Name of Community College:
Title of Program:
Type of Program:
I.e. ESL, workforce training/career development, community outreach/partnership, providing access/support to undocumented students, citizenship/civics preparation, etc.
Primary Division(s) or Department(s) involved:
If applicable, please note other outside agencies or organizations involved in the program
About the Program
1. Need for Program
Briefly outline the significant need or problem that the initiative addresses and how long the program has been in place.
2. Brief Description of Program
Briefly explain the purpose of your program, including whether it is an academic program [credit or non-credit] or student service.
3. Specific Population Served
4. Goals and Objectives
Describe the broad program goals, and then identify major objectives that define how these goals will be accomplished.
What has the program improved / corrected / increased / decreased by addressing this need, e.g. retention, student performance, student services, work force training, language acquisition etc? Please include any data regarding outcomes e.g. completion rates, employment, economic impact.
If applicable, please note the role of each key partner organization—both internal across the college campus and external—involved in the program
7. Success Factors
What factors have been most critical to the success of your program?
8. Challenges Faced and Overcome
Were there environmental factors that created challenges? If so, how did you work to overcome those? Please note any current challenges as well.
9. Funding and Sustainability
How was the program funded? If the program was funded through a grant, how will the program be sustained?
Name of person completing this form:*
If a reader wants to learn more about this program, please provide that contact information if different from above: