N.E.W Rescue Task Force Equipment Evaluation Form

N.E.W Rescue Task Force Equipment Evaluation Form

***REQUIRED after equipment use for nonprofit data and project evaluation for future needs.
Agency/Organization Name
Agencies involved in training?
County here trailer was used
Contact:

First NameLast Name
Phone Number

Area CodePhone Number
Address where trailer is used

Street Address

Street Address Line 2

CityState

Zip Code
Number of total students reached?
Number of instructors used?
Skills taught with manikins?
Number of Manikins used?
Where SIRT laser training guns used?
Was any equipment damaged prior to your training?
Comments
Date

MonthDayYear
Should be Empty: