PROGRAM FOR INDIVIDUALIZED LEARNING

PROJECT EVALUATION FORM

STUDENT INFORMATION:
Last Name Project Title Description First Middle Academic Adviser

Type of Project (check one) Project Dates From

New Learning
To

Prior Learning
Major Project? Honors?

Both Yes Yes No No

EVALUATOR INFORMATION:
Evaluator Name Affiliation Street Address City Work Phone Home Phone Email Address State Zip Code Evaluator Title

Please type your evaluation on the back; attach separate sheets if needed. PLEASE RETURN TO:
Program for Individualized Learning University of Minnesota 20 Ruttan Hall, 1994 Buford Avenue St. Paul, MN 55108

FOR OFFICE USE ONLY

Initials/date Adviser approval: Narrative evaluation processed Adviser proof: Date for grade change:

Final corrections Original to perm. file Copy to student Copy to fireproof file Thank you sent Honorarium processed

Questions? Phone 612/624-4000

A-4 proj eval form 08/03

NARRATIVE EVALUATION
Address the evaluation questions listed in the students project proposal:

Evaluators signature

Date