Sample Program Effectiveness Plan Form

The Sample Program Effectiveness Plan Form is designed to assist programs in developing a comprehensive program assessment plan that includes assessment of program goals, all program resources (Standard III.) and all ARC/STSA-required program outcomes (retention, approved outcomes assessment exam participation rate and pass rate, graduate placement, employer survey return rate and satisfaction rate, and graduate survey return rate and satisfaction rate). Under Standard II.B., programs are required to demonstrate that the Program Advisory Committee (PAC) assesses program goals, resources, outcomes, and needs on at least an annual basis (once every 12 months).

Additional assessment topics may be required by your institution, institutional accreditor, and/or state approval agency (if applicable).

A copy of this sample form is also found in the 2012 Standard Interpretive Guide (SIG-ST).

Programs are not required to use this form.


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