Student Support Services
Program Review, Planning and Service Unit Outcomes Worksheet
Please use this worksheet 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.
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
p. 1
Student Support Services
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
p. 2
Student Support Services
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
p. 3
Student Support Services
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 (Describe what the assessment
is, how the assessment task will be implemented, who
will be responsible for the task, when the assessment
will be conducted, and where activities will be carried
out)
Criteria/ Expected Level of Achievement
(Establish a minimum expected score for achieving the
outcome (e.g. %, fraction, actual number); determine the
acceptable success standard (e.g. satisfactory, a passing
grade, narrative indicator); as well as the students/clients to
be included (e.g. successful completers, all queried, random
sample).
p. 4
Student Support Services
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
p. 5