SHRP PROGRAM DIRECTOR PERFORMANCE EVALUATION FORM
NAME:
TITLE:
DEPARTMENT:
EVALUATOR:
EVALUATION PERIOD:
The weight for the various areas should add up to 100%. Attach previous year goals.
A. Managing Programs and Resources
1.
2.
3.
4.
Weight = _______
Maintaining and improving existing programs
Developing new programs
Managing resources
Advocacy of departmental programs
Comments: (Refer to previous year goals as applicable)
B. Managing People
1.
2.
3.
4.
5.
Weight = ________
Leadership effectiveness
Faculty and staff development, including mentoring
Recruiting effectiveness, including affirmative action
Effectiveness of faculty and staff evaluations
Effectiveness in delegating responsibilities
Comments: (Refer to previous year goals as applicable)
Revised: July 2013
1
C. Performance of Faculty Responsibilities
1.
2.
3.
4.
Weight = _______
Teaching
Research and Scholarship
Service
Patient Care
Comments: (Refer to previous year goals as applicable)
D. Administrative Functions
Weight = ______
1. Effectiveness of contributions to the resolution of institutional issues
2. Timeliness of responses, reports, etc.
3. Contribution to organizational improvements
Comments: (Refer to previous year goals as applicable)
OVERALL EVALUATION INCLUDING GOAL ACHIEVEMENTS:
RATING: _______________
GOALS AND OBJECTIVES FOR NEXT YEAR:
(Goals and objectives should be established for each area of significant responsibility.)
Revised: July 2013
2
PROJECTED WEIGHTS FOR NEXT YEAR’S EVALUATION:
Service Weight:
Teaching Weight:
Research and Scholarship Weight:
Patient Care Weight:
Signature of Evaluator
Date
Evaluatee’s response to the Evaluation/and Goals and Objectives (optional)
Signature (required)
Salary Increase:
Signature of the Dean
Revised: July 2013
Date
Date
3