EMS Program Applicant Evaluation

EMS Program Applicant Evaluation

Evaluation of EMS Program Applicants by Company Level Supervisors

This applicant evaluation is used by the college as a tool to assist in the admission process. Please note that the current application period is from January 15 through April 30.

If you have any questions, please call Mr. Jon Longest at 410-822-5400 ext. 2724 or email at [email protected].

Thank you for taking the time to support your member and the Chesapeake College EMS Program!

Applicant's Name

Name
Name
First
Last

Evaluator's Name

Name
Name
First
Last

APPLICANT EVALUATION

Professionalism/Attitude

The applicant's behavior demonstrates integrity, empathy, self-motivation, self-confidence, teamwork, diplomacy, respect, patient advocacy, careful delivery of service, appropriate appearance and personal hygiene.
Rating

Learner Characteristics

Accepts constructive criticism and takes personal responsibility for self-improvement.
Rating

Medical Knowledge

Applicant provides excellent patient care and demonstrates proper Basic Life Support patient management.
Rating

Communications Skills

Interacts with patients and other members of the EMS Department in an appropriate manner. Performs and reports patient assessments completely and proficiently.
Rating

Leadership Skills and Abilities

Ability to successfully lead the EMS team while providing patient care.
Rating

Evaluator Verification

Please type in your name, title, and date to certify that you have observed the applicant and completed this EMS applicant evaluation.