, and distributor:

b. ☐U. S. Mail Method

c. ☐Electronic Method

3. ☐ Student Survey of Instruction

  1. ☐ Student Surveys

Course / Section
Number / Course Title / Week of Survey Deployment / Class
Location
e.g., ENGL 100 / 1111 / Composition and Reading / 10/9/15 / OC 3511

4. ☐ Individually Tailored Constituent Survey(s)

A customized survey may be designed and deployed for non-MiraCosta constituents (e.g., colleges, governmental agencies, professional organizations). The faculty member’s Dean and Department Chair must approve the survey.

Description, Population, Method, Timeline:

  1. Survey of Participation in Professional Activities(to assess participation on Senate or district committees and/or in the department/program.)
  2. Additional Evaluation Option

Please indicate below the additional evaluation option.

  1. ☐ Observation and Discussion
  2. ☐ SGID (Indicate the names of the trained facilitator and recorder who have agreed to serve as

your SGID team:______)

  1. ☐ Additional student and/or faculty/staff surveys. Indicate in Section A above the survey

option(s) you have selected and, if appropriate, the distribution method(s) for these additional

20 surveys.

  1. ☐ Video Presentation
  1. PRC Composition

Dean:

Department Chair:

Tenured Peer:

Tenured Peer:

The Department Chair organizes and carries out the election of the PRC Chair.

PRC Chair:______
Notes

1)TFM includes this form and the Survey Constituent Lists in the evaluation packet.

2)One weekprior to the distribution of the first survey requested, but no later than the end of Week 3 of the spring semester, TFM emails a copy of this form and constituent list to his/her dean’s office and to PG&E Support.

updated 7/2016