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PhD Student Self Evaluation Form - Krannert … · Web viewPhD Student Self Evaluation Form Last modified by kkarthik Manager Jungpil Hahn Company Purdue University

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Page 1: PhD Student Self Evaluation Form - Krannert … · Web viewPhD Student Self Evaluation Form Last modified by kkarthik Manager Jungpil Hahn Company Purdue University

Annual Ph.D. Student Progress Review(To be completed by student and submitted to MIS area Ph.D. coordinators)

Name:      

Academic Year: 2011-2012

Year Entered Program: 2007

Advisor(s):      

Dissertation Committee Members, if selected:      

CheckList

I have submitted my current academic curriculum vitae. I have submitted my complete, official transcript. I have submitted my teaching evaluation(s).

Other Supporting Documents (letters from faculty members, etc.)

1.      2.      3.      4.      5.      6.      

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Page 2: PhD Student Self Evaluation Form - Krannert … · Web viewPhD Student Self Evaluation Form Last modified by kkarthik Manager Jungpil Hahn Company Purdue University

A. PROGRAM PROGRESS IN THE LAST 12 MONTHS

1. COURSEWORK

List courses taken during the past 12 months with grades received. List major/minor/research methods/general managerial skills courses separately.

Course Number Description Semester Grade1.                   2.                   3.                   4.                   5.                   6.                   7.                   8                   9.                   10.                   11.                   12.                   13.                   14.                   15.                   16.                  

Summary TableMajor coursework requirement completed: Waived: If no, expected date:      

Semesters you took courses toward this requirement (separate them by commas)      

Minor coursework requirement completed: Waived: If no, expected date:      

What is your minor area (even if it is expected, write it down)?      

Courses you took courses toward this requirement (separate them by commas)      

Research methods requirement completed: Waived: If no, expected date:      

Research method #1 (even if it is expected, write it down)?      

Courses you took courses toward this requirement (separate them by commas)      

Research method #2 (even if it is expected, write it down)?      

Courses you took courses toward this requirement (separate them by commas)      

General mgrl skills requirement completed: Waived: If no, expected date:      

Preliminary examination completed:: Waived: If no, expected date:      

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Page 3: PhD Student Self Evaluation Form - Krannert … · Web viewPhD Student Self Evaluation Form Last modified by kkarthik Manager Jungpil Hahn Company Purdue University

2. TEACHING EXPERIENCE

TA AssignmentList TA assignments completed during the past 12 months (course number/title, semester worked, faculty assigned to):

Course Number Title Semester Faculty1.                        2.                        3.                        4.                        

Teaching AssignmentList teaching assignments (where you were primarily responsible for classroom delivery) during the past 12 months (include course number/title and semester, and attach copies of your evaluation scores and student comments):

Course Number Title Semester Course Coordinator1.                        2.                        3.                        4.                        

Teaching Enhancements List MIS courses, Center for Instructional Excellence workshops, or other teaching workshops you attended during the past 12 months to develop your teaching capabilities (include course number/title, semester/module, instructor). Attach a written acknowledgement from the instructor, if possible:

Course Number, if applicable

Course or Workshop Title Semester Faculty, if applicable

1.                        2.                        3.                        4.                        

List courses taught by distinguished teachers at Krannert in which you sat in during the past 12 months to develop your teaching capabilities (include course number/title, semester/module, instructor). Attach a written acknowledgement from the instructor, if possible:

Course Number Title Semester Faculty1.                        2.                        3.                        4.                        

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Page 4: PhD Student Self Evaluation Form - Krannert … · Web viewPhD Student Self Evaluation Form Last modified by kkarthik Manager Jungpil Hahn Company Purdue University

List teaching related mentoring experience with faculty in past 12 months (e.g., faculty member sits in on class and evaluates your teaching skills):

1.      2.      3.      

List any teaching awards or recognitions received during the past 12 months:

Course Number Title Semester Award / Recognition1.                        2.                        3.                        4.                        

