CALIFORNIA STATE UNIVERSITY ANNUAL ACTIVITY REPORT
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For the period of:
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___ ________________ through June 30, 1998
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___ July 1, 1998 through June 30, 1999
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___ July 1, 1999 through June 30, 2000
Name: ______________________________________ Date: _________________
Department: ________________________________
Highest Degree and Date: _______________________________________________
___ Tenured ___ Probationary ___ Temporary
Years in present rank/classification: ____
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If tenured or probationary: Date of initial tenure-track appointment: ___________
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Rank: ___ Assistant Professor ___ Associate Professor
___ Professor ___ Other: __
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If temporary: Date of first appointment: ________________________
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Rank: ___ Lecturer ___ Coach
___ Other: _________________
Current Time Base: ___________ Current Annual Salary: __________ Eligible
for SSI? _______
In no more than four (4) typewritten pages using 12-point type and
one-inch margins, provide information on your activities, contributions,
and accomplishment on the following areas, for the period covered by this
report.
I. Teaching and Contributions to Student
Development/Other Primary
Work Assignment.
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A. List courses taught and enrollments by term.
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B. Summarize your student evaluations of teaching.
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C. Describe any changes in teaching approach or in responsibilities.
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D. Describe your responsibilities in advising, supervision, or similar
activities.
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E. Other
II. Scholarly/Creative Activities and Professional
Development/Practice
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A. List/describe work completed (books, journal articles, performances,
editing,
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presentation, grant proposals, etc.).
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B. Work in Progress Describe work accomplished.
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C. Other.
III. University and Community Service
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A. Department Committees/Service
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B. College, University, Systemwide Committees/Service
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C. Professional Service Activities
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D. Community Service Activities
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E. Other
IV. Special Accomplishments and Other Activities
Not Included Above.
I do/do not wish to be considered for a Faculty Merit Increase (FMI). (Circle
one)
I attest that the information provided in this report is accurate and true
to the best of my knowledge.
_______________________________________ _____________________
Faculty Members Signature
Date
