Students:

Major Professor/Committee:

a. Important: For students who do not have an approved D-1 form on file with UGS, only thegraduate program director’s or designated advisor’s evaluation and signature are required

b. For those students who do have an approved D-1 form on file with UGS, all committee signaturesare required

Questions regarding the Annual Evaluation should be directed to the University Graduate SchoolPlease Call 305-348-2455

c. Student comments: Please share Section 3 with the student and allow for them to include anyadditional comments following the evaluation

a. Summary: A summary of the student’s performance over the academic yearb. Goals: Please identify goals for the student to achieve during the next evaluation period

1. Review Sections 1 & 2 (completed by the student prior to the evaluation)2. Complete Section 3, Performance Summary and Future Goals

3. Complete Section 4, Evaluation of Core CompetenciesIf student is rated as “occasionally does not meet” or “consistently does not meet” in any of the core competencies, please prepare a Student Performance Improvement Plan in Section 6 (no additional attachments are necessary)

4. Sign and date the signature page where appropriate

2014-15 Annual Student Evaluation and Mentoring Plan Instructions

4. Schedule a meeting with your entire dissertation committee* to complete and sign form.

5. Please have the appropriate Chair/GPD and Academic Dean sign the Evaluation Form6. Submit completed form to UGS no later than May 30, 2015. Incomplete forms will not be accepted.

The intent of the Annual Student Evaluation and Mentoring Plan is to assist PhD and EdD students and their dissertation committee with establishing goals and a plan of action towards degree completion. It is also designed to identify the steps necessary for professional growth within the student’s area of expertise as well as highlight his/her scholarly achievements. The Major Professor and other members of the dissertation committee are required to meet with the student to review and complete this evaluation on an annual basis.* Based on the meeting and completion of this plan, all parties should have a clear understanding of what goals and milestones are to be met within the next academic year.

5. Please take early action so that your dissertation committee has adequate time to meet with you andsubmit your plan to UGS by May 30, 2015. Failure to submit this form will result in a hold on your registration for next year.

1. Complete Section 1, Doctoral Student Information2. Complete Section 2, Goals and Accomplishments3. Submit form to your Major Professor*

Page 2 of 5

1. Doctoral Student Information (completed by the student)

Name Panther ID

E-mail

Department Email

Student Status

Full-time Part-time

Financial Support

Other:

Scholarship and Professional Development for 2014-2015

Cumulative Graduate GPATotal Graduate Credits Completed

Personal Resources Financial Aid

Advancement to candidacy:

Date or expected date for:

Approved dissertation committee (D1 Form):

Career/Internships/Professional Development Activities for 2014-2015

Teaching or Graduate Assistantship Research Assistantship

Awards/Honors/Service for 2014-2015

2014-15 Annual Student Evaluation and Mentoring Plan For Research Doctoral Students (PhD and EdD only)

Evaluation Period: 2014-15 Academic YearSubmission Deadline: May 30, 2015

External fellowships (Provide title, agency and submission date) for 2014-2015

Presentations (Provide authors (underline presenter), title, meeting, date, and location) for 2014-2015

Publications (Provide authors, date, title, journal, pages, published) for 2014-2015

Doctoral Program

Research Proposal Approval:

Dissertation Defense:

Bank Loans

Major Professor’s Name

Planned Coursework (e.g. SPN5000) for AY 2015-16:

DYF, DEA or Presidential Fellowship McNair or McKnight Fellowship

Entry Term into Doctoral Program (e.g. Fall 2011)

Coursework with IN

Proposed Term for resolution of IN

Please provide typewritten responses only

your financial support during this evaluation period (check all that apply for 2014-2015)

Page 3 of 5

Evaluation for:2. Goals and Accomplishments (completed by the student)

3. Performance Summary and Future Goals (completed by the major professor and committee*)

List your major accomplishments for the evaluation period of 2014-2015:

Identify performance goals you would like to achieve prior to your next evaluation:

Identify specific goals/topics you would like to discuss during your evaluation:

Student’s Performance Summary and Recommendations (This section is for the major professor/committee to make comments relevant to the student’s evaluation).

Identify goals for student to achieve during the next evaluation period. Goals should be SMART (Specific, Measurable, Agreed-upon, Results-focused and Timed)

Student comments (This section is for the student to provide any additional comments following the evaluation meeting.)

* Note: For students who do not have an approved D-1 form on file with UGS, only the graduate program director’s ordesignated advisor’s evaluation and signature are required.

Please Provide Typewritten Responses only

Page 4 of 5

Evaluation for:

4. Evaluation of Core Competencies (to be completed by the Major Professor)

5. Required Signatures*

Committee Member:

College and UGS Date

Per Competency

**Needs Student Performance Improvement Plan (If student falls into “occasionally does not meet expectations” or “consistently does not meet expectations” for any of the core competencies, please complete Section 6 on next page.)

By signing below, we confirm that the committee has met on ____________________ (Date of meeting) to discuss and complete this evaluation with the student.

DatePrint NameSignatureStudent and Committee

Other:

Signature Print Name

Major Professor/Advisor:

Co-Major Professor:

Committee Member:

Committee Member:

Committee Member:

Please check one box

KnowledgeAccountability

ProductivityCritical Thinking

Writing AbilityCommunication

Leadership

Student:

Chair/Program Director:

College Academic Dean:

UGS Dean:

Consistently Exceeds

Expectations (5)

Occasionally Exceeds

Expectations (4)

Meets Expectations

(3)

Occasionally Does Not

Meet Expectations

(2)**

Consistently Does Not

Meet Expectations

(1)**

N/A

Please Provide Typewritten Responses only

Page 5 of 5

Evaluation for:

6. Student Performance Improvement Plan (to be completed by the Major Professor)

A) an explanation of how the student did not meet expectations

B) suggestions for improvement of performance

C) a timeline for completion and evaluation of specific milestones and/or the dissertation.

Questions regarding the Annual Evaluation should be directed to the University Graduate School Please Call 305-348-2455.

Please provide an improvement plan (items A-C) below:

(Required only if the student was marked as “occasionally did not meet expectations” or “consistently did not meet expectations” on any of the core competencies listed in section 4.)

Please Provide Typewritten Responses only