Institutional Effectiveness, Success, and Equity Forms

Please fill out the following questions related to your Student Learning Outcome (SLO) assessment(s).
Only one course # and section # will be able to be assessed at a time. Repeat the entry form if you have more than one section # within a course
Before starting the form, please have all Method of Assessment (MOA) documents ready to be uploaded in the last section of this form.

Instructor's Name: *

Instructor's GCCCD Email Address: *

Discipline *

Semester assessed *

Instructional Modality *

Face to Face

Hybrid

HyFlex

Online

Course # assessed (e.g., 120, 1A, or 141L) *

Section # assessed (e.g., 0528) *

(Optional) If this course is cross-listed with another course(s) (ex: CADD 125/ENGR 125), please list the other cross-listed course(s) here: