data collection form

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Name of unit: ______________________________________________________
While completing this worksheet, we would like for you to think about the specific,
structured, student experiences that your unit provides and which you believe teach
students something that relates to one or more of the mission-level learning objectives
(MLLO). Not all functions relate to student learning, and not all student learning
objectives relate to a MLLO, so try to stay focused on this special subset of activites.
Rate the centrality of each UW-Green Bay MLLO (mission-level learning objective) to
your unit’s own mission, function or purpose. Use the following scale as a guide.
1
The MLLO is not relevant to this unit (program, major, minor or service area)
2
The MLLO is indirectly relevant, but the unit offers no specific structured experiences designed
to promote student achievement of this objective
3
The MLLO corresponds to a stated learning outcome of an optional course or program delivered
by this unit
4
The MLLO corresponds to a stated learning outcome of a required course or program delivered
by this unit (component outcome)
5
The MLLO corresponds to a learning outcome for this unit (overall outcome)
Area of the Mission-level Learning Objective
Interdisciplinary, problem-focused: A UW-Green Bay
student can address complex problems or issues from an
interdisciplinary perspective.
Critical thinking: A UW-Green Bay student develops
critical thinking skills.
Diversity or multicultural competence: A UW-Green
Bay student values diversity and can function in a
multicultural setting.
Environmental sustainability: A UW-Green Bay
student is able to make environmentally sustainable choices.
Engaged citizenship: A UW-Green Bay student has the
ability to work to improve his or her community.
1
5
Low
centrality
2
3
4
High
centrality
Ο
Ο
Ο
Ο
Ο
Ο
Ο
Ο
Ο
Ο
Ο
Ο
Ο
Ο
Ο
Ο
Ο
Ο
Ο
Ο
Ο
Ο
Ο
Ο
Ο
We want to learn more about the specific, structured, student experiences your unit
provides which relate to the MLLOs. When you were deciding how to rate the MLLOs in
the chart above, what programs, classes or experiences did you have in mind? Start
with those MLLOs which are most import to your unit and which you rated with the
highest centrality. You have one sheet for each MLLO. You can get extras! Many units
will not have activities that relate to all five MLLOs, so some of your sheets will be blank.
Name of unit: ________________________________________
Interdisciplinary,
problem-focused
experiences
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Turn over for
more spaces
More interdisciplinary, problem-focused experiences
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Name of unit: ________________________________________
Critical
thinking
experiences
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Turn over for
more spaces
More critical thinking experiences
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Name of unit: ________________________________________
Diversity or
multicultural
experiences
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Turn over for
more spaces
More diversity or multicultural experiences
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Name of unit: ________________________________________
Environmental
sustainability
experiences
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Turn over for
more spaces
More environmental sustainability experiences
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Name of unit: ________________________________________
Engaged
citizenship
experiences
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Turn over for
more spaces
More engaged citizenship experiences
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
Brief description of the student experience __________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
This experience is
O required of all students served by this unit
O recommended to all the students we serve
O neither required nor recommended, but available as an option
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