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SSBC Starter Evaluation Form
This form should be used as an evaluation form for Starters.
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Email
*
Your email
Basic Information
Assessor Name
*
Your answer
Assessor Level
*
Apprentice Provincial Official
Provincial Official
National Official
Starter Name
*
Your answer
Starter Level
*
Not Currently Certified
Apprentice Provincial Official
Provincial Official
National Official
Date of Event
*
MM
/
DD
/
YYYY
Name of Event
*
Your answer
Location of Event
*
Your answer
Intellectual Vitality
Attitude towards learning
*
Your answer
Impact and influence
*
Your answer
Listening and understanding
*
Your answer
Ratings
Ratings of knowledge and understanding out of 5
*
Minimum
Low
Moderate
High
Excellent
Knowledge of Rules
Communication
Positioning
Starts
Attentiveness
Attitude/Poise
Reliability
False Starts
Meet Preparation
Minimum
Low
Moderate
High
Excellent
Knowledge of Rules
Communication
Positioning
Starts
Attentiveness
Attitude/Poise
Reliability
False Starts
Meet Preparation
Starts: Summary of race intervals
*
Your answer
Overall Successes
*
Your answer
Overall Challenges
*
Your answer
Summary
Taking into account all factors, what is your overall assessment of the Starter’s performance?
*
Poor
1
2
3
4
5
Excellent
Feedback Discussed with Mentee
*
Yes
No
Recommendation for Upgrade
*
Yes
No
Rationale for Recommendation
*
Your answer
Additional Comments
*
Your answer
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