Instructional Areas
Program Planning/ Program Review Worksheet
Fall 2009
Please use this template to capture information about your program plan and program review. The boxes will expand as
needed. These are the same prompts that you will see in TracDat.
Program Description
Department Name
Mission
Description (department data will be
provided in the Documents folder in
TracDat)
Summary of Program Access,
Productivity and Effectiveness (briefly
describe trends or student achievement
data that is noteworthy or of concern)
Faculty & Staff (describe staffing in
your department; you will be able to
attach documents, ie., org chart, in
TracDat)
09-10 Internal Conditions (see p. 4)
09-10 External Conditions (see p. 4)
Names & Titles of Program Review
participants
Revised 8/5/09, p. 1
Instructional Areas
Program Planning/ Program Review Worksheet
Fall 2009
Department Goals (copy table for additional goals)
Goal Name (provide short name for
goal)
Goal (state goal)
Year(s)
Goal Priority (indicate if Low, Medium,
or High)
Rationale
Strategies
Responsible Parties
Campus Supported by this goal
(indicate if LAC, PCC, or both)
Specify if goal is for department or subarea
Other area impacted by this goal (ie.,
IITS, Grants, HR, Facilities)
Revised 8/5/09, p. 2
Instructional Areas
Program Planning/ Program Review Worksheet
Fall 2009
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 8/5/09, p. 3
Instructional Areas
Program Planning/ Program Review Worksheet
Fall 2009
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 8/5/09, p. 4