Administrative Units
Program Review, Planning and Service Unit Outcomes Worksheet
Please use this template to capture information about your program review, planning and SUOs. The boxes will expand as needed. These are the same prompts that you will see in TracDat. See pages 4 & 5 for changes & additional info.
Program Description
Department Name
Mission
Description
Primary Functions – LAC
Primary Functions – PCC
Staff (describe staffing in your department; you will be able to attach documents, ie., org chart, in TracDat)
09-10 Internal Conditions (see p. 5)
09-10 External Conditions (see p. 5)
Names & Titles of Program Review participants
How does your unit support student learning?
Revised 08-04-09; p. 1

Administrative Units
Program Review, Planning and Service Unit Outcomes Worksheet
Department Goals (copy table for additional goals)
Goal Name (provide short name for goal)
Goal (state goal)
Responsible Parties
Strategies
Rationale
Goal Priority (indicate if Low, Medium, or High)
Campus Supported by this goal
(indicate if LAC, PCC, or both)
If specific to a functional unit, indicate here
Other area impacted by this goal
Revised 08-04-09; p. 2

Administrative Units
Program Review, Planning and Service Unit Outcomes Worksheet
Resources Requested (per goal) [copy table for additional resources requested]
Goal Name
Resource Name (i.e. Supplies)
Description (describe request in detail)
Duration (indicate if this is a one-time or on-going request)
Estimated Cost
Object Code
Suggested Funding source
Justification for Resource Request
Revised 08-04-09; p. 3

Administrative Units
Program Review, Planning and Service Unit Outcomes Worksheet
Service Unit Outcomes (copy table for additional SUOs)
Goal Name ( indicate which goal this
SUO supports)
Outcome Name (provide short name for SUO)
Intended Outcome
Strategies (list any strategies that are specific for this SUO and different from the strategies for the
Goal listed above)
Assessment Years (when do you intend to assess this outcome)
If specific to a functional unit, indicate here
Means of assessment
Assessment Task
Criteria/ Expected Level of
Achievement
Revised 08-04-09; p. 4

Administrative Units
Program Review, Planning and Service Unit Outcomes Worksheet
Additional information re Internal and External Conditions (from p. 1):
A. Internal Conditions (within the College)
Identify internal conditions that have influenced the program goal-setting process. Note: Internal conditions include changes in technology, budget, staffing, resources, enrollment, facilities, etc.
B. External Conditions (outside the College)
Identify external conditions that have influenced the program goal-setting process.
External conditions include the ones listed below as well as enrollment issues, relations with transfer institutions or high schools, changes in technology etc.
Describe the External Condition
Regulatory, legislative changes
Grants Available
Accreditation recommendations
Advisory Committee input
Community
Outreach/
Partnerships
Industry & Labor market trends
Other
Revised 08-04-09; p. 5