Institution’s Name:________________________________
Faculty Learning Community Name: ________________________________________________
Please complete and return to ________, ___________, by __________
Please complete as an individual and return this report by email as a word document or print out and mail. Before you begin, you may wish to review your application to this community and its goals. Your community facilitator may also review this report or an excerpt or summary as he or she plans for the future. Thank you.
A. Estimate the impact of this Faculty Learning Community on you with respect to each of the following program components. Place an “X” right beside the number on the scale below that reflects your judgment. “NA” means “does not apply.” “1” indicates a very weak impact and “10” a very strong impact. Also, if you have brief comments to make about any of the items, use the space provided. Open-ended questions occur at the end of the survey.
Core Questions 1-7 about program components:
1. Retreats and conferences (An Opening Retreat if you had one, national, regional, or local conferences the community attended, etc.). |
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| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | n/a |
| weak impact |
strong impact |
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2. Seminars (Which topics/sessions were most helpful and/or interesting?) |
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| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | n/a |
| weak impact |
strong impact |
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3. Your FLC individual project (your FLC-related initiative) |
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| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | n/a |
| weak impact |
strong impact |
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4. Funds you received for teaching and learning support |
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| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | n/a |
| weak impact |
strong impact |
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5. The colleagueship and learning from the other community participants |
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| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | n/a |
| weak impact |
strong impact |
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6. Student associates (students you may have worked with in connection with FLC goals and activities) |
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| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | n/a |
| weak impact |
strong impact |
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7. One-to-one partnerships related to the program |
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| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | n/a |
| weak impact |
strong impact |
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B. In a similar manner, estimate the impact of this faculty learning community on you with respect to each of the following development outcomes. "1" indicates a very weak impact and "10" a very strong impact.
Questions specific to this FLC’s goals (to be supplied by your FLC Facilitator):
1. |
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| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | n/a |
| weak impact |
strong impact |
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2. |
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| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | n/a |
| weak impact |
strong impact |
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3. |
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| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | n/a |
| weak impact |
strong impact |
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4. |
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| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | n/a |
| weak impact |
strong impact |
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5. |
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| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | n/a |
| weak impact |
strong impact |
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6. |
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| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | n/a |
| weak impact |
strong impact |
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Core Questions about development outcomes in any FLC:
7. Your technical skill as a teacher |
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| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | n/a |
| weak impact |
strong impact |
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8. Your total effectiveness as a teacher |
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| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | n/a |
| weak impact |
strong impact |
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9. Your interest in the teaching process |
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| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | n/a |
| weak impact |
strong impact |
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10. Your research and scholarly interest with respect to your discipline |
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| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | n/a |
| weak impact |
strong impact |
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11. Your view of teaching as an intellectual pursuit |
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| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | n/a |
| weak impact |
strong impact |
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12. Your understanding of and interest in the scholarship of teaching. Any plans for publications or presentations? |
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| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | n/a |
| weak impact |
strong impact |
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13. Your awareness and understanding of how diversity may influence and enhance teaching and learning |
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| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | n/a |
| weak impact |
strong impact |
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14. Your awareness of ways to integrate the teaching and research experience |
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| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | n/a |
| weak impact |
strong impact |
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15. Your comfort as a member of the University community |
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| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | n/a |
| weak impact |
strong impact |
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16. Your understanding of the role of a faculty member at our University |
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| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | n/a |
| weak impact |
strong impact |
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17. Your perspective of teaching, learning, and other aspects of higher education beyond the perspective of your discipline |
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| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | n/a |
| weak impact |
strong impact |
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C. If not covered by the above questions, what have you valued most from your participation in this faculty learning community?
D. What aspect(s) of this faculty learning community could be changed to make it more valuable for future participants? Do you have any suggestions for modification (additions, deletions, substitutions, restructuring, etc.) of the content or form of the Program?
E. In what ways have you used your professional expense account and how has/will this affect(ed) your teaching and your students learning?
F. If you have developed a project related to this faculty learning community,
please report your progress and indicate your plans for next year. Do
you have presentations or publications planned?
G. If you involved a student associate in your work, report the ways in which, and the frequency with which, you have interacted with your student associate(s). Which activities and outcomes were helpful? Which were not helpful? What suggestions do you have for future involvement?
H. In what ways have you investigated and tried teaching differently as
a result of participating in this FLC? Please be as specific as possible,
for example, describe changes in your syllabus, strategies, processes,
curriculum, format, style, assessment, etc. Did you measure any change
in student learning? What are your plans along these lines for next year?
I. Describe how your teaching and your perception of yourself as a teacher have changed (if they have) as a result of your involvement in this faculty learning community.
J. Additional comments
This project has been supported in part by a grants from the US Department of Education Fund for the Improvement of Post-Secondary Education (FIPSE) and the Ohio Board of Regents.