EPERS-138 8-8-03
FOR REVIEW COMMITTEE USE ONLY
Career Review Committee Form
Program/Project Support Professionals
Review of the promotion document submitted should only be one part of the career review process. Peer review committee members should also review personnel records and interview appropriate supervisors to obtain a complete view of the responsibilities and performance of the individual under consideration.
Date Reviewed:
Name:
Rank Assigned at Appointment:
Project/Program Specialist I (Specialist)	Project/Program Specialist II (Manager)	Project/Program Specialist III (Director)
Date of Last Promotion:
Current Rank (check):
Project/Program Specialist I (Specialist)	Project/Program Specialist II (Manager)	Project/Program Specialist III (Director)
Annual Performance Evaluations in Present Rank:
Year	Rating	Year	Rating
Promotion Categories	Comments – Strengths	Comments
Interview with Applicant’s Supervisor
*Growth
*Skill Level
*Reliability
Letters of Support/Discussions with Applicant’s Colleagues
*Expertise
*Teamwork
*Responsibilities
Personal Information
*Educational Record
*Employment Record
*Performance Evaluation Ratings
Position Responsibility
*Position Description
*Changes in Responsibility
Extension Activities
*Major Areas of Work
*Planning Objectives
*Faculty & Staff Training and Assistance
*Funding/Materials Secured
Professionalism and Service
*Extension/University Committees or Special
Assignments
*Professional Improvement Activities
*Courses/Certifications
*Honors and Awards
*Leadership in Professional Organizations
Promotion Categories	Comments – Strengths	Comments
*Papers/Oral Presentations at Professional
Meetings
Management Responsibilities
*Supervisory Responsibilities
*Personnel Supervised
*Annual Performance Evaluations
*Civil Rights Compliance
Narrative Summary:
Recommendation:
Justification:
Note to Peer Review Committee Chair: Forward this Peer Review Form and a signed and dated cover letter to Associate Vice-President for
Agriculture-Extension, indicating the vote results and recommendation for promotion of the candidate.
The Arkansas Cooperative Extension Service offers its programs to all eligible persons regardless of race, color, sex, gender identity, sexual orientation, national origin, religion, age, disability, marital or veteran status, genetic information, or any other legally protected status, and is an Affirmative Action/Equal Opportunity Employer.