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Program or Service Observation Form
LTC/310 Version 3
1
University of Phoenix Material
Program or Service Observation Form
Record your observations of the program or service your
instructor approved for you. Submit this form with your final
learning team assignment.
Part 1: Basic Information
1. What is the name of the program or service?
2. Provide a description of the program or service.
Part 2: Program or Service Qualifications
1. Is the program or service licensed? Is it accredited? What
requirements must it meet to obtain these?
2. How often is the program or service reviewed to ensure the
program meets the requirements? How rigorous is the review
process?
3. What are the staff’s qualifications? Does the program or
service encourage or provide additional training for staff
members?
4. Who provides funding for the program or service? What are
the requirements to receive this funding?
Part 3. Public Perception
1. How long has the program or service been available in the
community? Has it changed form or names since its creation?
2. What category does this program or service fit into—
educational or social? How is this evident?
3. How is the program or service advertised? What is the most
effective form of communication for this program or service?
4. Who benefits from this service or program? What populations
does it serve?
5. Is the program local or is it available in other communities?
6. Does the program or service have a good reputation in the
community? How does this program or service work with other
organizations, the government, or local residents?
Part 4. Conclusion
1. Does the program or service appear effective? How can you
tell?
Copyright © 2017 by University of Phoenix. All rights reserved.

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Program or Service Observation FormLTC310 Version 31Unive.docx

  • 1. Program or Service Observation Form LTC/310 Version 3 1 University of Phoenix Material Program or Service Observation Form Record your observations of the program or service your instructor approved for you. Submit this form with your final learning team assignment. Part 1: Basic Information 1. What is the name of the program or service? 2. Provide a description of the program or service. Part 2: Program or Service Qualifications
  • 2. 1. Is the program or service licensed? Is it accredited? What requirements must it meet to obtain these? 2. How often is the program or service reviewed to ensure the program meets the requirements? How rigorous is the review process? 3. What are the staff’s qualifications? Does the program or service encourage or provide additional training for staff members? 4. Who provides funding for the program or service? What are the requirements to receive this funding?
  • 3. Part 3. Public Perception 1. How long has the program or service been available in the community? Has it changed form or names since its creation? 2. What category does this program or service fit into— educational or social? How is this evident? 3. How is the program or service advertised? What is the most effective form of communication for this program or service?
  • 4. 4. Who benefits from this service or program? What populations does it serve? 5. Is the program local or is it available in other communities? 6. Does the program or service have a good reputation in the community? How does this program or service work with other organizations, the government, or local residents? Part 4. Conclusion 1. Does the program or service appear effective? How can you tell?
  • 5. Copyright © 2017 by University of Phoenix. All rights reserved.