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Apprentice Evaluation Form

Apprentice Information:

Legal Name:

SCA Name:


Name of Event:

Location:

Date of Event:

Chirurgeon in Charge:

Number of events apprentice has worked:

Summarize the apprentice's responses (including "band-aid" requests):


Was this event's workload representative of a typical event? Yes No
What is your opinion of the Apprentice's:

Attentiveness/Responsiveness
5 4 3 2 1 Not Observed

Presence of Mind/Triage ability
5 4 3 2 1 Not Observed

First Aid Skills
5 4 3 2 1 Not Observed

Communication Skills
5 4 3 2 1 Not Observed

Ability to inspire confidence
5 4 3 2 1 Not Observed

"Rabid" Tendencies (Over-eager, hovering like a vulture, etc.)
5 4 3 2 1 Not Observed


Judging by today's performance would you recommend this apprentice for a warrant?
Yes No


How many more events would you recommend this apprentice work before warranting?
1 2 3 4 >=5 Would not recommend warranting


Comments:


Evaluating Chirurgeon:

SCA Name:

Legal Name:

Email: