1. Developing a Comprehensive Faculty Evaluation System Step 5 Great Basin College

2. Teaching Role FORM 4: Source Impact Matrix Worksheet for: TEACHING ROLE Role Components StudentsPeers Checklist by Administrative Assistant Students or people at facilities? TOTAL of all Source Weights Role Component Weight or Weight Range Source Y/NWt.Y/NWt.Y/NWt.Y/NWt. Instructional Design 100%5-50% Instructional Delivery 100%20-60% Instructional Assessment 100%10-30% Instructional Management and Coordination 100%5-30% Field Work 100%0-30% Total Source Impact Weights 100%

3. Scholarly/Creative Activity Role FORM 4: Source Impact Matrix Worksheet for: SCHOLARLY/CREATIVE ACTIVITY ROLE Role Components Self (proof documentation) Peers TOTAL of all Source Weights Role Component Weight or Weight Range Source Y/NWt.Y/NWt.Y/NWt.Y/NWt. Proficiency 100%25-100% Discovery/Creation 100%0-50% Dissemination 100%0-50% Total Source Impact Weights 100%

4. Management Role FORM 4: Source Impact Matrix Worksheet for: MANAGEMENT ROLE Role Components VPAA Dept Peers TOTAL of all Source Weights Role Component Weight or Weight Range Source Y/NWt.Y/NWt.Y/NWt.Y/NWt. Program 100%0-100% Department 100%0-100% Total Source Impact Weights 100%

5. Service Role FORM 4: Source Impact Matrix Worksheet for: SERVICE ROLE Role Components Committee Chairs Selected VP By Individuals Students (short surveys) TOTAL of all Source Weights Role Component Weight or Weight Range Source Y/NWt.Y/NWt.Y/NWt.Y/NWt. Service to the Institution 100%20-80% Service to the Students 100%20-80% Total Source Impact Weights 100%

6. Community Service Role FORM 4: Source Impact Matrix Worksheet for: COMMUNITY SERVICE ROLE Role Components Self (Verification of hours) TOTAL of all Source Weights Role Component Weight or Weight Range Source Y/NWt.Y/NWt.Y/NWt.Y/NWt. 100% Total Source Impact Weights 100%