Skills Evaluation Sign-Up

Skills Evaluation Sign-Up

A skills evaluation is required for all members who wish to be an active responder at our events or with our external partners.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Certification*
If you have any questions regarding your certificate/license equivalency, please contact Howell before completing this form.
Which evaluation are you signing up for?*

ResponderSupervisor
Please note that due to frequent last-minute cancellations and VERY high demand, cancellations with less than 24-hours notice are not allowed. If you do not show up to your appointment, you will not be allowed to sign up for further skills evaluations for one month.
Locations:

Monday, November 3: OI5270

Friday, November 7: OI5270

Saturday, November 8: SS1080

Friday, November 14: OI5280

Sunday, November 16: BA026

Friday, November 21: OI5270
Appointment Time*
Should be Empty: