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WVC Committee Annual Self-Evaluation Form

Committee Name
Committee Chair
Academic Year
Date
How to fill out this form
Your responses are automatically saved in this browser and will persist on page refresh. Printing or saving as PDF is still recommended to preserve your final submission.
  1. 1.Review your committee objectives and key results. They are posted here.
  2. 2.Enter your committee name, chair name, academic year, and today's date in the fields at the top of the form.
  3. 3.Select the number of objectives your committee has and add or remove key result rows as necessary.
  4. 4.For each key result, select the appropriate status and provide supporting data or evidence in a brief sentence. For example, if your key result was "Complete ISER by March 2026" you might write "Finished final draft of ISER in February 2026."
  5. 5.Provide an overall rating and one-sentence summary for each objective.
  6. 6.Fill out the Reflection & Next Steps section using the prompts provided.
  7. 7.Print to PDF and email it to Elizabeth Tablan no later than Friday, May 8.
Key Result Status Key:
Fully Achieved Partially Achieved In Progress Not Started Cancelled
Select number of objectives you have:
Reflection & Next Steps
Summary of Accomplishments
Describe the key accomplishments your committee achieved this academic year. What results are you most proud of?
Lessons Learned
What did your committee learn from this OKR cycle? Reflect on what worked well, what could have been done differently, and any unexpected challenges or insights that emerged.
Carry Forward
What unfinished work, ongoing priorities, or new needs should be carried into the next planning cycle? Include any recommended adjustments to your committee's objectives or processes.
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