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ANNUAL DEAN AND SUPERVISOR REPORT OF
PROFESSIONAL ACHIEVEMENTS AND GOALS
EAST TEXAS BAPTIST UNIVERSITY
Name _______________________________Academic Year: June 1 to May 31____________
(insert academic year)

INSTRUCTIONS:
1. This is an electronic form. It will expand as needed.
2. If you have nothing to report – enter “NONE”
3. All information must be based on the academic year noted above.
4. Enter information documenting your activities for each area. Please distinguish on each between professional
goals/activates in your discipline and goals/activities for your school.
5. The activities in parentheses are suggestive, not comprehensive or necessarily required
6. Avoid use of a single activity in multiple categories (i.e., more than 2)
7. Print or email the completed form to the Vice President for Academic Affairs

PROFESSIONAL ACTIVITIES:
Teaching/student learning (effective teaching, curriculum development, instructional
Innovations, accessibility to students for instructional assistance, student learning)
Advising (accessibility to advisees, accuracy of advising work, student mentoring, career
guidance)
Professional Development – (in your professional field - attendance at professional meetings,
workshops, self study in the field, development of new competencies, offices and/or
memberships in professional organizations).
Christian Services/Activities (membership and active participation in a local church,
participation in denominational activities, service to other churches)
Community Service (membership in community organizations, participation in community
activities, participation in service organizations/clubs, presentations or service to civic or
community organizations)
Participation in the Life of the University (attendance at university events, sponsor of student
organization, participation in other university organizations/events)


University Service (committee service, faculty meeting attendance, participation in recruiting
activities, departmental assignments, new initiatives for the university not specific to your
department)
Intellectual and Artistic Contributions (publication of book or journal article (print or on line),
academic presentation, public speaking or performance for professional audiences, artistic or
creative work in field of responsibility)


Your professional goals for the past (just
completed) academic year:
1.

How did you meet or attempt to meet each
of those goals?
1.

2.

2.

3.

3.

Your candid summation or appraisal of the academic year just completed, from both a
professional and personal standpoint:
Your professional goals for next academic year:
1.
2.
3.

Your goals for your school or the academic
area of supervision past (just completed)
academic year:
1.

How did you meet or attempt to meet each
of those goals?
1.
2.

2.
3.
3.
Your goals for your school or the academic area you supervise next academic year:
1.
2.
3.
(Please use attachments, if necessary)

Signed:__________________________________

Date__________________________

Discussed with Dean on: Date ___________________ signature
_________________________
Revised 4-04




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