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PDF, 3.8 MB - Substance Abuse and Mental Health Services ...

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Exhibit 5.1<br />

Daily Trainee Evaluation<br />

FI TRAINING EVALUATION<br />

Lead Trainer<br />

Training Evaluations<br />

Training Room Name:<br />

Attention: Numeric scores reflect FI proficiency with the training material <strong>and</strong> FI performance in class (see the Trainee Rating Scale). The additional letter remarks reflect specific merits or deficiencies, if any were evident (see<br />

Trainee Evaluation Letters). FSs should not follow-up with their FIs regarding these scores unless explicitly directed to do so by the Site Leader. The Lead Trainer/Site Leader will address any problems/concerns directly with the<br />

FI.<br />

Last Name First Name FS RS Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7<br />

Comments (Required for scores of<br />

1,2,A,B,C)<br />

55<br />

Trainee Rating Scale<br />

Trainee Evaluation Letters<br />

Number<br />

Reason<br />

Letter<br />

Reason<br />

1 Probation, significant problems with equipment <strong>and</strong>/or procedures.<br />

A<br />

2<br />

Marginal Performance - may need field mentoring <strong>and</strong> continued practice, shows<br />

willingness to learn.<br />

B<br />

3 Satisfactory, underst<strong>and</strong>s concepts, can proficiently h<strong>and</strong>le equipment.<br />

C<br />

Tardiness or disruptive behaviors<br />

Preparation problems (apparent failure to review FI Manual prior to training, unfinished homework)<br />

Physical limitations (eyesight, hearing, etc.)<br />

Fully satisfies training requirements, exhibits better than average skill in<br />

4 D<br />

comprehension of project procedures <strong>and</strong> h<strong>and</strong>ling equipment.<br />

Attentive, fully participating<br />

E<br />

Benefited from FI Lab<br />

F<br />

Showed significant improvement over previous day(s)

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