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Assessment Report Worksheet #3

Unit/Office/Program (3-1)

Assessment Period Covered (3-2)

(   ) Formative Assessment (3-3)

(    ) Summative Assessment (3-4)

Submitted by & Date Submitted (3-5)

Endorsed by: (3-5a)

Evaluation Question (Use a different form for each evaluation question)(3-6):

Student satisfaction is at 75%.

First Means of Assessment for Evaluation Question Identified Above (from your approved assessment plan 3-7)):

1a. Means of Unit Assessment & Criteria for Success (3-8):

1b. Summary of Assessment Data Collected (3-9):

1c: Use of Results to Improve Program/Unit Impact/Services[Closing the loop] (3-10):

Second Means of Assessment for Evaluation Question Identified Above (from your approved assessment plan) (3-11):

2a. Means of Unit Assessment & Criteria for Success:

2b. Summary of Assessment Data Collected:

2c: Use of Results to Improve Program/Unit Impact/Services [Closing the loop]:

Third Means of Assessment for Evaluation Question Identified Above (from your approved assessment plan) (3-12):

3a. Means of Unit Assessment & Criteria for Success:

3b. Summary of Assessment Data Collected:

3c: Use of Results to Improve Program/Unit Impact/Services[Closing the loop]:

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