UCI SALO

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Academic Year *

Unit *

Domain *

Program or Event*

Number of Students

Outcome *

Assessed by (check all that apply) *

Deleted Assessments

Uses of Results (check all that apply) *

Deleted Uses

Benchmark (e.g., __% of those who participated in the _____ program will be able to _____.) *

DO NOT COMPLETE THIS SECTION UNTIL YOU HAVE DONE YOUR ASSESSMENT, USUALLY THAT IS THE NEXT SUMMER.

Did you meet your benchmark?

Yes

No

If you did not meet your benchmark, briefly say how close you came or why you think you didn't meet it.

Thoroughly describe your RESULTS (3000 characters max)

Also, explain in at least a few sentences how these results will be used.

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Name *

Cluster *

Contact Lead *

Director

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* Denotes a required field

Name *

Cluster *

Contact Lead *

Director

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Units *

Grant this user super privileges

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Name	UCINetID	Phone
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Units *

Grant this user super privileges