Allen County Community College - - - Outcomes Assesment Form
Instructor First Name:
M.I.
Semester:
Fall
Spring
Summer
Instructor Last Name:
Year:
Course Number:
Section Number:
Are you Fulltime/Adjunct?:
Fulltime
Adjunct
Campus:
Iola
Burlingame
Outreach
Online
Number of Students
taking Exam:
Div. or Dept:
Business/Technology
Communication/Fine Arts
Math/Science
Social Behavioral Science
Applied Health
Health/Physical Ed.
Outcome number
Percent of students
scoring 70% or better
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
In this area
Please provide any additional feedback