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Assessment Consultant Request Form
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Posted by
saugat.tripathi1
On
26
Oct
2017
Name of the Requester
*
Requester Email
*
Requester Phone
*
Role/Title
*
Division/Department/Program
Chair/Director or Unit Head: Your answer
Purpose
Learning Outcomes
Learning Opportunity Mapping
Program Outcomes
Service Delivery Outcomes
Outcome Measures
Data Collection
Data Analysis
Data Evaluation
Data Presentation/Reporting
Accreditation
Assessment/Program Review
External Survey
Qualtrics
Assessment Workshop
Does your department/program have a written assessment plan?
Yes
No
Forms of data currently collected (check all that apply):
Student Learning Outcomes (test data, etc.)
Program Effectiveness/Outcomes
Surveys
Focus Groups
Individual Interviews
Portfolios/Artifacts
Observations
Performance Assessments
Reflection Essays
Please provide specific details of your request below
If you desire to schedule a meeting, please list attendees
