APPLICANT:

PEER REVIEW SUMMARY

Classroom Observation

Comments:

Review of Materials

Comments:

Annual Report:  Self-evaluation

Comments:.

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Signatures

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Reviewer                                                                                  Date

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Reviewer                                                                                  Date

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Reviewer                                                                                  Date

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Faculty Member                                                                        Date

Policy Reference:  DLA LOCAL                                                                                   Exhibit F

Appendix C:  Peer Review Summary (Adopted October 5, 2001)