Total Records: ________

FACULTY EVALUATIONS

Department: _____________________ Phone: _____________

Contact person:________________________________________

Number of Questions: ____________ Semester / Year:_______

• The FIRST scantron of each group must have the Instructor, Course, and Section coded in the Identification Number field. Generally allowed are 2 digits for the Instructor, followed by 4 digits for the Course, followed by 3 digits for the Section.

INSTRUCTOR CODE _______

COURSE NUMBER _______

SECTION NUMBER _______

PROVIDE REPORT:

_______ Identified by Code Only.

_______ Identified by Instructor Name.

* Provide a list of Instructor names and codes assigned.

CHECK DESIRED REPORTS:

____ 0. COMBINED REPORT FOR ALL DATA, NO BREAKDOWN.

____1. REPORT GENERATED BY INST. COURSE & SECTION.

____2. REPORT GENERATED BY INSTRUCTOR.

____3. REPORT GENERATED BY COURSE.

____4. REPORT GENERATED BY COURSE LEVEL

____5. REPORT GENERATED BY COURSE W/I INSTRUCTOR.

____6 REPORT GENERATED BY INSTRUCTOR W/I COURSE.

NUMBER OF EVALUATION REPORT COPIES DESIRED:______

SPECIAL INSTRUCTIONS: (Data to disk, part breakdown, special headings,etc.)______________________________________________

Picked up by: _______________________ Date:__________________