PLA Assessment - Central Michigan University · PLA Assessment Louisa Bennett Lansing Center ... Have you discussed the most recent life experience first, followed by others in reverse

PLA Assessment Louisa Bennett

Lansing Center

UNDERGRADUATE SAMPLE

TAB I — PERSONAL INFORMATION

I & II

Student ID Number: 12345

Name: Louisa Bennett Present Employer: Michigan Public Health Institute

Address: 4900 E. Woodward Ave E. Lansing, MI 47001

Address: 1200 Wood Suite #150 Lansing, MI 47000

Telephone: (517) 101-5630 ext. Telephone: (517) 123-4567 ext.

TAB II — EDUCATIONAL BACKGROUND / DEGREE SOUGHT

Degree Option Sought: Bachelor of Science with Major in Community Development

Area(s) of Concentration: Community Services

Center: Lansing, Michigan Adviser: Nancy Long

Date of High School Graduation: 06/01/2001 If you have earned a degree from a junior or community college, please identify:

Degree:

College/Institution:

Location:

Major: Minor: Date Awarded:

List all additional colleges or universities you have attended, but from which you did not receive a degree:

1. Salt Lake Community College, Utah 2001-2002

TAB III-1 — APPLICANT’S TABLE OF CONTENTS

III-1

Use this form and the next two forms to prepare a table of contents which briefly outlines all information included in parts 4, 5, and 6. These pages should preface all material submitted. You should provide the title of the experience, the dates involved, name of employer, and an inventory of the documentation included. You must be certain each experience is documented. List your current or most recent experience first, and place each subsequent entry in chronological order. Your earliest post-secondary school experiences will be listed last.

PART IV — LEARNING FROM WORK EXPERIENCE Title of Experience/Dates

(e.g., Legal Secretary – Aug. 1996 to Sept. 1999)Name of Employer Documentation

IV-1 Community Health Assoc. 2/1/07 - Present

Michigan Public Health Institute Letter from MPHI Letter from supervisor Performance evaluation 12/2007 (only one available to date)

IV-2 Program Sec/Child Death Specialist 1/1/2003 – 1/10/2007

State of Utah, Dept. of Health Letter from Utah Dept. of Health, Human Resources Dept. Letter from supervisor Performance evaluation from 2006. (This is the only one that I could find)

IV-3

IV-4

IV-5

IV-6

IV-7

IV-8

IV-9

IV-10

IV-11

IV-12

IV-13

IV-14

IV-15


III-2

For each course, workshop or seminar include: (1) an outline or class description; (2) information on instructor’s credentials; (3) verification of completion; (4) specific documentation of in-class and out-of-class hours. Do not submit training experiences that are not or can not be specifically documented by a source other than you or a relative.

PART V — LEARNING FROM TRAINING EXPERIENCE

Title of Sessions/Dates

Content Outline

Description

Instructor Qualifications

Certificate of Completion or

Transcript

Exact In-Class & Out-of-Class

Hours & Assignments

V-1 Real Choices- Mental Health 5/31/07 – 6/2/07

X X X X

V-2 Michigan Child Death Review Training 8/3/07 – 8/5/07

X X X X

V-3

V-4

V-5

V-6

V-7

V-8

V-9

V-10

V-11

V-12

V-13

V-14

V-15

V-16

V-17

V-18

V-19

V-20


III-3

You must self assess each prior learning experience, listing one experience per line below (VI-1, VI-2, etc.). Each tab line must be completely documented as to what was learned, and the entire time period must be verified. Do not submit materials that cannot be documented.

PART VI — OTHER PRIOR LEARNING (Personal, Avocational Experience) Title of Experience/Dates Experience Provider or Location Documentation

VI-1 Vocal Instruction & Continued Development July 2006– Present

Nancy Stacker-Vocal Instructor Community Church

Letter from voice teacher Letter from church minster Copy of the wedding announcement indicating I was the singer.

VI-2 Association Member July 2005 – Present

National Alliance for the Mentally Ill

Letters from two non-relatives citing their qualifications and verifying my involvement in NAMI, Utah. Copy of minutes from a NAMI meetingCopy of a NAMI annual report.

