2025 Annual Report Form
The information presented on this form should reflect information from 2024. This form may only be completed by an ACPE Certified Educator and is to be submitted no later than March 1.
Name of Accredited Program
*
Name of Person Completing This Form
*
Email address
*
Please select your accreditation commissioner
*
Kraig Beardemphl
Mirjam Berger
Mary Browne
Jonathan Fisher
Collette Gaffney
Stephenie Maddox-Hill
Lynne Mikulak
Yhanco Monet
Va'Nechia Rayford
Unyong Statwick
Crystal Schmalz
Mica Togami
Is your dashboard current?
*
YES
NO
If you answered NO, please explain
Please indicate the total number of students (not units) who enrolled in your program last year.
*
The total number of students last year was
*
An increase in number of students from the previous year
A decrease in number of students from the previous year
The same number of students from the previous year
Please elaborate on any trends in increase/decline of students and any concerns you have for your program based on student enrollment.
*
Do you offer any part of your program via distance education/video conferencing?
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YES
NO
If YES, please indicate what portion of your program is offered via distance education/video conferencing.
100%
Greater than 50%
Less than 50%
Only as a sporadic fill in
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Standard 1
Please indicate whether you have reviewed/updated each item.
Individualized Learning Plans
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YES
NO
Description of Clinical Sites and copies of all Clinical Placement Agreements (must be completed/signed and uploaded prior to students beginning their clinical work at a site)
*
YES
NO
Evidence of Student Engagement
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YES
NO
Presentation on the measurement of student achievement (reflecting updated indicators and outcomes)
*
YES
NO
Biographical Forms for all educators and current resume/CV for additional presenters and preceptors.
*
YES
NO
Summary of the evaluation of Units utilizing video conferencing
*
YES
NO
Please explain any 'NO' answer that you provided in the above questions. If none, please write NONE in the box.
*
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Standard 2
Please indicate whether you have reviewed/updated each item.
Written Curriculum
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YES
NO
Curricular Highlights Presentation
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YES
NO
Curriculum Crosswalk
*
YES
NO
Process of Curricular Review
*
YES
NO
Presentation on impact of revisions to the overall program
*
YES
NO
Please explain any 'NO' answer that you provided in the above questions. If none, please write NONE in the box.
*
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Standard 3
Please indicate whether you have reviewed/updated each item.
Description of Student Support Services and Academic Resources
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YES
NO
Unique components of the program as a learning environment
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YES
NO
Analysis of current educator workload and peer group size
*
YES
NO
Documentation of 50 hour CEU requirement and presentation about engagement of faculty in professional development.
*
YES
NO
Please explain any 'NO' answer that you provided in the above questions. If none, please write NONE in the box.
*
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Standard 4
Please indicate whether you have reviewed/updated each item.
Current Student Handbook
*
YES
NO
Detailed listing of complaints
*
YES
NO
Copies/links to publications and access to websites
*
YES
NO
Policy review process and changes made
*
YES
NO
Please explain any 'NO' answer that you provided in the above questions. If none, please write NONE in the box.
*
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Standard 5
Please indicate whether you have reviewed/updated each item.
Financial Plan/Budget
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YES
NO
Have their been any changes to your program's financial standing or support?
*
Yes
No
Other
If you answered Yes or Other to the previous question, please provide a detailed explanation. If you answered No, please type N/A in the box.
*
Meeting minutes for program assessment/design
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YES
NO
Presentation on alignment with sponsoring organization
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YES
NO
Organizational Chart
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YES
NO
Student Achievement Chart
*
YES
NO
Please explain any 'NO' answer that you provided in the above questions. If none, please write NONE in the box.
*
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Standard 6
Please indicate whether you have reviewed/updated each item.
Written plan and procedure for assessment
*
YES
NO
Summary of Changes
*
YES
NO
Educator/Faculty hiring processes
*
YES
NO
Please explain any 'NO' answer that you provided in the above questions. If none, please write NONE in the box.
*
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Standard 7
Please indicate whether you have reviewed/updated each item.
Professional Development Opportunities for staff
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YES
NO
Professional Development Opportunities for Students related to cultural and religious diversity and racial equity
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YES
NO
Feedback related to ethical integrity
*
YES
NO
Non-Discrimination Polices
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YES
NO
Learning activities and evaluation strategies related to inter-cultural competence
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YES
NO
Culturally responsive students support services
*
YES
NO
Presentation on Ethics and Complaint Policies
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YES
NO
Presentation on the creation of a relational learning environment
*
YES
NO
Please explain any 'NO' answer that you provided in the above questions. If none, please write NONE in the box.
*
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Summary
Have there been any major changes to your program in the past year?
*
YES
NO
If you answered 'YES,' please explain.
Do you have any issues or concerns related to your program's compliance with any of the Standards?
*
YES
NO
MAYBE
If you answered 'YES' or 'MAYBE' please explain.
After submitting your form, you will receive an email confirmation with your responses. Please be sure to download and save the email in the Archived folder in your SharePoint portfolio.
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