Master Instructor Field Evaluation Form

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Master Instructor Field Evaluation Form

In This SectionFor Training Course Coordinators and Instructors

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Company

Master Instructor's name *

Master Instructor's email address *

Select the training course that was taught * (required)

Advanced Roadside Hazardous Materials InspectionCargo Tank InspectionGeneral Hazardous Materials InspectionInvestigative Safety AnalysisInstructor Certification CourseMaster Instructor Certification CourseNew Entrant Safety AuditNew Entrant Safety Audit WorkshopNorth American Standard Inspection Part ANorth American Standard Inspection Part BOther Bulk Packaging InspectionPassenger Carrier Vehicle Inspection

Class start date *

Date of Evaluation *

City *

State / Province *

Provide the instructor/instructor candidate's name — First *

Provide the instructor/instructor candidate's name — Last *

Did you evaluate another instructor/instructor candidate during this course? * (required)

YesNo

Please upload your field evaluation(s). Please edit the naming convention of the file to the following: First Name_Last Name_State Abbreviation

Up to 5 files, 15 MB each.

Example of file naming convention:

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