Division of Curriculum, Instruction, Leadership, and Research by 5v4CW8

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									                                           Division of _______________________________________________
                                                               Report of Faculty Activity

Please submit ____times per calendar year, from__________________to____________________________________

Faculty Member________________________________________________           Dates from___________________to_____________________


                                  Date         Approx. No. of
       Project Type              (Mo/Yr)        Participants        Location         Description (Include titles of presentations and publications)
*PUBLICATIONS

Refereed Articles Published
Books Published

Books under contract for
publication or books being
reviewed for publication
Case studies published in
textbook or other professional
publication
Book Reviews

Publication in conference
proceedings

Chapters in books

Other


*Total # of publications
from rows above
**PRESENTATIONS

Juried Art Exhibition

Invited Musician/Theatrical
Performance

Presentations at Professional
Meetings
Presentations of scholarship
and creative work to
community audiences

Creative works of literature,
music, or art with national,
regional, state, local audience

Theatrical productions
directed

Other

**Total # of presentations
from rows above

***AWARDS &
RECOGNITION
Awards and prizes for
scholarship and/or creative
accomplishments

Awards and prizes for
excellent teaching

Other

***Total # of awards and
Recognitions from rows
above

GRANTS/CONTRACTS
Total # of grants/contracts
from rows above
****SERVICE
University Committees
Membership

Professional Organization
Committee Membership

Faculty Senate member

College committee member
Guest Lecturer or speaker for
an outside agency or
professional organization

Training of Community
professionals

Serving on a community
organization board or
committee

Advisor for a student
organization

Grant Reviewer

Editing Professional
Publications

Supervision of student
research (for which university
credit is not documented)
Other

****Total # of service
activities from rows above

								
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