VI-3

VI-4

VI-5

VI-6

VI-7

VI-8

VI-9

VI-10

VI-11

VI-12

VI-13

VI-14

VI-15

PORTFOLIO CHECKLIST

Directions: Respond to each item by placing a check in the appropriate space.

Yes No

Did you read Chapter 1 and Chapter 2 of the Prior Learning Student Handbook?

Did you study the sample portfolios? (Undergraduate or Graduate Samples)

Did you review the Prior Learning Briefing PowerPoint?

Did you attend a Prior Learning Briefing session? Location: ______________________ Date: __________

Did you submit your writing to the CMU Writing Center? (optional)

I & II: Personal Information and EducationYes No

Have you included your CMU transcript?

Have you included transcripts from other colleges attended? (if appropriate)

Have you included your CMU Transfer Credit Evaluation (TCE)? (if appropriate)

Explain any “no” responses: ________________________________________________________________________

III: Table of ContentsYes No

Have you included a Table of Contents form (III-1) for the Work Experiences submitted?

Have you included a Table of Contents form (III-2) for all Training Experiences submitted?

Have you included a Table of Contents form (III-3) for all Life Experiences submitted?


IV: Learning from Work ExperienceYes No

Have you discussed your present or most recent job first (IV-1)?

Have you discussed each previous job and labeled it appropriately (e.g., IV-2, IV-3, IV-4, etc.)?

Are the exact beginning dates (month, day, and year) and ending dates (month, day, and year) recordedconsistently throughout?

Have you indicated the hours per week for all part-time and full-time jobs?

Have you included documentation that verifies, in writing, the exact dates and hours for each job? (Thisapplies to both full-time and part-time jobs.)

Have you thoughtfully and completely explained each of the following in your own words?

Yes No Yes No

Tasks performed Skills & competencies gained

Concepts learned Recognition of achievements

Have you included a formal job description for each Work Experience submitted?

Have you included documents that support what you claimed to have learned on the job, e.g., samples ofwork or a letter on official letterhead from a supervisor or other person in a position to know?

Have you included one or more formal performance evaluations for each Work Experience submitted?

Have you organized each Work “Tab” (e.g., IV-1, IV-2, IV-3, etc.) by including the cover form, a thorough self-assessment (response to A-section questions) and all relevant documents (listed in the B-section)?


V: Learning from Training Experience (Courses, Seminars, Workshops)Yes No

Have you included documents that verify the dates and number of in-class hours and preparation for eachTraining Experience (V-Tab) submitted?

Have you included a course outline or syllabus for each Training Experience submitted?

Have you included the instructor’s name and qualifications for each Training Experience submitted?

Have you included a certificate, letter of completion or accomplishment, or transcript for each TrainingExperience submitted? (Please make copies; do not include your “original certificate.”)

Have you explained what you learned and responded to all of the questions on the Training Experience (V-Tab) form for each experience submitted?

Have you organized each Training “Tab” (e.g., V-1, V-2, V-3, etc.) by including the cover form, a thoroughself-assessment (response to A-section questions) and all relevant documents (listed in the B-section)?


VI: Learning from Life ExperienceYes No

Have you explained the learning and indicated dates for each Life Experience (VI-Tab) submitted?

Have you discussed the most recent life experience first, followed by others in reverse chronological order?

For each experience, have you submitted letters from at least two persons, who are not your relatives:1) verifying the time involved; 2) supporting what you claimed to have learned; and 3) documenting that anyproducts included were actually produced by you?

Have you organized each Life “Tab” (e.g., VI-1, VI-2, VI-3, etc.) by including the cover form, a thorough self-assessment (response to A-section questions) and all relevant documents (listed in the B-section)?


VII: Signature BlockYes No

Have you signed and dated the signature block (VII-Tab) and placed it at the end of the portfolio?

Did you have the VII form, which includes the signature block, notarized?

Have you provided two copies of your portfolio? (Keep the original; portfolios are not returned.)

Have you included a check for the portfolio processing fee?


Note: Please include this Checklist with your portfolio, placing the completed form at the end of the portfolio,

directly after the Signature Block Form (Tab VII).

Documents

PLA Assessment - Central Michigan University · PLA Assessment Louisa Bennett Lansing Center ... Have you discussed the most recent life experience first, followed by others in reverse