Peer Evaluation Form For Mid-Cycle Review printable pdf download

Peer Evaluation Form For Mid-Cycle Review

Peer Evaluation Form for Mid-Cycle Review

Name:

Date:

Mid-Cycle Review for:

Assistant Professor

Associate Professor

Professor

Rank:

Yes

Tenure:

Area of Excellence

(Area to be determined with department chair and substantiated in this CV)

Teaching

Scholarship

Clinical Service

Area(s) of Meaningful Participation

(Areas to be determined with their Chair)

Teaching

Scholarship

Clinical Service

Academically-Related Public Service

Overall Evaluation:

The candidate is “on track” for tenure/promotion

The candidate is “off track” but lacking in only one or two areas

The candidate is “off track” and lacking in several areas

All candidates for mid-cycle review are evaluated in the following areas: teaching, scholarship; clinical service;

and academically-related public service to the institution and community. After carefully reviewing the

candidate’s Curriculum Vitae, please complete the following questionnaire. Summarize your evaluation of the

candidate by circling or highlighting the appropriate word(s) under the headings below.

SOM OP 20.22.C

Revised February 5, 2015

Page 1 of 4

Peer Evaluation Form For Mid-Cycle Review