Professional Staff Evaluation Form Page 4

Signature of Supervisor: _________________________________________________________________

Date: _______________________

12.

I have received these comments and ratings from my immediate supervisor. I understand that I

have the right to respond to these comments and ratings in writing or to call upon a peer group to

review the evaluation, provided that notice of such intent is given to the department head within

five (5) working days after receipt of this document.

Signature of Faculty Unit Member: ________________________________________________________

Date: _______________________

13.

I should like to add:

Signature of Faculty Unit Member: ________________________________________________________

Date: ________________________

14.

I have reviewed these comments and ratings. I should like to add:

Signature of Dean or Vice President for Academic Affairs ______________________________________

Date: ________________________

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Parent category: Business