The purpose of this form is to collect information on the specific QR modules that were implemented at each institution and how they were implemented.  


In addition to filling out this form, please work with your institutional PI to upload assessment data for analysis to the appropriate shared folder.  

Semester
Institution
Course
Module Title 
(note: if you implemented more than one module this semester, please submit a separate MIQ form for each module)
Was the module reviewed by the Curricular Awareness Committee before piloting/implementation?
How many semesters have you previously implemented this module?