project request form - Student Affairs

Students Affairs & Enrollment & Retention ManagementAssessment Project Proposal FormTitle of Project:Project Coordinator:Other Staff involved:Department:Program/Service AssessedI. Project Information1. What is the program or service being assessed?2. What is (are) the learning outcome(s) associated with this project?3. Which of the following SA/ERM goals does the program, you are assessing help support?Goal 1: Optimize organizations, programs, and services to support University enrollment goals.Goal 2: Support student learning, personal development, and academic success.Goal 3: Develop the next generation of leaders by creating opportunities for student involvement, leadership,community service & internships.Goal 4: Promote a vibrant, inclusive, community.Goal 5: Cultivate safe environments that promote personal responsibility and healthy lifestyle choices.4. Is this a bench-marking study? Yes No5. What is the start/end time of the project? Please indicate if this is going to be a repeated/ongoing assessment.6. What, if any, data already exists related to your assessment goals and project?II. Participants & Data1. How many students will you be surveying?2. What is your target sample? (e.g., all juniors, random sample of commuters, students that attended XXXX program)3. How will you obtain student email address and decide which students in particular to survey?4. Are you using Student Voice mass mailing feature? Yes NoIV. Methodology1. Please attach a copy of the assessment instrument (to be uploaded to Student Voice)2. Is this assessment instrument drawn from Student Voice shared projects? If so, which institution?3. Will the iPod Touch be used for this project? If so, where will it be used, how, and by whom? Yes No4. Will the survey identify respondents or will respondents remain anonymous?V. Funding1. Is this project being funded with the support of an internal/external grant?2. Describe all sources of funding for this project, if anyVI. Reporting & Improving Practice1. How will you use the collected data to improve current practice?2. With whom and how do you plan to share the collected data?Once completed, please submit your project proposal to StudentVoice (www.studentvoice.com) with other required supporting

documentation. The SA/ERM Assessment Committee will review each request and notify Student Voice when the project is ready fornext steps