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Evaluation activities are essential to be conducted to measure the effectiveness level of the ICT-based learning process in colleges, including also specifically for health colleges. Evaluation models that are often used to measure ICT-based learning effectiveness in health colleges are formative-summative models. However, reality shows that the evaluation model is not effective. The problems solving to overcome that problem is to develop a new evaluation model in the form of CIPP (Context-Input-Process-Product) model based on SAW (Simple Additive Weighting) so that it can show the assessment accuracy level to ICT-based learning quality aspects. This study purpose was to know the initial design of the CIPP model based on SAW. This research uses the Borg & Gall development method, which focuses on the model design phase. Subjects involved in designing this evaluation model were three peoples with academic classifications in the fields of information technology, educational evaluation, and health. The research results showed that there was a clear evaluation model design using CIPP evaluation components and SAW methods in conducting learning evaluation.