CMSP MTC Instructor QA Form
Evaluator
Dan Parks
Earl Damron
Colleen Sepulveda
Ricky Nagayo
David Sullivan
David Bianco
Ofir Ramirez-Rios
Andrea Sarvetnick
Dave Woods
Jeanne Reincke
Turin Atol
Vince Greva
Josh Gilbow
Sue Taylor
Christine Cossios
Tom Edgar
Carl Kolek
Instructor:
First Name
Last Name
ID#
Date
-
Month
-
Day
Year
Date
School Name:
2 Wheel Safety Training
Academy of Motorcycle Operation LLC
Antelope Valley Harley-Davidson
Bartels Harley Davidson
Bay Area Motorcycle Training
Cabrillo College
Central Coast Motorcycle Training
Cerritos Community College
Clutch Motorcycle Training
Eagles Nest Harley Davidson
Golden State Moto
Harley Davidson of Sacramento
Iron Steed Harley Davidson
Learn to Ride VC
MCAS Miramar
MCB Camp Pendleton
MCLB Barstow
MRE Corp
Modesto Jr College
Motorcycle Training Services, Inc
Mt. San Antonio College
Northern California Motorcycle Training, Inc
Orange County Motorcycle Training
Pacific Motorcycle Training
Pacific Safety Center
Redwood Region Motorcycle Training
Ride Rite
Riverside Harley Davidson
STMC
Saddleback Rider Training
Safety Center Inc
Santa Rosa Motorcycle Training
Sierra Community College
Sierra Steel HD
SoCal Motorcycle Training
Top Gun Motorcycle Training
Twysted Throttle
U-RIDE
Valley Motorcycle Training, Inc
Westside Motorcycle Academy
2 Wheel Safety Range:
Coyote Valley
Newark Pavillion
Mission College
Ohlone Fremont
Ohlone Newark
Gilroy
Other
Academy of Motorcycle Operations
Pasadena
Altadena
Glendale
Monterey Park
Antelope Valley HD
Antelope Valley Fairgounds
Bartels HD
Hawthorne Sports Center
Bay Area Motorcycle Training
City College of SF
Solano Fairgrounds
Alameda
Cabrillo College
Cabrillo College
Central Coast
Santa Maria
San Luis Obispo
Cerritos College
Cerritos
Clutch Motorcycle Training
Long Beach Airport
Scottish Rite
Eagles Nest HD
Shaw Road
Golden State Moto
San Jose
HD of Sacramento
HD Sac
Iron Steed HD
Solano Town Center
Learn to Ride VC
Somis
Wrightwood
Hesperia
MCAS Miramar
Miramar
MCB Camp Pendleton
Camp Pendleton
MCLB Barstow
Barstow
MRE Corp
Simi Valley
Modesto Jr College
Modesto Jr College
Motorcycle Training Services
Wrightwood
Adelanto
Hesperia
Mt San Antonio
Walnut
NCMT
Petaluma
San Mateo
Pleasant Hill
Hayward
Sonoma County Fairgrounds
Santa Rosa
Other
Orange County Motorcycle Training
Fullerton
Pacific Motorcycle Training
S. San Francisco
Livermore
Salinas
San Bruno
Laguna Seca
Woodland
Pacific Safety Center
Chula Vista (Amphitheater)
Southwestern College
Redwood Region
Cloverdale
Eureka
Ride Rite
Van Nuys
Lake Elsinore
Corona
Riverside
San Bernardino
Other
Riverside HD
Perris
STMC
Colton
Saddleback Rider Training
Mission Viejo
Safety Center
Safety Center
Mather Field
Santa Rosa Motorcycle Training
Sonoma County Fairgrounds
Santa Rosa Veterans Memorial
Sierra College
Sierra College
Sierra Steel HD
Chico
Redding
Red Bluff
So Cal Motorcycle Training
San Bernardino
Top Gun Motorcycle Training
Santa Clarita
Palmdale
Edwards AFB
Shafter
Twysted Throttle
Oceanside
San Marcos
U-Ride
Costa Mesa
Valley Motorcycle Training
Fresno
Merced/Atwater
Visala
Westside Motorcycle Academy
Inglewood
Evaluation of:
*
Classroom
Range
Classroom (Zoom)
Classroom Session:
*
Classroom 1
Classroom 2
Classroom Work:
*
Exceeds standard
Meets standard
Partially meets standard
Does not meet standard
N/A
Accuracy
In Order
Click, Read, Talk
Engagement
Range Work:
*
Exceeds standards
Meets standard
Partially meets standard
Does not meet standard
N/A
Range Control & Safety
Staging & Reversals
Utilizes Range Cards
Evaluation & Coaching
Static Practice
Demo Riding
Classroom Zoom
*
Yes
No
Needs Improvement
ZOOM Meeting ID/Password Functional
Instructor(s) Name/ID Displayed
Instructor(s) Work Space Adequate/ Free From Distraction
Instructor(s) wore CMSP Identifiable Clothing
Instructor(s) Name/ID Displayed
ZOOM Classroom Connection Functioning
Course Introduction/Classroom Rules Presented
Instructor(s) acknowledged receipt of Student Handouts (Workbooks/Study guides)
Proper Instructor/Student Ratio Observed
Audio / Visuals adequate for virtual classroom
Student Cameras Operational/In-View/Monitored
Instructor(s) used Click – Read – Talk format
Instructor(s) demonstrated effective use of transitions
Instructor(s) demonstrated appropriate communications skills
Instructional Review Conducted/Knowledge Demonstrated
Instructor(s) conducted themselves in a friendly and professional manner
Instructor(s) provide adequate breaks
Course objective accomplished in time allotted
Overall Range Performance
*
Exceeds standard
Meets standard
Partially meets standard
Does not meet standard
Overall Classroom Performance
*
Exceeds standard
Meets standard
Partially meets standard
Does not meet standard
Range Kudos:
Big, clear, timely signals, held for all riders
Adhered to the cards for setup, positioning, execution, and reversals
Read range cards w/o additions
Friendly, supportive tone
Accurate and specific coaching in line with what to coach
Demo riding
Static practices
Classroom Kudos:
Effective explanation of content (accurate)
Good job of bringing meaning and relevance to the bullets
Brought the slide/bullet up first, then talked (CRT)
Kept the content in context
Effective use of transitions bullet to bullet/slide to slide
Additional Kudos:
*
Safety Concerns:
Classroom Themes to Work On:
Accuracy
In Order
Click, Read, Talk
Engagement
Accuracy items to work on:
In Order items to work on:
Click, Read, Talk items to work on:
Engagement items to work on:
Range Themes to Work On:
Range Control & Safety
Staging & Reversals
Utilization of Range Cards
Evaluation & Coaching
Demo Riding
Static Practice
Range Control & Safety items to work on:
Staging & Reversals items to work on:
Utilization of Range Cards items to work on:
Evaluation & Coaching items to work on:
Demo Riding items to work on:
Static Practice items to work on:
Circle of Success, Rules of Professional Conduct, or P&P violations:
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