Memphis Fire EMS 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 ExerciseStaff Meeting ExerciseCommunity Meeting ExerciseRoll Call 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)
