You are on page 1of 16

KCG COLLEGE OF TECHNOLOGY

FACULTY PERFORMANCE APPRAISAL FORM


(FOR ASSISTANT / ASSOCIATE PROFESSOR)
FOR THE ACADEMIC YEAR – 2016-17
“Form A”
SELF – APPRAISAL FORM

Note: All the information furnished in the self-appraisal should contain the information / achievements /
contribution made by the faculty member during the performance assessment period – Academic Year 2016-17
(except the question of publication in refereed journals / wherever required). Previous year information will not
be entertained.
Pls fill in the form electronically and submit the hard copy to the HR Department (use both sides of the paper)

Name : Emp. Code:

Date of Joining : Email id:


Paste
your
Present Designation and from which date: Dept:
Color
Photo
Address and Phone No: Date of Birth:

A. Qualification:
Class / Year of Field of
Degree % of Marks University
Grade completion Specialization

Form: Performance Appraisal – Asst / Asso Prof – 2016-17 - Form ‘A’ 1


B. Employment Record (in reverse order starting from present position):

Service Period Service period


Institution / Salary
Designation in Yrs &
Organization From To Drawn
Months

Form: Performance Appraisal – Asst / Asso Prof – 2016-17 - Form ‘A’ 2


PLEASE FILL UP THE EXCEL SHEET – RESULTS,
STUDENTS ATTENDANCE, STUDENTS EVALUATION
DETAILS

Form: Performance Appraisal – Asst / Asso Prof – 2016-17 - Form ‘A’ 3


H. Syllabus Coverage and Workload:

Workload Workload
hours hours
assigned in handled in Balance
No. of
the the hours not
Name of units No. of
Semester Semester handled
Semester the subject allotted, as units
(Please
handled per lesson handled
specify the
plan
L T P L T P reason)

Even
Semester
(2015–
2016)

Odd
Semester
(2016 –
2017)

I. Self Development during Academic Year:

(1) Additional Qualifications acquired, if any. Pls provide details and proof.

Form: Performance Appraisal – Asst / Asso Prof – 2016-17 - Form ‘A’ 4


(2) Details of In-house Training Program attended. Also pls indicate your evaluation scores
given by the trainer with details

Your
Date / Name of evaluation
Name of the
Duration of Training the score given Remarks,
Training
the Training Topics Resource by the if any
Program
Program Person Resource
Person

(3) Details of External Training Program attended (inclusive of Continuing Education


Program)

Nature of the Whether the Amount Spent


Resource Person
Training Program

Training Topics

training topics

Registration fees

Other expenses
Training
Name of the

Name of the

Date / discussed among


Program

Venue
Duration of the other staff & if
(Seminar,
the Training so, pl give their
Continuing
Program names
education prog.,
etc.,)

(4) Participation in National / International Conferences in India and abroad:

Internal External
Name of
Sl. National / Date / Funded, pl Funded, pl
the Venue Remarks
No International Duration specify specify amount
Conference
amount & Agency
1

Form: Performance Appraisal – Asst / Asso Prof – 2016-17 - Form ‘A’ 5


(5) Paper Presentation in National / International Conferences in India and abroad / Poster
Presentation:
Name of the Conference & its

External
Funded,
Particulars

Title of the Internal


pl
Sl National / paper Date / Funded,
Venue specify Remarks
No International (contributed Duration pl specify
amount
/ invited) amount
&
Agency

(6) Utilization of Library:

(a) Please specify the names of Journals referred by you (most referred journals):

(b) Please specify the names of Magazines referred by you (minimum 5 magazines):

(c) Do you subscribe personally to any Journal / Magazine (Technical / General):

(d) Do you have online reference of subjects and if so, pl give details:

Name of the subjects, as


Name of the Site Topics Any other areas
per the syllabus

(e) Do you use the e-journal facilities?

