ICJ Teacher Apprentice Evaluation Form ICES Certified Judges This Evaluation is for:Teacher Apprentice's Name:* First Last Date of Class* Date Format: MM slash DD slash YYYY City & State where class was held*Submitted by Mentor's Name* First Last Mentor's Email* In what capacity do you know this apprentice?*Really wellFairly wellSlightlyRate this apprentice's teaching abilities: 1-Poor, 3-Good, 5-ExcellentConfidentiality*1-Poor2345-ExcellentHonest*1-Poor23-Good45-ExcellentKnowledgeable*1-Poor23-Good45-ExcellentOrganized*1-Poor23-Good45-ExcellentPositivity*1-Poor23-Good45-ExcellentProfessionalism*1-Poor23-Good45-ExcellentPrompt*1-Poor23-Good45-ExcellentReliable*1-Poor23-Good45-ExcellentRespectful*1-Poor23-Good45-ExcellentWhy do you feel this apprentice will be a good ICJ class instructor?*1-Poor23-Good45-ExcellentCommentsPlease give detailed explanation if this Apprentice needs additional training at this time:Recommendation:*I recommend this Apprentice as an ICJ class instructor.I recommend this Apprentice not be an ICJ class instructor at this time.Recommendations must be signed by the mentor:Mentor's Signature* Digital Signature Date Date Format: MM slash DD slash YYYY By clicking “I agree", I agree to use an electronic signature to demonstrate my acceptance of the above information. I understand and agree that an electronic signature and/or electronic acceptance is as legally binding as an ink signature to have the submitted printed in the ICES Newsletter and Webpage.I Agree* Digital Signature This form is not complete unless you click “submit" and will be used as your digital signature. Once you have submitted the form you should receive a “Thank You” confirmation email. If you do not receive this “Thank You” email then your form DID NOT go through and you will need to RE-SUBMIT your form. Please double check to make sure you: Have filled in all the required information, (a RED message will appear if information is missing).Este formulario no está completo a menos que haga clic en "enviar".Una vez que haya enviado el formulario, debe recibir un correo electrónico de confirmación de "Gracias". Si no recibe este correo electrónico de "Agradecimiento", entonces su formulario NO se envió y tendrá que REITERAR su formulario.Por favor, vuelva a verificar para asegurarse de que:Ha completado toda la información requerida (aparecerá un mensaje ROJO si falta información).EmailThis field is for validation purposes and should be left unchanged.
