Request for FAC/Administrative Evaluation Faculty Research Support and Service Activities | Kent State University

Request for FAC/Administrative Evaluation Faculty Research Support and Service Activities

Evaluation Year _____

 

 

Faculty Member Name ______________________________

 

Use this form to list and describe your Service Activities:

 

1.  Activity Description

 

 

 

 

 

 

 

 

 

 

 

 

2.  Activity Level _______ (Total Number of Hours Involved with this Activity)

 

 

3.  Other Information:

 

 

 

 

 

 

4.  Please attach any supporting documentation.

 

 

5.  Activity Evaluation

 

            _____ By Faculty Member _____By Chairperson    _____ By Committee (if needed)