Inspiring Leaders, Skillful Riders, Educate and Involve Members

U.4 Digital Form

Instructor Recertification Form

Name*

First

Last

Member #*

Email*

Phone*

Position Renewing *

University Instructor

University Instructor Trainer

University Trainer REP

Check all that apply

Yes

No

Demonstrates enthusiasm/passion

Fully prepared and confident

Gets participants into action

Explanations and directions are clear

Uses appropriate questions to foster discovery

Demonstrates facilitation skill

Facilitates group interaction

Uses examples, stories, analogies

Uses 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

Date

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