Assessment and Continuous Quality Improvement Form

Instrument Used or Type of Data Collected (instructors are advised to use at least three sources of data in assessing and improving their courses)

Check off the assessment instruments used, who was assessed, and the date the instrument was delivered.

You may attach copies of the assessments used to help inform the SII-PDCA process.

For Course Review: please ensure three assessment
instruments are considered. You must consider the end of course student survey and major course tests and other summative performances in your SII-PDCA process.

Instrument Used or Type of Data Collected

Survey Results
(End of course student survey results required for courses)
Focus Group Results
Formative student understanding within the course (e.g. Minute Paper, Muddiest Point, Student-Generated Test Questions, Classroom Opinion Polls)
Program outcome data (e.g., licensing examinations, PCOA, event attendance, scholarly productivity)
Input data (e.g., admission data, faculty/staff credentials on hire, student performance in prerequisite courses)
External review (e.g. accreditor visit

Instrument Used or Type of Data Collected

Tests/exam item analysis/student performance (required for courses)
Review of minutes or other ongoing record or reflection, e.g., “red book” for courses (name)
CLO/PLO/GLO rubrics and learning outcome data
Plan (e.g. strategic plan, earlier SII-PDCA forms, budgets, faculty adequacy model)
Peer review
Other