Assessment Template

Curriculum Title:

Group: _________________________

Grade Level (circle one): K-2 3-5 6-8 9-12

Academic Area (circle one): Language Arts, Social Studies, Mathematics, Science, Other ______________

List the two academic learning goals stated in the curriculum template.

1.

2.

Based on the learning goals, list 6 academic facts/items you expect students to understand from the unit connected to service learning. These items should be related to the academic element of the service project/unit, not to the service project itself or to the character virtues.

1.

2.

3.

4.

5.

6.

Part 1:

Using the 6 items listed above, create 6 corresponding multiple choice questions to assess student knowledge prior to and following the service learning project. Each question should have four possible answers provided. Please place the correct answer for each question next to the letter that has been circled.

1.

a.

b.

c.

d.

2.

a.

b.

c.

d.

3.

a.

b.

c.

d.

4.

a.

b.

c.

d.

5.

a.

b.

c.

d.

6.

a.

b.

c.

d.

Additional Questions

7.

a.

b.

c.

d.

8.

a.

b.

c.

d.

9.

a.

b.

c.

d.

10.

a.

b.

c.

d.

Part 2:

Create two longer-answer questions to demonstrate students’ deeper understanding. The questions should require and assess students’ deeper understanding of the material. The first of these questions should relate to an aspect of the academic content of the service project. The second question should relate to an aspect of the character content of the project. Students’ answers will be graded from 1-4 points using a rubric. After reviewing the rubric, please write an example of an answer that would be graded as a 3.

Academic Question

1.

Answer:

Character Question

2.

Answer:

Assessment Rubric

4	3	2	1
Student demonstrates in depth understanding of material/character virtue, including concepts and detail.	Student demonstrates thorough understanding of material/character virtue, including basic concepts and sufficient detail.	Student demonstrates basic understanding of material/character virtue, including basic concepts and minimal detail.	Student demonstrates inaccurate or no understanding of material/character virtue.