IICRC INSTRUCTOR AND SCHOOL EVALUATION FORM

THE IICRC INSTRUCTOR & SCHOOL EVALUATION FORMThis form may be returned to your instructor or may be mailed directly to The IICRC at4317 NE Thurston Way, Ste. 200. Vancouver, WA 98662You may also choose to download this form via www.iicrc.org/downloads.htmlCourse Type (ex. CCT)__________ School Code _____________Date _____ Location ________________ Instructor _____________________________Are you a Technician Administrator Owner Manager Other______________This evaluation form gives you the opportunity to anonymously express your opinions about theinstructor and the course materials. Please take time to rate the following statements based on a1 to 10 score (1 being very poor and 10 being excellent). Fill in the bubble to the left of thescore.1. The instructor was on time and well prepared for the class.O 1 O 2 O 3 O 4 O 5 O 6 O 7 O 8 O 9 O 102. The course manual was organized and easy to follow and reference.O 1 O 2 O 3 O 4 O 5 O 6 O 7 O 8 O 9 O 103. Technical definitions and material were well explained.O 1 O 2 O 3 O 4 O 5 O 6 O 7 O 8 O 9 O 104. The instructor displayed an extensive understanding of the subject.O 1 O 2 O 3 O 4 O 5 O 6 O 7 O 8 O 9 O 105. Visual presentations were professional and easy to understand.O 1 O 2 O 3 O 4 O 5 O 6 O 7 O 8 O 9 O 106. The instructor answered questions raised by students.O 1 O 2 O 3 O 4 O 5 O 6 O 7 O 8 O 9 O 107. The instructor used teaching aids and samples pertinent to the class material.O 1 O 2 O 3 O 4 O 5 O 6 O 7 O 8 O 9 O 108. The instructor’s presentation was enthusiastic and involved the class.O 1 O 2 O 3 O 4 O 5 O 6 O 7 O 8 O 9 O 109. The instructor covered the course material in an organized manner.O 1 O 2 O 3 O 4 O 5 O 6 O 7 O 8 O 9 O 1010. The classroom was comfortable and conducive to learningO 1 O 2 O 3 O 4 O 5 O 6 O 7 O 8 O 9 O 1011. Appropriate time was given for hands-on demonstrations.O 1 O 2 O 3 O 4 O 5 O 6 O 7 O 8 O 9 O 1012. The sponsor was respectful and was concerned with the needs of students.O 1 O 2 O 3 O 4 O 5 O 6 O 7 O 8 O 9 O 1013. Did the course presentation promote one product or brand? (10 being no)O 1 O 2 O 3 O 4 O 5 O 6 O 7 O 8 O 9 O 1014. The instructor made himself/herself available before and after class.O 1 O 2 O 3 O 4 O 5 O 6 O 7 O 8 O 9 O 1015. Y – N Did the instructor show a visual presentation explaining the IICRC, itsbenefits and the candidate agreement instructions?- OVER -

What did you like most about the instructor and course? -___________________________________________________________________________________________________________________________________________________________________________________What was your opinion of the course manual?____________________________________________________________________________________________________________________________________________________________________________________How do you think the course could be improved?____________________________________________________________________________________________________________________________________________________________________________________Additional comments on the instructor, course materials or sponsor:________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________What was your opinion about the demonstrations?____________________________________________________________________________________________________________________________________________________________________________________Student name (optional) ______________________________________________These comments and ratings are collected in an effort to improve the consistencyof quality educational events approved by the IICRC. Your instructor and theIICRC will review the evaluation above and these comments will not reflect yourgrade on the exam. Thank you for your opinion.Revised 3.16.12