Instructor Candidate Evaluation Form
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Name: _____________________________________ ACA #: ________________
Course: ______________________________________________________________
Course Dates: _________________________________________________________
Venue / Conditions: _____________________________________________________
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Instructor Trainer Note: Please either use this generic form or your own form/method to evaluate Instructor Candidates during an ICW. Please provide the ACA National Office with a copy of each Instructor Candidates evaluation along with the Certification Course Report form, especially if they were ‘continued’ or ‘failed’.
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Paddling Ability (Strokes & Maneuvers) in appropriate venue(s) / conditions:
Demonstration Quality (Strokes & Maneuvers) in appropriate venue(s) / conditions:
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Rescue Ability:
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Formal Teaching Topics:
Impromptu Teaching Topics:
Overall Teaching Ability (including strokes, maneuvers, & rescues):
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Safety Awareness, Group Management, Leadership & Judgment:
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Interpersonal Skills:
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Additional Comments:
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Final Certification(s):
Level ________________________________________________ Pass Continued Fail
*If an Instructor Candidate is ‘continued’ at any level, please also complete and submit the attached Instructor Candidate Continuation Form. |
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Instructor Trainer Signature: ____________________________________________ Date: ________________
Instructor Trainer Printed Name: ________________________________________________________________ |
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Name: _____________________________________ ACA #: ________________
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Instructor Candidate Continuation Form
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If an Instructor Candidate was continued at any level during an ICE, please complete and submit this form. For example: if it was a Level 1 Certification Course and they were continued; or if it was a Level 3 Certification Course and they received a Level 2 certification, but were continued at Level 3.
Continued at Level _________________________________________________________________________
● Please list the deficiencies observed, along with any pertinent comments:
(please use the back or additional pages if necessary)
● If applicable, please briefly outline any remediation plan developed between the continued Instructor
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Instructor Trainer Signature: ____________________________________________ Date: ________________
Instructor Trainer Printed Name: ________________________________________________________________ |
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Please return a signed copy of this form to the ACA’s Safety Education & Instruction Department.
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Candidate and the Instructor Trainer. (please use the back or additional pages if necessary)