Instructor Recertification Form Name*FirstLast Member #* Email* Phone* Position Renewing *University Instructor University Instructor Trainer University Trainer REP Check all that apply YesNoDemonstrates enthusiasm/passionFully prepared and confidentGets participants into actionExplanations and directions are clearUses appropriate questions to foster discoveryDemonstrates facilitation skillFacilitates group interactionUses examples, stories, analogiesUses visual tools appropriately This section for use only for Instructor Evals Not Recertification Event - 1 Date - 1 Class Taught - 1 Event - 2 Date - 2 Class Taught - 2 Signature: Type Your Name DateSubmitReset