MIT COLLEGE OF

ENGINEERING, APPRAISAL FORM FOR TEACHING STAFF

KOTHRUD, PUNE FOR THE ACADEMIC YEAR 20 -20

Name :
Designation :
Department :
Date of joining the Institute :
Highest Qualification :
Present gross salary per month :

INSTRUCTIONS:
1. First part of this form is to be filled by the Appraisee and second part of the form is
to be filled by Appraiser after discussion with Appraisee and in the presence of
Appraisee.
2. Be honest in filling the form
3. Attach photocopies of relevant documents wherever applicable, add extra pages if
needed.
4. Fill in the details for the last academic year.
5. Do not mention routine duties that you are expected to perform
6. Your performance will be assessed based on following parameters
7. Handover the completed form to HOD/Reporting Authority

1. Teaching Performance:

For the last year in the format given below (starting from latest)

Subject Semester Year No of Hrs Strength of Result Remark

taught Conducted per class
week
Th Pr Tu

Th -Theory Lectures
Pr – Lab course / Practical
Tu – Tutorials

2. Self improvement initiatives.

A. Research papers published-

Title Journal/Conference National/International Remarks

B. Activities Organized/Attended -
 Role/Re Major
Activity Title Location Duration
mark Sponsors
Conferences
conducted
Training
imparted
STTP conducted
STTP attended
Conferences
attended
Training
attended
Any other

C. Research proposals-

Title of the project Funding Remarks (Current

Usefulness
proposal agency status)

D. Admission to higher degree-

Name of degree Institute Date of admission Present status

E. Books- (Only recognized publishers)

Publish
Title of book Text/Reference Remarks (status)
er

F. Involvement in extracurricular and conductivity-curricular activities:

G. Administrative work:

Expected % completion
Nature of work
with target date
Actual % completion and
reasons for not meeting
target date (if applicable)

H. Action plan for self-improvements next academic year:

Activity Start date Completion date Resources needed Remarks

3. Any other significant point that you feel should be considered as part of your
performance appraisal (do not mention normal duties that you are expected
to perform):

4. Indicate factors which hindered your Performance:

Name: Designation:
Self assessor is required to tick (  ) in the appropriate column & assessment appraiser has to
give the marks as per the range mentioned at the end of the table.

PERFORMANCE SELF ASSESSMENT ASSESMENT BY APPRAISER

FACTORS Excellent Good Average Poor Max. Excellent – 80-100 marks
Marks Good – 60-79 marks
Average – 41-59 marks
Poor – Below 40 marks
Subject Knowledge,
100
Teaching Competency
Work Output (ability to
handle reasonable work 50
volume / quantity)
Quality of Work 100
Initiative to Improve
Work and Accepting
50
More Responsibility,
Proactiveness
Attitude & Interest in Job
Commitment to Work,
50
Reliability
Dependability, Trust
Teamwork, Team Spirit,
Cooperation, Helping 50
others
Ability & Willingness to
Learn new trends and 75
developments
Timely, Proper Reporting
& Feedback with
25
Minimum Supervision &
Follow-up
Communication Skills,
Oratory, and Writing 100
ability
Subject Result 100
Total Marks 700

b) Overall justification of assessment of work as Excellent / Good /Average / poor.

Recommendation by HOD:

Recommendation by Principal:

PREPARED BY Principal DATE:

NAME:
PAGE No.:
DSGN: 03 OF 03

SIGN:
F/ MCOE/087/00/24.02.2009