Performance Improvement Plan Form

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PERFORMANCE IMPROVEMENT PLAN (PIP) FORM
FOR FACULTY EVALUATION
(Adjunct, Classroom, Coordinating, Counseling, Library, Nursing, and Online)
Name of Evaluee: _____________________________ Name of Evaluator: _______________________
Date: ________
(Attach separate pages for each numbered item if necessary)
1. Evaluator’s identification of the area(s) needing improvement:
___
Classroom observation
___
Student questionnaires
___
Self-assessment
___
Division Dean/Responsible Administrator’s observation
___
Portfolio
___
Division Dean/Responsible Administrator’s assessment of non-teaching responsibilities
Please describe in detail the area(s) needing improvement and how they should be addressed:
2. Timeline for addressing area(s) needing improvement:
___
One semester (for adjunct faculty)
___
Two semesters (for tenure-track faculty)
___
Three semesters (for tenured faculty)
3. Evaluee’s plan for addressing the area(s) needing improvement:
4. Evaluator’s assessment of the completion of the performance improvement plan at the end of the
timeline:
EVALUATOR COMMENTS:

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