Please complete this form if you are involved in an assessment activity. If you are part of a group, ONLY ONE person should be designated to report the assessment on behalf of the entire group. Thank you. First Name * Last Name * Role * Design Distribution Proctoring Data Preparation Data Analysis Reporting\Publishing Other Other Please enter the names of other faculty or staff that are contributing to your assessment (if not applicable, leave blank). Position (select one) * Faculty Staff Primary Dept. (select one) * RIOS CAMS Access Services Special Collections Title of your assessment: (write in) * Assessment Area (select all that apply) * Information Literacy Collections Services Other (Please enter in text below): Assessment Area (Other) Assessment Instrument (Select all that apply) * Survey Test or Quiz Interview Focus Group Ethnographic Observation Usability Test Analytics Other (Please enter in text below): Assessment Instrument (Other) Indicate the number of participants (respondents, etc.) in the assessment (estimate if needed) * Population (select all that apply) * Freshman Sophomores Juniors Seniors Graduates Faculty Staff Alumni Other - non-CSUN user (Please enter in text below): non-CSUN user applies to any off campus groups, such as Community, High School Students, etc. Population (Other) If you will be submitting data or a report, where do you intend to submit it? (select all that apply) * ScholarWorks Moodle Site Faculty Page I am not submitting data or findings Other (Please enter in text below): Submitting data or a report (Other) For whom are you making data or findings available? (Select one) -- Assessments for 'Personal use only' will not be listed on the assessment website. * Personal use only Internal use -- Library or Organization only Public use If you intend to present, publish or otherwise make publically available information obtained through your assessment using human subjects, have you consulted the Office of Research and Graduate Studies for instructions/approval? * Yes No For more information, see: Office of Research and Graduate Studies Is there any other information you feel would be helpful to us regarding your assessment? Submit