Assessment Request

Full Name *

Email Address *

Phone Number

Student Organization or Department

Advisor (if applicable)

Project Name *

What is the purpose for conducting this assessment *

Program/Event Date(s)

If program is a year long or semester long program that encompasses multiple date events, please indicate "year long" or "semester long" or put in the start and end dates.

Describe/explain the theory you will be using

What learning outcomes do you have for your event or project?

What specific changes or improvements were made to your program/service/event based on the assessment results?

Other (Please explain)

Target date to begin collecting data: *

Plan a minimum of one week from the date this form is submitted to the beginning of data collection for most projects.

Target date to finish collecting data:

Ideal date to have results in hand:

Please allow a minimum two weeks after date to finish collecting data.

SAPAR Assessment Request