Office of Institutional Effectiveness and Assessment, Sanford Hall, Room 112
Tel 678-839-6449 • Fax 678-839-4765 • www.westga.edu/iea
ASSESSMENT LIAISON DESIGNATION
AND RESPONSIBILITIES FORM
(ASSESSMENT-01 March 2018)
Each University department must designate an employee to serve as an Assessment Liaison (AL). The AL must be at a level
of management sufficient to coordinate department-level assessment activities efficiently and effectively and serve as a
liaison to the University Director of Assessment. If deemed appropriate, the department head may also designate an
additional employee to assist the AL and serve as an alternate.
The responsibilities of the designated Assessment Liaison include, but are not limited to, the following:
Act as a liaison to the University Director of Assessment.
Attend and participate in assessment related training and activities.
Coordinate assessment activities for the department/unit.
Complete and submit the department/unit assessment report on an annual basis according to the University
Assessment reporting schedule.
If a department’s AL leaves his/her position, it is the responsibility of the department supervisor to assign a new AL and
communicate that information to the University Director of Assessment.
Instructions: Review the responsibilities listed above for an Assessment Liaison (AL). Complete and return by mail or
deliver an original, typewritten, signed ASSESSMENT LIAISON DESIGNATION AND RESPONSIBILITIES FORM
(ASSESSMENT-01) to the Office of Institutional Effectiveness and Assessment, Sanford Hall, Room 112.
☐ NEW ASSESSMENT LIAISON
1. Division, College, or School
2a. Section or Sub-Area (if needed)
3. Name of Incoming Assessment
Liaison
5. Direct Campus Phone Number
(no call center/ phone tree accepted)
7. Name of Department Head
☐ REMOVE/DELETE ASSESSMENT LIAISON
8. Name of Assessment Liaison to
Remove/Delete
By signing, we acknowledge reading and understand the responsibilities of an Assessment Liaison (AL). The department head agrees to
support the Assessment Liaison in carrying out his/her responsibilities. The designated employee accepts these responsibilities and agrees
to serve as an Assessment Liaison for the department/unit until this form is revoked.
Date 10. Incoming Assessment Liaison (AL) (signature)
_________________________________________________________
11. Department Head (signature)
__________________________________________________________
For Institutional Effectiveness &
Assessment Office Use only
☐ AL E-mail Distribution List
☐ AL Database
☐ AL File
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