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11: Appendix C-1

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    64376
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    Program Fidelity Tracker: Tracking Use of Toolkit Modules and Universal Design  for Learning (UDL)-Aligned Practices 

    Purpose

    This tracker helps faculty document which modules from the Toolkit for Inclusive  Workforce Education were implemented, the inclusive strategies used, and brief  reflections on outcomes. It serves as a record of practice for program review, professional  learning, or grant reporting. 

    It can also help identify which inclusive strategies are most effective across contexts.

    Instructions 

    Complete one line per class session, module, or instructional week. 

    Use brief notes or keywords; detailed reflections may be captured in the Faculty  Reflection Log. 

    Columns may be customized to match local reporting or accreditation needs. The table may be completed digitally using keyboard-accessible fields or printed for  handwritten notes. 

    Implementation Record 

    Table C1 Faculty Reflection Summary Rating Categories 

    Date

    Module  / Lesson  Title

    Format  

    (In Person /  Online / Hybrid)

    Primary  Skill Focus

    UDL / Inclusive Strategies Used

    Evidence of  Learner Engagement

    Next Step /  Adaptation 

    Initials

                   
                   

    (Add or duplicate rows as needed.)

    Quick Fidelity Self-Check (Mark all that apply) 

    ☐ Learning outcomes posted and reviewed with learners. 

    ☐ Multiple means of engagement, representation, and expression evident. ☐ Scaffolding followed model → guided → independent sequence. 

    ☐ Accessibility supports (captions, alt-text, translations) verified. 

    ☐ Reflection or debrief activity completed with learners. 

    ☐ Learner feedback gathered informally (discussion, poll, reflection). Summary 

    Overall Fidelity This Term: ☐ Strong ☐ Adequate ☐ Needs Revision / Adaptation

    Instructor Signature: _________________________ Date: ___________________ Next review date or cycle: _____________________ 

    Use Notes: 

    • The tracker may be kept digitally or printed for department documentation.
    • Summarized data can inform professional-learning goals or program-accreditation  evidence. 
    • Consistent use supports alignment with Vision 2030 priorities for equitable, data informed instruction (CCCCO, 2025).

     

     


      11: Appendix C-1 is shared under a CC BY 4.0 license and was authored, remixed, and/or curated by LibreTexts.

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