Yes No
Form: Performance Appraisal – Asst / Asso Prof – 2016-17 - Form ‘A’ 6
If yes, pl specify:

Name of e-journals (Syllabus oriented)

Name of e-journals (Others)

J. Development Program:

(1) As a Resource Person have you conducted any Continuing Education Program / Training
Program, if so, pl provide details:

Total Course Sponsored by


Name of the Course / Duration / No. of Participants fees ISTE, UGC,
Title Date received, if Institution MHRD or any
Staff Students chargeable other agencies

(2) Conduct of Conference (National / International Conference) in the Campus and specify your
contribution:

(3) Funded Research Activities:

(a) External Funded: (Approved Projects / Equipment Funded Project)


Present Status of the
organizationFunding

Amount received till


Sanctioned Amount

Development Work

Name of
Research /

the
Duration

Name of the
Development Funding
date

Research Remarks
Projects Scheme
Project
(MODROS,
FDP, etc.,)

Form: Performance Appraisal – Asst / Asso Prof – 2016-17 - Form ‘A’ 7


(b) Internal Funded: (Approved Projects)

Development
Status of the
Research /
Present
Name of the Amount
Development Sanctioned

work
Research Duration received Remarks
Projects amount
Project till date

(c) Any other Projects:

(4) Details of consultancy activities:

Area of Amount Amount


Project Title Organization Duration
Consultancy Receivable Received

(5) Innovations / Contributions in Teaching / other related works:

(a) Design of Curriculum:

(b) Teaching Methods:

(c) Laboratory Experiments:

Form: Performance Appraisal – Asst / Asso Prof – 2016-17 - Form ‘A’ 8


(d) University examination duties:

 Question Paper Setting:

 Evaluation of answer scripts:

 Evaluation duties for internal / continuous assessment work:

 Additional examination work such as Coordination, invigilation, flying squad duties, etc:

(e) Preparation of resource material including books, reading materials, laboratory manuals, etc:

(6) Patents obtained (Product / Process / Technology Transfer):

(7) Efforts to bring Professors, Industry Experts from reputed organizations for teaching
assignments, if any, please give details:

(8) Developing Relationship with Industry Partners:

Name of the contact Remarks


Sl Details of
Industry person & the
No Relationship
particulars Active Not Active
1

K. Publications (for the last three Academic Years)

(1) Articles in Journals (National / International), pls give full details:

(a)

(b)

(c)
Form: Performance Appraisal – Asst / Asso Prof – 2016-17 - Form ‘A’ 9
(2) Books – pls give full details:

(a)

(b)

(c)

(3) Articles in Newspapers / Magazines / Association Newsletters, etc., which has contributed
awareness about the Institution / content to the public:

(4) Scopus Citation and Web of Science:

L. Students Development:

(1) Extent of participation in establishing product development labs and exposing the students
to additional to the syllabus areas. Please mention the class code, date and the no. of
students attended.

In Theory:

In Practicals:

In General topics / Current Affairs:

(2) Counseling and guidance services:

No. of students counseled:

Average no. of time each student is counseled (semester wise):

How much time do you spend for counseling per week:

Nature of problems: _______________________________________________

_______________________________________________________________

(3) Industrial Visits / Educational Tours arranged, industry-in-plant training, placement activities:

Form: Performance Appraisal – Asst / Asso Prof – 2016-17 - Form ‘A’ 10


(4) Your contribution to promote the students to attend seminars and prepare students to present
papers in conferences. Please give details such as Name of the Student, Class Code,
Conference held at, Title of the Paper Presented, amount spent, (year wise) etc., for the last three
years:

(5) Have you given Training Program on soft skills like Personality Development, Program on
Leadership, Stress Management, Entrepreneurship, Physical Education, Library, etc., Please
give details – Date, Name of the Topic, No. of students participated, class details, etc.

(6) Remedial measures to improve the results of failed students, extra classes for difficult
subjects, etc. Please specify no. of hours spent on extra coaching classes per semester and
details of students who have cleared their arrears after taking remedial measures.

(7) Extension of Work / Community Work, Social Orientation and other student mentoring
activities through NSS / NCC / NSO / other governmental and non-governmental channels.

M. Professional Standing:

1. Individual details of membership of Professional Bodies, Technical Committees including


board of studies – University Syllabus Committee, Societies and member since? (Specify
year)

(a) Are you a member of professional body? Yes No

 If yes, what is your contribution?

(b) Is there a Students’ Chapter? Yes No

 If yes, what is your contribution?

 If yes, date of inception:

 Is the association active / passive?

 How many number of students involved? (last three years details or as applicable)

Form: Performance Appraisal – Asst / Asso Prof – 2016-17 - Form ‘A’ 11


2. Any program conducted by the professional body in our Campus

Yes No

 If yes, please give details about your contribution in conducting this Program.

