APL Cohort 4 Faculty Review

Reviewer Name(Required)

Applicant Name(Required)

Is the applicant an associate professor?(Required)

Yes

Is the applicant a professor?(Required)

Yes

Please use the candidate’s CV to respond to the following questions:

Applicant engagement in the APA (Please select "highest" level of engagement i.e. if a candidate is a program leader and also a SIG chair, select program leader)(Required)

1 pt - Member

3 pts - Leadership role in region/sig

5 pts - Leadership role in core program/board member

Current leadership experiences/roles:(Required)

1 pt - Division/Department

3 pts - Institution/Organization

5 pts - National/International

Are the applicant’s current leadership experiences/roles in health equity, community engagement, and/or inclusive excellence?(Required)

Yes

Are the applicant’s past leadership experience/roles in health equity, community engagement, and/or inclusive excellence(Required)

Yes

Prior faculty development teaching experience. Please select the highest level for past participation in a program i.e. if the candidate taught in a national program and an institutional program, select national:(Required)

1 pt - Department

3 pts -Institution/Organization

5 pts - National/External Program

Please use the candidate’s narrative responses to score the following questions:

Description of interest in the program and how participation will contribute to their own professional development(Required)

1 pt - General description of interest in teaching

3 pts - Description of interest in the program includes general statements about professional goals

5 pts - Clear description of interest and specific description about how participation in program will help achieve goals for professional growth

Experience teaching leadership topics(Required)

1 pt - Limited experience (i.e. one example or description does not include learner types, format, topics taught)

3 pts - Moderate experience (i.e. > 1 example and examples include full description of learner types, format, topics taught)

5 pts - Extensive experience (i.e. full description with > 3 examples)

Teaching philosophy(Required)

1 pt - General description of teaching approaches used

3 pts - Specific description of teaching philosophy but application in teaching peers/faculty development not included

5 pts - Clear description of teaching philosophy and includes specific examples of how they have applied it in teaching peers/faculty development

Coaching/mentoring experience(Required)

1 pt - General description of approach to coaching/mentoring and/or example of how they have helped someone address challenges/meet goals not included

3 pts - Specific description of approach to coaching/mentoring but example of how they have helped someone address challenges/meet goals not included/not specific

5 pts - Clear description of approach to coaching and/or mentoring and includes specific examples of how they have helped someone addressed challenges/meet goals through coaching/mentoring

Inclusive excellence(Required)

1 pt - General description of how candidate has demonstrated/supported inclusive excellence

3 pts - Description includes a specific example of how candidate has demonstrated/supported inclusive excellence

5 pts - Description includes more than one example of how candidate has demonstrated/supported inclusive excellence

Overall score based on full review of candidate’s materials:

Please select a number 1-5(Required)

1 - Weak Candidate/Unclear Fit for the Program

3 - Good Candidate/Good Fit for the Program

5 - Strong Candidate/Great fit for the program

APL Faculty Applicant Scoring Sheet Cohort 4

Please use the candidate’s CV to respond to the following questions:

Please use the candidate’s narrative responses to score the following questions:

Overall score based on full review of candidate’s materials:

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