Learner Assessment for Program Leaders Learner Assessments for Program Leaders First Name * Last Name * Faculty Rank * Email * Department/Program * Curriculum Vitae * Drop a file here or click to upload Choose File Maximum upload size: 51.2MB Letter of support from Division Chief/Department Chair (recognition and support of time commitment for the course) * Drop a file here or click to upload Choose File Maximum upload size: 51.2MB Letter of Intent and Goals (limit 1 page). Please answer the following: Why do you want to participate in this course? What assessment skill/area are you most interested in improving or expanding your knowledge? What outcome are you hoping to apply to your respective program after completing this course? * Drop a file here or click to upload Choose File Maximum upload size: 51.2MB If you are human, leave this field blank. This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Submit