Austin EMS Commander Communication Council Rating Form Candidate Number(Required)Date(Required) MM slash DD slash YYYY Rank Tested(Required)Assessor Letter(Required)Assessor Letter(Required)Assessor Letter(Required)Number Panel(Required)Exercise(Required)Situational ExerciseOral Tactical ExerciseOral Presentation ExerciseIn-Basket ExerciseOral Practical ExerciseStaff Meeting ExerciseCommunity Meeting ExerciseRoll Call ExerciseStructured Interview ExerciseIncident Supervision ExerciseOtherOther ExerciseType in the exercise you are rating The undersigned assessors arrived at an Overall Summed Score for this candidate through a process that included viewing the candidate’s performance and assigning a rating of the candidate’s performance across separate dimensions: problem identification & analysis, decision-making, interpersonal skills, planning and organizing, and oral communication. The assessors conferred to ensure consensus within acceptable limits on these dimension scores before using them to arrive at the mutually agreed-upon Overall Numerical Summed Score recorded below. Rating Scale: 7 – 6.1: Superior 6 – 5.1: Very Good 5 – 4.1: Good 4 – 3.1: Clearly Competent 3 – 2.1: Needs Some Improvement 2 – 1.1: Needs Considerable Improvement 1 – 0.1: Poor Problem Identification - AssessorPlease enter a number from 0.1 to 7.0.Problem Identification - AssessorPlease enter a number from 0.1 to 7.Problem Identification - AssessorPlease enter a number from 0.1 to 7.Problem Identification - TEAMPlease enter a number from 0.1 to 7.Decision Making - AssessorPlease enter a number from 0.1 to 7.Decision Making - AssessorPlease enter a number from 0.1 to 7.0.Decision Making - AssessorPlease enter a number from 0.1 to 7.Decision Making - TEAMPlease enter a number from 0.1 to 7.Interpersonal Skills - AssessorPlease enter a number from 0.1 to 7.Interpersonal Skills - AssessorPlease enter a number from 0.1 to 7.Interpersonal Skills - AssessorPlease enter a number from 0.1 to 7.Interpersonal Skills - TEAMPlease enter a number from 0.1 to 7.Planning & Organizing - AssessorPlease enter a number from 0.1 to 7.Planning & Organizing - AssessorPlease enter a number from 0.1 to 7.Planning & Organizing - AssessorPlease enter a number from 0.1 to 7.Planning & Organizing - TEAMPlease enter a number from 0.1 to 7.Oral Communication - AssessorPlease enter a number from 0.1 to 7.Oral Communication - AssessorPlease enter a number from 0.1 to 7.Oral Communication - AssessorPlease enter a number from 0.1 to 7.Oral Communication - TEAMPlease enter a number from 0.1 to 7.OVERALL SUM(Required)Proctor Signature(Required)
