Submitted by lpbradley on Tue, 11/16/2021 - 13:08 You must have JavaScript enabled to use this form. Current Start Preview Submission Complete Instructions for Option 2: For this option, the UA Vitae Support Team will set up an Activity Input form, a NON-Collaborative Peer Committee Evaluation, and Department Head Evaluation, to use during your department's annual review process. Complete all fields below, prior to submitting this request. Contact Details: Requester's Full Name: Email: NetID: Contact Phone: Department Name: Fill out your contact details below. Note that your Department or Division Head will be contacted for final authorization of evaluation forms. __________________________________________________________________________________________________________________ Faculty Activity Input Activity Input START & END Dates: Example dates are given. Be sure to enter the dates relevant to your annual review process. Names of faculty to be reviewed: Enter the first and last names and middle initial of faculty who will be reviewed. Separate the names with a semi-colon (;) How many years of faculty activities will be reviewed? Select:1 Year (2018)2 Years (2017-2018)3 Years (2016-2018)4 Years (2015-2018)5 Years (2014-2018) Peer Committee Evaluation: Non-Collaborative: Peer Review Committee START & END Dates: Example dates are given. Be sure to enter the dates relevant to your annual review process. Peer Review Committee Chair Name(s): Enter the name of the PRC Chair. In the case of a Co-Chair, please enter the full names separated by a semi-colon (;). Names of the Peer Review Committee Members: Enter the first and last names as well as the middle initial of the Peer Review Committee members. Separate the names with a semi-colon (;) Example: John P. Jones; Susan K. Matthews; Paul S. Sanders Do you want the results of the Peer Review Committee's evaluation to be released to the faculty member? Yes No PRC results release date: If the Peer Review Committee's ratings and comments will be released to the Faculty under review, enter a date for these to become available. Example date is given, however please enter a date that is valid for your review process. Department Head Evaluation: Department Head Review START & END Dates: Example dates are given. Be sure to enter the dates relevant to your annual review process. IMPORTANT: This review will begin AFTER the Peer Committee Evaluation completes. Department Head's First & Last Name: Enter the first & last name of the Head of the Department or Division. Department Head Review - Results release date: Faculty will see the results of the Department or Division Head's evaluation on the following date. Example date is given, please enter a date that is relevant to your review process. How many days after the results are released, will the Faculty have to respond? After the result of the Department Head's evaluation has been released, please tell us how many days the faculty have to respond. 5 days 10 days 15 days 30 days Preview Submission Leave this field blank