This program assessment instrument was developed to identify criteria for excellence in science in Alaskan schools. It was designed to be used by administrators, professional staff and community representatives to assess science programs. The instrument contains categories of items which are to be rated on a five-point scale ranging from "not started" to "achieved." The categories deal with: (1) philosophy; (2) staffing and professional development; (3) administration; (4) planning; (5) program; (6) community involvement; and (7) evaluation. It is suggested that the instrument could also be used to establish program goals, validate exemplary programs, do a self-appraisal, plan inservice and staff development activities, and disseminate information. (TW)