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Competency Based Education Interest Form

Introduction

Thank you for completing this brief form to provide feedback on your campus’ interest in and appetite for launching a direct assessment competency-based education degree program. The goal is that your response to this form represents the desires and plans of your campus. We ask you to have the necessary conversations on your campus before completing this form.

1. Please provide contact information for the person completing this interest form on Competency Based Education (CBE).

First Name

Last Name

Title

District Name

College Name

Email Address

Phone Number

Mobile Phone (Optional)

2. What is your campus’ current knowledge of and experience with CBE degree programs?Please rate separately your knowledge of and experience with CBE degree programs.

Space Cell	Knowledge	Experience
We have little to no	We have little to no: Knowledge	We have little to no: Experience
We have moderate	We have moderate: Knowledge	We have moderate: Experience
We have expert	We have expert: Knowledge	We have expert: Experience

3. Further describe your campus’ knowledge of and experience with competency-based education. Has your campus utilized CBE? If so, in what ways?

4. What is your campus’ interest in launching a direct assessment competency-based education degree program?

5. Comments (Optional) Please provide any other comments related to Competency Based Education (CBE).