Teaching portfolio completed? If no, expected date:      

The teaching portfolio is a brief summary of your teaching experience while in the program, including teaching workshop certificates, faculty evaluation statement, student evaluation scores, etc. This portfolio is typically included in your job packet. Attach a copy of your teaching portfolio, if completed

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Page 5: PhD Student Self Evaluation Form - Krannert … · Web viewPhD Student Self Evaluation Form Last modified by kkarthik Manager Jungpil Hahn Company Purdue University

3. RESEARCH EXPERIENCE

RA ActivitiesList research activities (including RA assignments over the past 12 months (semester, faculty sponsor). For each item, briefly describe your activities (e.g., data analysis, data collection, programming, etc).

Faculty Activity Semester1.                  2.                  3.                  4.                  5.                  6.                  

Dissertation ProgressList major area(s) of research interest and projected dissertation topic(s):

Functional Areas of Interest Methodological Areas of Interest1.       1.      2.       2.      3.       3.      

Publications List conference presentations over the past 12 months: (paper title, name of conference, date):

Conference Title Co-authors1.                  2.                  3.                  4.                  5.                  6.                  

List publications (including working papers) over the past 12 months; if published, forthcoming or submitted, mention where:

1.      2.      3.      4.      5.      6.      

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Page 6: PhD Student Self Evaluation Form - Krannert … · Web viewPhD Student Self Evaluation Form Last modified by kkarthik Manager Jungpil Hahn Company Purdue University

List working papers on which you worked with a faculty member during the past 12 months (paper title, target journal/conference, status (e.g., submitted, second round review)):

Title Co-authors Target Outlet Status1.                   2.                   3.                   4.                   5.                   6.                  

OtherList fellowships or other external support received over the past 12 months:

1.      2.      3.      4.      

List doctoral consortia (e.g., ICIS doctoral consortium, AMCIS doctoral consortium, Big 10 IS Symposium etc.) in which you participated over the past 12 months, or have been selected to participate in the next 6 months:

1.      2.      3.      4.      

Summary TableExpected graduation date      

Plan of study filed: If no, expected date:      

Proposal defense completed: If no, expected date:      

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4. PROFESSIONAL AFFILIATIONS/SERVICE ACTIVITIES

List memberships held in professional associations within your field:

1.      2.      3.      4.      5.      6.      

List professional service activities completed within the last year (e.g., conference reviewer, conference planner, etc.):

1.      2.      3.      4.      5.      6.      7.      8.      

5. ACADEMIC INTEGRITY AND PLAGIARISM

Have you reviewed an Academic Integrity or Plagiarism resource in the past year? (Resources include The Purdue University Online Writing Lab’s “Avoiding Plagiarism” page at http://owl.english.purdue.edu/owl/resource/589/01/ and the Indiana University “Understanding Plagiarism” page at http://education.indiana.edu/~frick/plagiarism/)

Academic Integrity Resource Reviewed:

If no, explain:      

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Page 8: PhD Student Self Evaluation Form - Krannert … · Web viewPhD Student Self Evaluation Form Last modified by kkarthik Manager Jungpil Hahn Company Purdue University

B. SELF-EVALUATION

Please attach a brief summary of your experience in the program to-date, including the following:

1. Briefly describe your experience in the program over the past year, including your accomplishments, setbacks, and personal strengths and weaknesses as they relate to your performance in the program.

     

2. Briefly discuss your goals for the coming year and what you plan to do to accomplish them (e.g., finish degree coursework, begin writing dissertation, work on publishable paper(s), make conference presentation(s), etc.).

     

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Page 9: PhD Student Self Evaluation Form - Krannert … · Web viewPhD Student Self Evaluation Form Last modified by kkarthik Manager Jungpil Hahn Company Purdue University

3. List any concerns you have as well as any suggestions you would like to offer for improvement in the program which might help you and/or other students.

     

Last revised by K. Kannan 8/5/2011

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