Certification Self-Assessment Worksheet

Instructor
Date

1.  Rate the importance to your job and your skill level for each standard.

2.  Select five activities for your professional development plan.
Choose at least one activity from each of the three required groups (A, B, and D).

3.  Submit hard copy or e-mail to your supervisor and the Workforce Dean (CSC-4).

Self-Assessment

Skill Standard/Key Activity (Required groups are italicized.)

/ Importance
to current job / Current skill level / Selected for PDP
(total of 5) / Notes
(optional) /
1-Low 2-Medium 3-High 4-Very High /
Group A (required for plan)
A1: Obtain required equipment, systems, tools, supplies, and materials. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
A2: Set up instructional systems, equipment and/or tools. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
A3: Maintain instructional systems, equipment and/or tools. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
A4: Develop a growth and replacement plan for systems, equipment and/or tools. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
A5: Supervise learning environments. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
A6: Research, select, and evaluate off-campus learning environments. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
A7: Evaluate and monitor the safety of instructional areas and practices. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
Group B (required for plan)
B1: Identify, evaluate, and modify current outcomes. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
B2: Create, evaluate, and modify curriculum. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
B4: Implement curriculum, outcomes, and assessments.. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
B5: Integrate curriculum with other faculty in the department and in other instructional areas/institutions. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
Group C
C1: Develop, review, and update program course plan. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
C2: Recruit and work with advisory committee and employers to meet changing needs of the program and industry. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
C3: Identify, evaluate, and modify program outcomes and assessments. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
C4: Identify and develop core and support courses. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
C5: Maintain (or obtain) program accreditation. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
C6: Research, identify, evaluate, and implement current industry standards and trends. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
C7: Coordinate program development with other college programs and institutions. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
Group D (required for plan)
D1: Prepare and/or gather current instructional materials and equipment. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
D2: Provide individual and group instruction. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
D3: Initiate, develop, and implement student assessments. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
D4: Modify instructional material and methods based on student and industry assessments and feedback. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
Group E
E1: Respond to student needs. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
E2: Provide information or referrals to meet student needs. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
E3: Assist students with job placement. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
E4: Provide academic advising. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
E5: Provide career advising. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
E6: Serve as student activity advisor as applicable. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
Group F
F1: Perform documentation and record keeping duties. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
F3: Serve on departmental and college committees. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
F4: Provide input for program, schedules, and college publications. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
F5: Develop and manage budgets. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
F6: Research and assist with writing and implementing grants and targeting financial resources. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
Group G
G1: Collaborate with college staff, faculty, and students. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
G2: Work with program advisory committees. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
G3: Serve on departmental and college committees. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
G4: Maintain current knowledge of the field. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
G5: Participate in professional networking. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
G6: Develop a professional plan. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
Group H
H1: Participate in campus and community events. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
H2: Serve on high school advisory committees, Tech Prep consortia, and other community organizations. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
H3: Develop promotional plan. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
H4: Provide information for prospective students. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
H5: Develop and manage public relations information. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
H6: Perform recruiting activities. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
Group I
I1: Obtain and maintain certification on program-specific technology. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
I2: Maintain current knowledge of technology in the field. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
I4: Identify, evaluate, and implement new instructional technologies. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
Group J
J1: Perform documentation and record keeping duties. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
J2: Mentor, orient, and support new and part-time faculty. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
J3: Develop criteria, recruit, and make recommendations regarding hiring faculty. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
J4: Manage instructional and program assistants. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
J5: Develop and manage budgets. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐
J6: Research and assist with writing and implementing grants and targeting financial resources. / Select one1-Low2-Medium3-High4-Very High / Select one1-Low2-Medium3-High4-Very High / ☐

Prof-Tech Certification Self Assessment Worksheet June 2015 Locked.docm Page 1 of 5
Password to Stop Protection is WEC.