Appendix 3b   Documentation Form for Merit Points for Teaching and Research Staff

Name

Position and Unit

The merit points according to the tasks are documented for the past three years from Levels 5 – 6 on, and for Levels 1 – 4, for the previous year only.

1. Teaching Merit Points
(Corresponding to the Level which best describes your job, per Appendix 3a). 

2. Research Merit Points
(Corresponding to the Level which best describes your job, per Appendix 3a). 

3. Community Service Merit Points
(Corresponding to the Level which best describes your job, per Appendix 3a). 

Supervisor’s Statement 
(including Community Service Merit Points, especially at   Levels 1 – 7)

Supervisor
(Signature and Name)

Employee Dissent Report (if required)

The supervisor’s statement (above) differs from my view.

Explanation

Employee
(Signature and Name)