Learning Objectives Worksheet

Learning Objectives Worksheet
Class Number
Semester/Year
Students Full Name*
Palomar ID Number*
Student email address (one you check regularly)
Company Name (please print or type)*
Where do you work?
Supervisor’s Name (please print or type)*
Student's Job Title and Job Description*
Instructions: The student and job supervisor must formulate three SMART learning objectives, which the student will complete on the job or internship. The student then must return this worksheet to an instructor for approval prior to receiving the Statement of Cooperation.

Please remember, these SMART learning objectives must be related to your Job.
Objective # 1

Goal #1
S. Specific: what will you achieve?*
M. Measurable: how will you measure it (for example, quantity, frequency, quality, cost)?*
A. Achievable: what knowledge, skills, abilities, and resources will you need?*
R. Relevant: why is the objective important?*
T. Time-bound: when does it need to be completed?*
Objective # 2

Goal #2
S. Specific: what will you achieve?*
M. Measurable: how will you measure it (for example, quantity, frequency, quality, cost)?*
A. Achievable: what knowledge, skills, abilities, and resources will you need?*
R. Relevant: why is the objective important?*
T. Time-bound: when does it need to be completed?*
Objective # 3

Goal #3
S. Specific: what will you achieve?*
M. Measurable: how will you measure it (for example, quantity, frequency, quality, cost)?*
A.Achievable: what knowledge, skills, abilities, and resources will you need?*
R.Relevant: why is the objective important?*
T.Time-bound: when does it need to be completed?*
Should be Empty:

Learning Objectives Worksheet

Objective # 1

Objective # 2

Objective # 3