GOALS AND ACTION PLAN Name ______

Quarter ______

Instructions: Complete this Goals and Action Plan using a pencil only. Take a few moments to reflect on what you want to accomplish this quarter. Write out your goals below and indicate the action steps you will take to accomplish each goal. A goal has three basic elements – it must be specific, realistic, and measurable.

Student Support and Equity Programs www.dsa.csupomona.edu/ssep Division of Student Affairs

Building 94, Room 121 (909) 869-3360 Cal Poly Pomona

GOALS AND ACTION PLAN Name ______

Quarter ______

What do I want to accomplish this quarter at Cal Poly Pomona? What are my goals for this quarter? (Be specific and realistic)

Ex. Improve my writing skills to earn at least a “B” in my English class.

What will I do specifically to ensure I will accomplish my goals? What are my action steps? (Be realistic, specific and indicate how often I will take action or by when I will complete the action.)

Ex. Meet with a tutor in the University Writing Center. (F/C): once per week

Student Support and Equity Programs www.dsa.csupomona.edu/ssep Division of Student Affairs

Building 94, Room 121 (909) 869-3360 Cal Poly Pomona

GOALS AND ACTION PLAN

1.  ACADEMIC: ______

______

2.  CAREER/MAJOR: ______

______

3.  PERSONAL:______

______

A.  ______

______Frequency or Completion:______

B.  ______

______Frequency or Completion:______

C.  ______

______Frequency or Completion:______

A.  ______

______Frequency or Completion:______

B.  ______

______Frequency or Completion:______

C.  ______

______Frequency or Completion:______

A.  ______

______Frequency or Completion:______

B.  ______

______Frequency or Completion:______

C.  ______

______Frequency or Completion:______

What do I want to accomplish this quarter at Cal Poly Pomona? What are my goals for this quarter? (Be specific and realistic)

What will I do specifically to ensure I will accomplish my goals? What are my action steps? (Be realistic, specific and indicate how often I will take action or by when I will take action.)

Student Support and Equity Programs www.dsa.csupomona.edu/ssep Division of Student Affairs

Building 94, Room 121 (909) 869-3360 Cal Poly Pomona

GOALS AND ACTION PLAN

4.  FINANCIAL: ______

______

5.  ______

______

6.  ______

______

A.______

______Frequency or Completion:______

B. ______

______Frequency or Completion:______

C. ______

______Frequency or Completion:______

A.______

______Frequency or Completion:______

B. ______

______Frequency or Completion:______

C. ______

______Frequency or Completion:______

A. ______

______Frequency or Completion:______

B. ______

______Frequency or Completion:______

C. ______

______Frequency or Completion:______

Student Support and Equity Programs www.dsa.csupomona.edu/ssep Division of Student Affairs

Building 94, Room 121 (909) 869-3360 Cal Poly Pomona