Supervisor'S Performance Review Handbook Page 58

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LAKE‐SUMTER STATE COLLEGE 
FACULTY EVALUATION – SERVICE TO THE COLLEGE 
AND THE COMMUNITY 
 
Name: ________________________________________________ Date: __________________ 
 
1. List college committees on which you have served; note chair responsibilities 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
 
2. List contributions to curriculum development and explain your role 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
 
3. List college functions you have helped plan or implement and explain your role 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
 
4. List clubs or activities you have advised or sponsored and explain your role 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
 
5. List grants you have pursued and explain their benefit to the college or to your professional 
    growth 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
 
6. List other college activities in which you have participated and explain your role 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
______________________________________________________________________________ 
 
 
 
SPR Handbook: Appendices
rev 7/5/12
58

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