N. Participation in Corporate Life:

1. Institution Level:

(a) Details of Administrative workload handled by you at the Institution level (Eg: Hostel Warden,
Placement Coordinator, Alumni In-charge, ISO In-charge, Accreditation Coordinator, etc.

(b) Your Administrative Achievements in the Institution Level:

2. Department Level:

(a) Details of Administrative workload handled by you at the Department level (Eg: Class Teacher,
Time Table In-charge, Lab In-charge, Placement Coordinator, Alumni, etc)

(b) Your Administrative Achievements in the Department Level (For eg: Facilitating the students to
perform research and development activities in the lab, etc.,)

3. Co-Curricular activities:

4. Enrichment of Campus Life (Hostels, Sports, Games, Cultural Activities):

5. Students Welfare and Discipline:

6. Contribution related to ISO activities, Anna University, AICTE, NBA, etc.

Form: Performance Appraisal – Asst / Asso Prof – 2016-17 - Form ‘A’ 12


O. Others

1. Computer Awareness:

(a) How many hours do you access internet per week?

Home _________ hrs

Office __________ hrs

(b) Which type of teaching aids you follow most and what type of notes you give it to students:

Aids: Black Board / OHP / CBT / other – pls specify

Note: Handouts / Internet (own web page or other sites or email group id)

(c) Rate yourself about computer literacy by encircling the appropriate point

(5 - Outstanding, 4 –Above average, 3 – Average, 2- Fair, 1- Poor)

(d) Have you utilized webinar / video conferencing facility / ICT (Information Communication
Technology) for Teaching – Learning Process (or) for conducting Training Program?

2. Honors and Awards obtained by you and give details about your achievements:
Internal Award / External
Name of the Award Purpose
Award

3. (a) The changes / improvements / involvements that have taken place in your
performance since last year, if any.

(b) If you feel that the Institution can make more use of your academic and
administrative talents than at present, please indicate in what way this can be done.

Form: Performance Appraisal – Asst / Asso Prof – 2016-17 - Form ‘A’ 13


4. What type of Training Program you feel is required for upgrading your soft skills as well as
technical skills? Please suggest the topics in which you require training and suggest trainer
for the same, if known.

5. Making an objective self appraisal of your performance, please indicate your expectations with
proper justifications regarding promotion to higher cadre and increment to your remuneration:

6. Status on Commitments:

Remarks – with
S No. Commitment made for 2016-17 Fulfilled / Not Fulfilled
documentary evidence

Date : Name of the Faculty : Signature

Form: Performance Appraisal – Asst / Asso Prof – 2016-17 - Form ‘A’ 14


P. Evaluation by the Head of the Department

(a) Please rate the below listed attributes and give your rating between 1 to 5

5 – Outstanding, 4 – Very Good, 3 – Good, 2 – Fair, 1 – Poor


S.No Attributes Rating
1 Initiative: A Self-starter; able to work without constant supervision

2 Responsibility: Understands duties; accepts responsibilities readily


Punctuality: arrives on time. Generally available for students during
3
working hours
4 Commitment: Committed to his / her work

5 Loyalty: Supports and follows Institute’s Polices and Guidelines

6 Development: Keeps knowledge up-to-date


Oral Communication: Speaks effectively with supervisor, colleagues
7
and students
8 Written Communication

9 Team Work: Effective Team-player

10 Leadership: Gives clear directions and listens to co-staff

11 Relationship with fellow faculty and staff

12 Maturity

13 Temperament

14 Motivation Level

15 Relationship with students

TOTAL SECURED MARKS

MAXIMUM MARKS 75

% VALUE

(b) Comments by the Head of the Dept justifying the Grade:

Form: Performance Appraisal – Asst / Asso Prof – 2016-17 - Form ‘A’ 15


Q. HRD Remarks on Leave Availed Status

Casual Leave Leave on Loss of Pay


Vacation /
Calendar Leave Medical
Leave No Maternity
Year Letter Submitted Informed Leave
Informed Information Leave
Submitted

2016

OVER ALL APPRAISAL: (Please encircle the appropriate factor)

Outstanding Very Good Good Fair Poor

Remarks of the Performance Appraisal Reviewing Committee

Signature of the Review Committee Members:

Management Representative:

Principal:

Vice Principal:

Dean (Academic):

Respective HoD

Form: Performance Appraisal – Asst / Asso Prof – 2016-17 - Form ‘A’ 16

You might also like