APPENDIX D–1

CLASSROOM VISITATION FORM

Faculty Member’s Name

College

Date of Visitation Dept.

Tenured Non-Tenured

For each item, respond by marking the space under the appropriate category of the key. Mark your response in INK.

KEY

SA – Strongly Agree

A – Agree

N – Neither Agree nor Disagree

D – Disagree

SD – Strongly Disagree

NA – Not Applicable

		SA	A	N	D	SD	NA
1.	The instructor seemed to be concerned with whether the students learned the material.
2.	The instructor encouraged students to express opinions.
3.	The instructor appeared receptive to new ideas and others’ viewpoints.
4.	The student had an opportunity to ask questions.
5.	The instructor generally stimulated class discussion.
6.	The instructor attempted to cover too much material.
7.	The instructor appeared to relate the course concepts in a systematic manner.
8.	The class was well organized.

ADDITIONAL REMARKS (OPTIONAL)

Name of Evaluator Signature Date

This is to certify that I have read this document

Name of Faculty Member Signature Date