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ALLIED HEALTH COMMITTEE MEMBER EVALUATION
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ALLIED HEALTH COMMITTEE MEMBER EVALUATION
If you see this don't fill out this input box.
*
ALLIED HEALTH COMMITTEE NAME
Number of committee members
Committee Chairperson
*
Member being evaluated
*
Date of Evaluation
Committee member attends meeting regularly except when excused by chairperson
1 - Almost Always (more than 90% of the time)
2 - Much of the time (70- 90% of the time)
3 - Some of the time (50- 70% of the time)
4 - Almost Never (less than 50% of the time)
5 - Unable to Judge
Committee member maintains a positive attitude toward the committee assignment
1 - Almost Always (more than 90% of the time)
2 - Much of the time (70- 90% of the time)
3 - Some of the time (50- 70% of the time)
4 - Almost Never (less than 50% of the time)
5 - Unable to Judge
Committee member pursues committee tasks conscientiously and thoroughly
1 - Almost Always (more than 90% of the time)
2 - Much of the time (70- 90% of the time)
3 - Some of the time (50- 70% of the time)
4 - Almost Never (less than 50% of the time)
5 - Unable to Judge
Committee member contributes meaningful, relevant, and constructive discussion
1 - Almost Always (more than 90% of the time)
2 - Much of the time (70- 90% of the time)
3 - Some of the time (50- 70% of the time)
4 - Almost Never (less than 50% of the time)
5 - Unable to Judge
Committee member is respectful and cooperative in relations with committee members
1 - Almost Always (more than 90% of the time)
2 - Much of the time (70- 90% of the time)
3 - Some of the time (50- 70% of the time)
4 - Almost Never (less than 50% of the time)
5 - Unable to Judge
Evaluative comments to add
Submit
After submission, the form will be sent to the ALLIED HEALTH Division Assistant.
*Required Field
