Questions marked with an asterisk (*) are mandatory.

Please fill out the following information to submit your institutional improvement(s)for ORU. You can list more than one observed need and improvement.

1	* Name of Submitter:

2	Title

3	Department or Area where improvement is (was) needed:

4	What was the specific need(s) that was observed? Need #1 Need #2 Need #3 Need #4 Need #5

5	How did you learn of the need(s)in this area? (i.e. survey information, student response...)

6	List institutional improvement(s) being implemented (OR answer Question No. 7 below). Improvement #1 Improvement #2 Improvement #3 Improvement #4 Improvement #5 Improvement #6 Improvement #7 Improvement #8 Improvement #9 Improvement #10

7	Enter institutional improvement(s) you are suggesting. Also enter the department or person you think might be able to take action on each item. Suggested improvement Person or Dept. responsible Suggested improvement Person or Dept. responsible Suggested improvement Person or Dept. responsible Suggested improvement Person or Dept. responsible

8	Semester of implementation of improvement. Fall Spring Summer (Unknown)

9	Year of implementation of improvement: 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015

10	Any other information about this improvement?

11	Has it been made known to or discussed by the University community? In what way(s)?

12	Do you have a suggestion for improvement of this form or ORU's process of continuous improvement?